Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

RAJ KUMAR

Assistant Manager, RCM
Rajouri Garden

Summary

Results-driven Learning & Development professional with 8+ years of experience in Revenue Cycle Management (RCM) and Accounts Receivable (AR) operations. Experienced AR Denials Specialist with a strong background in both hospital and physician billing. Adept at designing and implementing training strategies that enhance operational efficiency, ensure compliance, and drive team performance. Recognized for leadership, innovation, and a strong ability to streamline processes through effective RCM Training and analytics.

Overview

10
10
years of professional experience
2
2
Languages

Work History

Assistant Manager – Learning & Development

Savista Global Solutions Pvt. Ltd.
12.2017 - Current
  • Designed and delivered comprehensive training programs for RCM and AR operations.
  • Facilitated onboarding and cross-training for new hires, improving team adaptability.
  • Spearheaded business process transitions and implemented new workflows.
  • Conducted monthly knowledge assessments to ensure continuous performance improvement.
  • Collaborated with leadership on strategic planning and operational execution.
  • Presented process improvement solutions directly to clients.
  • Utilized Excel for performance tracking, reporting, and data analysis.

Senior AR Analyst

R1RCM Pvt. Ltd.
07.2015 - 09.2017
  • Processed and analyzed claims using UB-04 and CMS-1500 forms.
  • Conducted follow-ups, appeals, and coordinated with providers for claim resolution.
  • Ensured compliance with payer protocols and managed communications with commercial insurers.
  • Investigated issues related to Medicare, Medicaid, and commercial claims, including refunds and denials.

Education

Bachelor of Arts -

IEC University

Senior Secondary (XII) - undefined

Haryana Board

Skills

  • Learning & Development Strategy
  • RCM & AR Operations
  • Specialized in Hospital & Physician Billing
  • Process Optimization
  • Healthcare Compliance
  • Stakeholder Communication
  • Leadership & Coaching

Accomplishments

  • Led and mentored a team of 22, consistently meeting performance, quality, and training benchmarks.
  • Trained over 150 employees on revenue cycle denial management processes and the use of system tools (Epic, Cerner, ePremis, CHC, XClaim).
  • Designed and implemented an interactive scheduling tool, significantly improving workforce planning and productivity.
  • Recognized with multiple awards for excellence: Star of the Quarter (awarded for 3 consecutive months), Star Awards for outstanding service delivery, Peer-to-Peer Award for cross-functional collaboration and support.
  • Earned certifications in Business Communication, Email Writing, and Process Documentation, enhancing effectiveness in leadership and training roles.

Timeline

Assistant Manager – Learning & Development

Savista Global Solutions Pvt. Ltd.
12.2017 - Current

Senior AR Analyst

R1RCM Pvt. Ltd.
07.2015 - 09.2017

Senior Secondary (XII) - undefined

Haryana Board

Bachelor of Arts -

IEC University
RAJ KUMARAssistant Manager, RCM