Nitin Joshi
New Delhi
Summary
Seasoned and performance-driven healthcare operations leader with over a decade of progressive experience in U.S. Revenue Cycle Management (RCM) and Accounts Receivable (AR) across provider and third-party service environments. Demonstrated expertise in orchestrating large-scale, end-to-end process transitions with a focus on operational stability, compliance integrity, and accelerated time-to-value. Adept at designing and deploying cost-efficient delivery frameworks, driving margin expansion, and instituting KPIs that elevate service delivery and client satisfaction. Proven capability in leading cross-functional, geographically dispersed teams, implementing strategic initiatives, and fostering a culture of accountability, process excellence, and continuous improvement. Well-positioned to deliver transformational impact in Senior Manager or Director capacities within dynamic, growth-focused organizations.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Transition Manager
Jorie Healthcare Private Limited
Mohali
07.2023 - Current
- Lead the complete transition lifecycle of Revenue Cycle Management (RCM) and Accounts Receivable (AR) processes, from due diligence and process discovery to stabilization and operational handover.
- Design and execute transition project plans that align with client objectives, timelines, and regulatory requirements.
- Act as the primary liaison between clients, internal operations, IT, automation, and compliance teams to ensure a unified approach to transitions.
- Manage stakeholder expectations, drive alignment, and communicate progress through structured governance models.
- Conduct in-depth process mapping and feasibility analysis to identify automation opportunities within RCM and AR workflows.
- Collaborate with RPA CoEs (Centers of Excellence) and developers to evaluate and prioritize high-impact automation candidates during transition.
- Integrate RPA and other intelligent automation tools (e.g., bots for eligibility verification, payment posting, denial management) into transition blueprints to streamline operations post go-live.
- Ensure automation readiness including exception handling protocols, bot monitoring, and business continuity plans.
- Develop and standardize SOPs, process flowcharts, control checklists, and exception management documentation, including RPA-integrated workflows.
- Facilitate structured knowledge transfer and training sessions for both manual and automated components of the process.
- Ensure all transitioned processes—including those enhanced by RPA—comply with HIPAA, CMS, and payer-specific regulations.
- Identify potential risks (e.g., data breaches, automation failure points) and implement robust mitigation and rollback plans.
- Conduct readiness assessments to validate that teams, systems, and bots are prepared for go-live.
- Provide hypercare support during stabilization to ensure KPIs are met and process integrity is maintained.
- Define and track transition success metrics including automation ROI, bot utilization, FTE savings, error reduction, and TAT improvements.
- Deliver detailed transition reports and dashboards to leadership and client stakeholders.
- Capture lessons learned from each transition and refine frameworks to support faster, more efficient future deployments.
- Stay abreast of emerging technologies (AI, ML, OCR) and advocate for their adoption in RCM processes where applicable.
Operations Manager
Vocis LLC
Delhi
01.2022 - 07.2023
- Helping in successful transition of multiple clients.
- Accountable for a team of 80+ team members on their overall performance.
- Responsible for meeting the organizational objectives in terms of SLA metrics & deliverables of all four LOBs.
- Preparation of Dashboards/Reports and presenting on daily/weekly meetings with Onshore leadership.
- Utilization, Shrinkage, Attrition/Retention management.
- Planning and organizing high collection functioning of the client to ensure lower AR.
- Addressing client’s escalations & working on solutions.
- Cross departmental coordination with Operations/IT/Training/HR.
- Working on plans and execution of same in order to ensure cost effective management.
- Addressing client complaints and to work on its solutions.
Assistant Manager
WNS Global Service Private Limited
Gurugram
07.2021 - 01.2022
- Team handling.
- Supporting team in every aspect related to process.
- Conducting team meetings on company policy, procedures, and training team members on performance improvement plans.
- Analyzing data to identify trends and behavior from a performance standpoint.
- Preparing reports with a view to monitor the performance & efficiency of the team members.
- Taking meetings with quality team and operations TLs to get the quality reports.
Team Lead
Medcloud Software Solution Ltd
Gurugram
02.2020 - 07.2021
- Team leading.
- Preparing daily production reports.
- Analyzing the AR inventory and reviewing denial trend.
- Training team members and sharing process knowledge.
- Preparing combined production reports for weekly and monthly meetings with management.
- Reviewing the quality of team members and collaboration with quality auditors for scope of improvement if required.
Subject Matter Expert
Pacific (Access Healthcare Company)
Noida
08.2017 - 02.2020
- Responsible for the medical claims to get paid through different insurance in United States on behalf of different doctors.
- Involved in team management as well as preparing managerial reports on daily basis.
- Inventory allocation to each team member on daily basis.
Senior AR Executive
Pacific BPO Pvt Ltd
Noida
06.2014 - 12.2016
- Working on claims.
- Making sure to meet production targets on daily basis.
- Sharing the denial trends with ATL/TL.
Education
Bachelor of Commerce -
University of Delhi
01.2014
12th -
CBSE Board
01.2011
10th -
CBSE Board
01.2009
Skills
- Revenue cycle management
- Client relationship management
- Business performance improvement
- Stakeholder management
- Team leadership
- Transition project planning
- Risk analysis
- Accurate forecasting
- Cost management
- Cross-functional coordination
- Documentation and reporting
Total Experience Us Healthcare
9 years 5 months
Personal Information
- Current CTC: ₹15,000,00
- Father's Name: Mr. Navin Joshi
- Notice Period: 90 Days
- Date of Birth: 02/15/94
- Marital Status: Unmarried
Accomplishments
- Received the Employee of the Month award and appreciation for three consecutive months
- Multiple client appreciations were received on the successful transition of the projects, resulting in business addition
- Best leader in operations, rewards for three consecutive months
Languages
Hindi
First Language
English
Proficient (C2)
C2
Certification
- Six Sigma Green Belt Certification (CSSBG)
Timeline
Transition Manager
Jorie Healthcare Private Limited
07.2023 - Current
Operations Manager
Vocis LLC
01.2022 - 07.2023
Assistant Manager
WNS Global Service Private Limited
07.2021 - 01.2022
Team Lead
Medcloud Software Solution Ltd
02.2020 - 07.2021
Subject Matter Expert
Pacific (Access Healthcare Company)
08.2017 - 02.2020
Senior AR Executive
Pacific BPO Pvt Ltd
06.2014 - 12.2016
Bachelor of Commerce -
University of Delhi
12th -
CBSE Board
10th -
CBSE Board
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