Ragunath K
Chennai
Summary
Over 12 years of experience in the U.S. healthcare domain, including 3 years in a leadership role overseeing a team of 40+ professionals, with specialization in revenue cycle management. Demonstrated expertise in AR follow-ups, Denial Management, Initial Verification, and Authorizations.
Proficient in Anesthesia and Nephrology specialties, as well as general medical billing. Skilled in managing special projects and critical assignments, with a proven track record of delivering high-quality outcomes while consistently meeting TAT requirements.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Group Leader
Access Healthcare
Chennai
10.2024 - Current
- Joined as a Group Leader and assigned to a new scope within the Initial Verification and Authorizations process in the Nephrology specialty, gaining advanced knowledge in the RCM industry.
- Managed two pilot processes during transition with live inflow, ensuring smooth implementation and operational stability.
- Led a team of 60+ members, driving process understanding, adherence to SOPs, and consistent performance.
- Achieved customer deliverables through productivity, quality standards, and TAT compliance.
- Conducted targeted training sessions based on improvement areas identified through internal and external quality reviews.
- Provided constructive feedback to improve team effectiveness, accuracy, and compliance with established standards.
Team Leader
AGS Healthcare
Chennai
10.2022 - 01.2024
- Supervised a 20-member team focused on claims resolution in the Anesthesia billing process, ensuring productivity, compliance, and adherence to organizational standards.
- Applied deep expertise in anesthesia billing and payer-specific guidelines to reduce denials and accelerate cash flow.
- Conducted process-specific training and mentoring to enhance team accuracy, improve first-touch resolution rates, and ensure SLA adherence.
- Collaborated with customers and internal stakeholders to streamline workflows, minimize claims aging and backlogs, and strengthen revenue recovery.
Senior AR Executive
AGS Healthcare
Chennai
11.2020 - 09.2022
- Joined as a Senior Executive and re-engaged with processes in the Anesthesia specialty.
- Leveraged prior experience to support the team through knowledge sharing and training initiatives, enhancing overall efficiency and expertise.
- Maintained consistent achievement of organizational goals by adhering to quality standards and performance benchmarks.
- Promoted internally to Team Lead in Oct 2022 through the IJP process, based on sustained performance and comprehensive domain expertise.
Senior AR Analyst
QBSS
Chennai
09.2019 - 08.2020
- Joined as a Senior AR Analyst and quickly gained expertise in processes within the Physical Therapy specialty.
- Consistently supported organizational goals by meeting daily targets and contributing as a collaborative team player.
- Identified emerging trends in claim denials and developed effective solutions in alignment with SOPs, improving resolution efficiency and reducing recurrence.
Senior Client Partner
Access Healthcare
Chennai
11.2016 - 12.2018
- Joined as Senior Client Partner and quickly learned about the Anesthesia specialty workflows.
- Acquired in-depth knowledge of anesthesia codes, modifiers, rendering provider types, underpayments, overpayments, and anesthesia reimbursement calculations, applying this expertise in daily operations while ensuring strict adherence to SOPs.
- Resolved denial cases by conducting follow-ups and submitting appeals, achieving accurate resolutions for underpayments and denials.
Senior AR Caller
Omega Healthcare
Chennai
01.2014 - 10.2016
- Acquired comprehensive process knowledge quickly, demonstrating adaptability and commitment to continuous learning.
- Followed up on unpaid claims by contacting payers directly, achieving timely resolution of no-response claims.
- Managed denial cases by identifying root causes and implementing effective solutions aligned with SOPs, driving resolution and minimizing repeated touches.
Education
B.E - Electrical And Electronics Engineering
Cauvery College of Engineering And Technology
Trichy05-2013
Skills
- Revenue cycle management
- Claims resolution
- Compliance adherence
- Quality assurance
- Process improvement
- Workflow optimization
- Team leadership
- Training facilitation
- Effective communication
Languages
English
Advanced (C1)
C1
Tamil
Native
Native
Accomplishments
- Extra Miler Award
Certification
- Lean Six Sigma Green Belt
Timeline
Group Leader
Access Healthcare
10.2024 - Current
Team Leader
AGS Healthcare
10.2022 - 01.2024
Senior AR Executive
AGS Healthcare
11.2020 - 09.2022
Senior AR Analyst
QBSS
09.2019 - 08.2020
Senior Client Partner
Access Healthcare
11.2016 - 12.2018
Senior AR Caller
Omega Healthcare
01.2014 - 10.2016
B.E - Electrical And Electronics Engineering
Cauvery College of Engineering And Technology