Moses Jesudoss Francis

· Managed a high-performing team of 400 FTEs.

· Directed resource planning, recruitment, training, and professional development strategies.

· Led projects from initiation to completion, ensuring alignment with corporate goals.

· Analysed financial data to uncover cost-saving opportunities and boost profitability.

· Engaged in strategic and tactical discussions focused on account optimization and growth.

· P&L management and budgeting activities.

· Leveraged technology-driven solutions to streamline operations, reduce FTE count, and achieve EBITA targets.

· Developed and customized dashboards to align with client deliverables.

· Monitored progress against key performance indicators to evaluate effectiveness of operational activities.

· Analysed financial data to identify opportunities for cost savings and improved profitability.

· Implemented successful business strategies to increase revenue and target new markets.

· Provided leadership support in developing business plans, budgeting, forecasting.

• Handled one of the largest RCM Practice Management Software/TPA clients, managing the A/R process, which includes EDI rejections, A/R follow-up, and denial management.
• Ensured customer policies, procedures, and contractual agreements are consistently met.
• Consistently achieved predetermined metrics to meet business objectives and customer SLAs
• Presented operations status in the weekly and monthly executive review meeting with clients.
• Maximized utilization of resources using agile methodology
• Reviewed performance achievements and targets regularly with Supervisors/ AM’s and provide strategic direction to improve service

• Coordinated with multiple resources efficiently and effectively throughout the development lifecycle and ensured projects are completed on time
• Measured user/employee performance, and human intervention.
• Identified areas of improvement and provided training to address the growing needs.
• Identified training needs and arranged for training, re-training, and cross training, as required.
• Implemented SWAT team as part of capacity utilization.
• Created a high performance, fair and exciting work environment that provides motivation and development opportunities for the teams.

• Managed a Team Size of 65 FTEs with 5 Team Leads, 1 Quality Lead as direct reports .
• Conducted meetings and presentation on work techniques to enhance the knowledge of team members and helped in delivering improved quality
• Handled Multiple clients including client services and operations Delivery
• Consistently met productivity with Quality SLA

• Served as a focal point to communicate and resolve interface and integration issues with other teams.
• Connected weekly with onshore and Global teams for quality assurance and calibration
• Successfully completed the appeals automation process, thereby improving faster resolutions.
• Coordinated with internal teams- EDI, credentials, rules, automation team for root cause analysis
• Successfully transitioned volume migration from one vendor to vendor

• Identified the outstanding claims with payer through ageing reports from clients
• Performed Outbound calls to obtain information on claim status and document the details into client software