Open To Work
RAKESH GOVINDRAJ
Work Preference
Summary
Dedicated RCM Process Improvement Analyst with 7+ years in US Healthcare RCM, automation & AR operations. Strong analytical skills, workflow optimization, KPI improvement, and client coordination. Driven Automation Analyst with background in designing, developing and implementing automated systems. Possess strong analytical skills to identify process improvements, coupled with technical knowledge in scripting languages and automation tools. Demonstrated success in past roles by improving efficiency and reducing errors through effective automation solutions. Bring robust problem-solving skills and ability to work collaboratively with multidisciplinary teams.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Senior AR Associate
Bengaluru
09.2025 - Current
- Managed end-to-end AR cycle, including charge posting, payment posting, denial handling, and account reconciliation.
- Performed comprehensive AR follow-ups with insurance providers to ensure timely claim resolution and maximize collections.
- Analyzed aging reports to identify high-impact accounts, reduce outstanding AR, and improve cash flow.
- Handled complex denials and implemented corrective actions to minimize recurring issues.
- Coordinated with coding, billing, and client teams to resolve claim discrepancies and ensure clean submissions.
- Ensured adherence to payer guidelines, HIPAA regulations, and internal quality standards.
- Conducted root-cause analysis to identify process gaps and recommend improvements.
- Monitored KPIs like DSO, collection efficiency, denial rate, and worked towards meeting client SLAs.
- Professional productivity training.
- Reduced workflow errors by 25%.
- 40% improvement in pre-auth times.
- Improved AR team efficiency by 15%.
- Increased efficiency by 30% using automation.
- A customer-focused outsourcing company providing streamlined operations.
RCM Process Improvement & Automation Analyst
Waterlabs.ai
Bengaluru
04.2024 - 05.2025
- Optimized RCM processes by identifying gaps and driving automation solutions.
- Worked with clients to understand hospital systems and pre-authorization workflows.
- Transferred process knowledge to the dev team, including SOPs and flow documentation.
- Managed system and portal credentials with strict data-privacy compliance.
- Implemented process improvements to streamline workflows and reduce errors.
- Assessed automation tools for repetitive RCM tasks.
- Configured and deployed automated solutions to boost operational efficiency.
- Maintained process documentation and training materials.
- Monitored KPIs to measure impact of improvements.
- Collaborated across teams for smooth implementation of changes.
- Company focused on healthcare RCM automation.
Senior Assurant
Transworld India Pvt Ltd
Bengaluru
10.2020 - 08.2022
- Served in a role focused on home insurance policy management.
- Obtaining and updating renewal information for home insurance policies through document reviews and calls to insurers.
- Processed annual premium payments for policy renewals from bank for escrow billed policies.
- Updated mortgagee information to insurance companies.
Team Leader
Silver Sky Enterprises
05.2017 - 04.2019
- Tracked and traced credit card recovery cases using various online tools.
- Ensured team targets were met as directed by the bank.
- Managed customer support and escalations.
- Credit recovery agency.
Quality Control Analyst
Omega Healthcare Management Services Pvt Ltd
12.2015 - 03.2017
- Handled a team of 18 AR associates across different processes like credit balance and payment posting.
- Prepared logs and action plans to improve team quality.
- Tracked productivity and quality metrics of AR associates.
- Conducted training sessions for bottom performers and managed client escalations.
- Revenue cycle management process.
AR Associate
Omega Healthcare Management Services Pvt Ltd
06.2013 - 11.2015
- Obtained medical bill claim status via calls and online checks.
- Resolved denial issues and ensured payment collection for claims.
- Worked on three different AR-related projects.
Education
2nd PUC -
MS Ramaiah PU College
Bengaluru01-2009
SSLC -
St. Lourdes High School
01-2007
Skills
- Revenue cycle management
- AI tools and automation workflow Design
- Claims management
- Healthcare compliance
- Process improvement
- Workflow automation
- Data analysis tools
- Microsoft Office
- Financial reporting
- Photoshop expertise
- Client relationship management
- Attention to detail
- Robotic process automation
- Test automation frameworks
Accomplishments
- Process Efficiency Boost
- Reduced workflow errors by 25%
- 40% improvement in pre-auth times
- Improved AR team efficiency by 15%
- Increased efficiency by 30% using automation
Hobbies and Interests
- AI Tools & Automation
- EV
- Robotics
- Farming
- Space Science
- Exploring
- Innovative tech & scientific fields
Certification
- Google AI Essentials
- Agentic AI and AI Agents: A Primer for Leaders
- C++ OOP, NIIT
Timeline
Senior AR Associate
09.2025 - Current
RCM Process Improvement & Automation Analyst
Waterlabs.ai
04.2024 - 05.2025
Senior Assurant
Transworld India Pvt Ltd
10.2020 - 08.2022
Team Leader
Silver Sky Enterprises
05.2017 - 04.2019
Quality Control Analyst
Omega Healthcare Management Services Pvt Ltd
12.2015 - 03.2017
AR Associate
Omega Healthcare Management Services Pvt Ltd
06.2013 - 11.2015
2nd PUC -
MS Ramaiah PU College
SSLC -
St. Lourdes High School