Karthick Pachaiyappan
Manager - RCM Operations
Chennai
Summary
Result Oriented with LSSBB & LSSGB certified professional with 15 years of experience in health care domain. To work in such an environment that will enhance my knowledge and carrier. Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach. I can perform my management skills accordingly to managing resources efficiently, providing Patient-Centered services, enhancing creativity in problem-solving and managing workplace diversity.
Overview
14
14
years of professional experience
4
4
years of post-secondary education
3
3
Certifications
2
2
Languages
Work History
Manager
RCM, WorldSource HealthCare India Pvt, Ltd
Chennai
2019.07 - Current
- Maintain standardized operational workflows to ensure efficiencies, quality outcomes and maximized revenue
- Lead, direct, guide and manage operational excellence and quality team of professionals engaged in various aspects of quality control, assurance and operational excellence tasks and assignments in complex operations environment manufacturing best in class products
- Oversees and manage site vide OpEx projects aimed at cost reduction through productivity, Quality and efficient enhancement. Meet OpEx savings goals as set by the HUB and BU. Set-up local OpEx reporting according to BU guidelines & ensure it monthly basis.
- Responsible for driving the quality and process improvement initiatives throughout the organisation. Support the operations though implementation of lean techniques, with problem solving techniques like 4Q, 5 whys and other SQC tools
- Delivers timely required reports to the RCM Director; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation.
- Defines and develops Quality and Operational Excellence (Q&OpEx) strategies in line with ABB Q&OpEx strategy, and supports their local adoption and deployment to accelerate the rate of operational improvement across the entire value chain
- Effectively use developed dashboard reporting to maintain and use to demonstrate performance.
- Perform period reviews to mentor and give constructive feedback to improve performance.
- Be proactive in foreseeing risks and devise plans to mitigate the same. Strong customer service skills; answering client calls; prompt return and follow up to all interactions.
- Delivers timely required reports to the RCM Director; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation
- Analyze and address staff performance, conduct and other problems in a timely and professional manner; offering counseling, correction and discipline as appropriate
- Ensure that there are no client escalations and maintain noiseless delivery
- Track clients productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met
- Effectively use developed dashboard reporting to maintain and use to demonstrate performance
- Perform period reviews to mentor and give constructive feedback to improve performance
- Maintain high motivation and engagement level within the team
- Be proactive in foreseeing risks and devise plans to mitigate the same
- Handle and manage internal staffing issues as regards time clock, time-off, covering workloads, training and answering questions on subordinates’ duties and responsibilities
- Other duties as assigned.
Assistant Manager
Medusind Solutions
Chennai
2018.01 - 2019.04
- Guiding TLs and Team coaches to drive operations smoothly
- Responsible for team meeting productivity and internal quality targets
- Responsible for team meeting client SLA and KPI targets
- Ensure to maintain noiseless delivery
- Be proactive in foreseeing risks and devise plans to mitigate the same
- Actively participate in client calls
- Responsible for process improvement and control by identifying process gaps
- To understand client requirements and address the issues then and there
- Conducting weekly review with the TL’s and initiate the action plan.
Team Lead
Accenture
Chennai
2013.10 - 2018.01
- Responsible for the team meeting client SLA, KPI targets, productivity and internal quality targets
- Ensure operations are run through OE methods
- Interacting with client to provide daily / weekly / Monthly update on team performance
- To understand their requirements and address the issues then and there
- Be proactive in foreseeing risks and devise plans to mitigate the same
- To ensure that monthly scorecard discussions are conducted with the individuals
- To ensure client driven processes are adhered to the team
- To meet the attrition goals set by the organization
- Responsible for process improvement/control by identifying process gaps
- Preparing Daily / weekly dashboards to demonstrate performance
- To drive client saving initiatives
- Conducting skip-level meetings with the team members and address their grievances on time.
Team Leader
Apollo Health Street
Chennai
2008.05 - 2013.10
- Monitoring the productivity on Hourly basis.
- Reporting / escalating the team issues then and there to my Client Manager.
- Preparing Daily, Weekly and Monthly reports to the higher management as well as to the client.
- Involved in client calls to understand their requirements and address the issues on time.
- Providing adequate training to the new comers in both Billing and AR process.
- Conducting regular feedback sessions with the team members
- Doing internal audit / surprise audits regularly to ensure the process enhancement.
- Responsible for incentive / reimbursement and appraisal report.
Education
B.Tech - Information Technology
Valliammai Engineering College | Anna University
Chennai 2002.07 - 2006.04
Skills
Project Management
Certification
Lean Six Sigma Black Belt
Passport No
M9856278, Expires 06/02/25
Timeline
Lean Six Sigma Black Belt
2022-07
Lean Six Sigma Green Belt
2022-07
Lean Six Sigma Yellow Belt
2021-06
Manager
RCM, WorldSource HealthCare India Pvt, Ltd
2019.07 - Current
Assistant Manager
Medusind Solutions
2018.01 - 2019.04
Team Lead
Accenture
2013.10 - 2018.01
Team Leader
Apollo Health Street
2008.05 - 2013.10
B.Tech - Information Technology
Valliammai Engineering College | Anna University
2002.07 - 2006.04
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