Amuthan Moorthy
Director - RCM Operations
Hyderabad
Summary
Dynamic executive with over 16 years of experience in Revenue Cycle Management within the U.S. healthcare industry, demonstrating a strong track record of optimizing operational efficiency and driving significant revenue growth. Expertise includes robust analytical capabilities, decisive leadership, and exceptional problem-solving skills, complemented by outstanding interpersonal strengths. Recognized for an ambitious and optimistic approach, consistently delivering results while adeptly navigating complex challenges across core verticals and operations management. Committed to leveraging extensive industry knowledge to foster innovation and elevate organizational performance.
Overview
16
16
years of professional experience
1
1
Language
Work History
Director – RCM Operations
Data Marshall
04.2024 - Current
- Managing end-to-end RCM for multiple provider specialties and various business models, such as contingency, FTE, and transaction clients, with a span of control of 710 associates, including 3 DRs, 2 SMs, and 1 DGM.
- The client-facing SLA includes.
- AR – Collections and Resolution goal.
- Patient qualification – Meeting TAT.
- Authorization – Resolved/Requested goal.
- Order, charge entry, billing – meeting TAT.
- Payment posting/denial posting – meeting TAT.
- Aligning workforces in the right places in order to achieve 'Operational Excellence.'
- Tracking the revenue collected for the client, and identifying areas to increase revenue.
- Engaging with clients one-on-one at the VP/CFO level for bi-weekly or monthly touch-base calls to collaborate and ensure client success.
- Transitioning new clients and business ramp-ups as and when required.
- Analyzing KPI reports sent by clients.
- Providing training to my doctors on process-related queries.
- Tracking the health of the team and conducting regular skip-level meetings and one-on-ones to improve the health of the team.
- Respond to a broad range of customer inquiries and swiftly resolve problems related to the process.
- Presenting various KPI reports to customer/internal management on a periodic basis.
- Identify potential talents and create opportunities for them to grow.
- Higher ability to coordinate with people in different departments, at all levels.
- Team: Attrition management.
- Annual performance appraisal management.
- Identifying opportunities for continuous learning and development.
Associate Director
HGS Healthcare (Sagility Health)
02.2022 - 04.2024
- Managed DME client with a span of control of 438 associates, with 1 SM, 2 DMs, and 5 AMs.
- The client-facing SLA includes.
- Patient qualification – Meeting TAT.
- Order entry/delivery – Meeting TAT.
- Records confirmation/consolidation – Meeting TAT.
- Authorization – Resolved/Requested goal.
- AR – Collections and Resolution goal.
- Aligning workforces in the right places in order to achieve “Operational Excellence”.
- Transitioning New Clients.
- Analyzing the reports sent by Clients.
- Providing training for Managers/AMs on process related queries.
- Tracking the health of the team and conducting meeting with TL to improve health of the Team.
- Tracking the revenue collected for the client and identifying areas to increase revenue.
- Leading client calls on regular basis.
- Having weekly and monthly review with Operation head’s on the Accounts/Processes performance.
- Respond to broad range of customer enquiries and swiftly resolve problems related to the process.
- Presenting various KPI reports to Customer/Internal Management on a periodical basis
- Identify potential talents and creating opportunities for them to grow.
- Higher ability to coordinate with people in different departments at all levels.
Sr. Manager Operations
R1 RCM
10.2019 - 02.2022
- Managed AR team for ED specialty with span of control 316 associates with DR’s of 4 Managers.
- Handled one of the largest ED specialty client which is operating in 9 states in US which has more than 40 practices/sites with more than 1000 providers linked to these practices.
- Ensure monthly AR collection of 14 million is met on monthly basis.
- Ensure 90+ AR is less than 15%.
- Ensure TAT is met for all daily, weekly and monthly client deliverables.
- Aligning workforces in the right places in order to achieve “Operational Excellence”.
- Transitioning New Clients.
- Analyzing the reports sent by Clients.
- Providing training for Managers/AMs on process related queries.
- Tracking the health of the team and conducting meeting with TL to improve health of the Team.
- Tracking the revenue collected for the client and identifying areas to increase revenue.
- Leading client calls on regular basis.
- Having weekly and monthly review with Operation head’s on the Accounts/Processes performance.
- Respond to broad range of customer enquiries and swiftly resolve problems related to the process.
- Presenting various KPI reports to Customer/Internal Management on a periodical basis
- Identify potential talents and creating opportunities for them to grow.
- Higher ability to coordinate with people in different departments at all levels.
- Job Descriptions:
Sr. Manager Operations
Ascent Business Solutions
10.2017 - 10.2019
Operations Manager
SysInformation Healthcare
04.2016 - 10.2017
Assistant Manager
Ascent Business Solutions
03.2015 - 04.2016
Sr. Team Leader
Gebbs Healthcare
01.2014 - 03.2015
Team Leader
Omega Healthcare
01.2010 - 12.2013
Education
B.E - Computer Science
KCET
Madurai01.2009
Skills
PM System: Proficient in multiple PM systems such as Citrix, Allscripts, Nexgen HP, ECW, GE-Centricity, Artiva, Care cloud systems, IDX, KAM technologies, Prognosis, CureMD and AdvanceMD
CORE STRENGTHS
- Account/Project Management
- Client SLA management
- Customer Relationship
- Quality Management
- Transition Management
- Process Reengineering
- Managing P&L
- Talent Acquiring & Retaining
- Staffing Development & Training
Acknowledgement
I hereby agree that the details provided above are true to the best of my knowledge and I promise to serve as a dedicated employee with total at most sincerity and commitment in everything I do. (Amuthan M)
Timeline
Director – RCM Operations
Data Marshall
04.2024 - Current
Associate Director
HGS Healthcare (Sagility Health)
02.2022 - 04.2024
Sr. Manager Operations
R1 RCM
10.2019 - 02.2022
Sr. Manager Operations
Ascent Business Solutions
10.2017 - 10.2019
Operations Manager
SysInformation Healthcare
04.2016 - 10.2017
Assistant Manager
Ascent Business Solutions
03.2015 - 04.2016
Sr. Team Leader
Gebbs Healthcare
01.2014 - 03.2015
Team Leader
Omega Healthcare
01.2010 - 12.2013
B.E - Computer Science
KCET