Harin Avasathi

As an RCM Account Manager at Assurecare, I spearheaded the comprehensive management of the revenue cycle for 16 healthcare clients, driving operational excellence and ensuring exceptional client satisfaction through strategic oversight, team leadership, and process optimization. My role encompassed end-to-end responsibility for billing, accounts receivable (AR), credentialing, compliance, and denial management, consistently delivering timely results with a proactive approach to challenges.

End-to-End Revenue Cycle Management:

• Managed the full spectrum of RCM operations, including claim submissions, denial resolution, AR follow-ups, and credentialing processes, to ensure optimal revenue realization for clients.
• Anticipated and addressed bottlenecks through proactive planning and data-driven insights, ensuring smooth operations and consistent results.

Exceptional Client Management and Communication:

• Built and maintained strong relationships with clients through regular communication, detailed reporting, and monthly/quarterly reviews.
• Delivered timely and tailored solutions to client challenges, ensuring all deliverables exceeded expectations.
• Anticipated client needs and provided foresight-driven strategies to address emerging issues, enhancing client trust and retention.

Team Leadership and Collaboration:

• Led cross-functional teams, including billing, AR, and compliance specialists, fostering a collaborative environment to achieve shared goals.
• Designed and implemented targeted training programs, equipping teams with the latest industry knowledge and best practices to maintain peak performance.

Process Optimization and Performance Improvement:

• Drove a 20% reduction in AR days and a 15% increase in claim approval rates by streamlining workflows, automating processes, and introducing payer-specific training.
• Conducted detailed root-cause analysis on denial trends, implemented corrective measures, and fostered a culture of continuous improvement.

Regulatory Compliance and Quality Assurance:

• Ensured strict adherence to all healthcare regulations and payer-specific guidelines by conducting regular audits and compliance checks.
• Proactively identified and mitigated compliance risks, safeguarding client operations and minimizing revenue disruptions.

Strategic Oversight and Results-Oriented Management:

• Utilized exceptional foresight to align RCM processes with client business goals, ensuring long-term success and sustainable growth.
• Championed data-driven decision-making, leveraging analytics to identify opportunities, resolve challenges, and deliver measurable improvements.

In this role, I consistently demonstrated a results-oriented mindset, combining operational expertise with strategic foresight to enhance client outcomes and ensure smooth, efficient revenue cycle operations. My commitment to excellence solidified my reputation as a reliable and innovative partner in achieving healthcare organizations' financial success

Major Responsibilities The I manages QA team and is responsible for overall QA processes, methodologies, and test strategy improvements including resource planning, hiring, and performance review of QA team. Monitoring of overall QA objectives and deliverables to customer based on quality standards.

Primary Job Functions

• Audit transactions per sample size, methods & techniques provided
• Review & audit client Database for global trends, suggestions and feedbacks
• Review & audit process flow and exceptions reported periodically to get the process updated to handle those exceptions
• Review and keep SOP current and updated with the support of leads
• Identify the areas of improvement and knowledge sharing and take regular training based on it
• Team New Join Class room Training of RCM Domain & EHR Applications/Other Additional Tools
• Prepare MIS reports as on requirement basis
• Keep monitoring CMS, AMA, AAPC & other important websites for announcements & changes
• To Maintain Practice Health with the help of Process and Team Quality Management.
• Managing & controlling the attendance, team escalations, iteration etc.
• Track performance of the client based on MIS feed mechanism
• Audit the process & people internally periodically per prescribed methods & techniques
• Prepare MIS reports as on requirement basis
• Maintain external communications with Account Manager & other concerned cross functional teams like development, IPM & support
• Inventory Management
• On floor assistance to Team to perform their KRAs

Major Responsibilities

As a Senior Process Executive with experience in Accounts Receivables (AR), Billing, and Posting processes, I was overseeing seven projects related to AR, Billing, and Posting. I was also responsible for managing a team consisting of two Junior Associates.

Primary Job Function:

• Supervising and coordinating the AR, Billing, and Posting processes across all seven projects
• Ensuring accuracy and timeliness in invoicing and billing procedures
• Monitoring accounts receivable aging reports and following up on overdue payments
• Reviewing posting entries for accuracy and compliance with accounting standards
• Providing guidance and training to Junior Associates to ensure their proficiency in handling tasks related to AR, Billing, and Posting
• Implementing process improvements to enhance efficiency and effectiveness in AR, Billing, and Posting processes
• Generating reports and analyzing data to track key performance indicators and identify areas for improvement
• Ensuring adherence to company policies, procedures, and regulatory requirements in all AR, Billing, and Posting activities
• Collaborating with cross-functional teams to streamline workflow and optimize the overall financial operations.