EPIC
Hari Ramachandran P
Team Leader
Chennai,TN
Work Preference
Summary
- US Healthcare Revenue Cycle Management (RCM) Specialist with 9+ years of experience delivering end-to-end medical billing services for US healthcare providers.
- I specialize in Insurance Verification, Prior Authorization, Medical Coding, Charge Entry, Claims Submission, AR Follow-up, Denial Management, Payment Posting, Patient Billing, and Provider Credentialing.
- Backed by a skilled team, I help healthcare practices maximize reimbursements, reduce AR days, minimize denials, and improve cash flow while maintaining strict HIPAA compliance and data security.
- Whether you're a solo provider, clinic, or growing practice, I'm committed to delivering accurate, efficient, and revenue-focused RCM solutions.
Let's connect and optimize your revenue cycle.
Overview
3
3
Languages
10
10
years of professional experience
Work History
Team Lead | AI-Driven Posting Optimization
E-Med Billing Private Limited
Chennai, India
10.2024 - Current
- Leading an AI-enabled revenue transformation initiative, supervising complex outstanding and recently rejected accounts to protect reimbursement outcomes through structured resolution planning.
- Overseeing insurance payment posting, patient payments, denial entries, and recoupment transactions to ensure financial accuracy and ledger integrity.
- Collaborating closely with the client to support development of an intelligent automation platform designed to modernize claims lifecycle operations.
- Participating in strategic review sessions to align system performance with revenue objectives.
Group Co-Ordinator - Operations & Leadership
EL Revgen Healthcare Solutions Private Limited
Chennai, India
06.2023 - 09.2024
- Promoted to Group Coordinator to direct a 20-member revenue team, driving accountability, productivity, and measurable financial improvement. Spearheaded talent acquisition and onboarding to strengthen operational capability.
- Developed and distributed aging, denied inventory, and coverage validation analytics to structure daily recovery action plans. Produced monthly revenue performance dashboards to evaluate collection trends and variance patterns.
- Facilitated strategic client reviews to analyze denial behavior and implement corrective workflows.
- Through targeted process enhancements and structured oversight, decreased rejection rates from 40% to 15%, earning formal client recognition for exceptional turnaround results.
SME - Operations & Team Leadership
Cascade Revenue Management Private Limited
Chennai, India
09.2022 - 06.2023
- Served as a Subject Matter Expert supporting and mentoring a team of 25 RCM professionals, providing operational guidance, denial clarification, and real-time issue resolution to maintain production efficiency and quality standards.
- Led high-priority denial resolution by directly engaging with insurance payers to expedite complex claims and protect revenue.
- Actively participated in client meetings, presenting AR status updates, addressing concerns, and ensuring transparency in performance metrics.
- Generated detailed AR reports, monitored aging trends, and strategically allocated workloads to optimize daily productivity and turnaround time. Also managed provider portal creation and access configuration to streamline payer communication workflows.
Senior RCM Specialist
Medicommerce Private Limited
Chennai, India
08.2019 - 07.2022
- RCM specialist with progressive growth from AR operations to senior-level claim resolution, managing the full revenue cycle for U.S. healthcare providers.
- Strong background in claim analysis, payer policy interpretation, and resolving complex reimbursement challenges across commercial and government plans. Experienced in identifying denial patterns, correcting billing errors, and driving accurate payment outcomes.
- Comprehensive expertise in patient registration, insurance verification, authorization workflows, compliant charge entry (POS, DX, modifiers), appeals, reconsiderations, medical record coordination, and multi-payer claim management.
- Recognized for process accuracy, cross-functional collaboration, and strengthening revenue performance through structured resolution strategies.
Senior AR Caller
Crsytal BI Technologies Private Limited
Chennai, India
08.2016 - 07.2019
- Started my career as a Trainee in AR Calling and quickly advanced to Senior AR Caller based on performance and revenue recovery skills.
- Managed end-to-end AR follow-ups across all aging buckets (30–120+ days), working with commercial and government payers to secure maximum reimbursements.
- Handled complex denials (CO, PR, OA), timely filing issues, corrected claims, reprocessing, and appeals.
- Collaborated with coding and front-office teams to resolve billing discrepancies and improve cash flow.
- Experienced in working across multiple outpatient specialties and managing both primary and secondary claims.
- Recognized for strong payer communication, denial resolution expertise, and consistent AR reduction.
- Later joined Medicommerce with expanded responsibilities and higher compensation, completing a smooth and professional transition.
Education
Bachelor of Engineering - Electrical And Electronics Engineering
TJ Institute Of Technology
Chennai, India 05.2001 -
Skills
Accounts receivable and payable
Billing cycle expertise
Team Leadership
Confidentiality and HIPAA compliance
Quality assurance adherence
Exceptional client communication
Process improvement specialist
Training and mentoring experience
Scheduling expertise
Teamwork and collaboration
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The first one gets the oyster, the second gets the shell
Andrew Carnegie
Software
E Clinical Works
Athena Health
AdvancedMD
DrChrono
Languages
English
Bilingual or Proficient (C2)
Tamil
Bilingual or Proficient (C2)
Telugu
Advanced (C1)
Timeline
Team Lead | AI-Driven Posting Optimization
E-Med Billing Private Limited
10.2024 - Current
Group Co-Ordinator - Operations & Leadership
EL Revgen Healthcare Solutions Private Limited
06.2023 - 09.2024
SME - Operations & Team Leadership
Cascade Revenue Management Private Limited
09.2022 - 06.2023
Senior RCM Specialist
Medicommerce Private Limited
08.2019 - 07.2022
Senior AR Caller
Crsytal BI Technologies Private Limited
08.2016 - 07.2019
Bachelor of Engineering - Electrical And Electronics Engineering
TJ Institute Of Technology
05.2001 -