Saurabh Kathale
Nagpur
Summary
Experienced US Healthcare Operations and Revenue Cycle Management (RCM) professional with a proven track record in optimizing revenue cycles, managing billing processes, and ensuring compliance with US healthcare regulations such as HIPAA, CMS guidelines, and payer-specific requirements. Skilled in claims processing, denial management, accounts receivable (AR) follow-up, patient accounting, and revenue analysis. Adept at leading cross-functional teams to improve operational efficiency, reduce days in accounts receivable (AR), and enhance cash flow performance.
Overview
16
16
years of professional experience
Work History
Manager - Operations and Business development
HERD Medical and Research Foundation
Nagpur
03.2024 - Current
- Managed operations for pharmacy stores and school business verticals, ensuring compliance with regulatory standards
- Supervised HR, facility management, and policy formulation
- Achieved accreditations with the Maharashtra Education Board and Cambridge
- Conducted research, secured funding, and fostered institutional growth
Sr. Associate operation (AR)
First Insight Corporation
Nagpur
01.2023 - 02.2024
- Oversaw daily operations, optimized workflows, and improved operational efficiency
- Collaborated with cross-functional teams to align business objectives
Founder
Polariti Energy and Solutions
11.2018 - 03.2024
- Lead and manage interior construction projects from start to finish, including planning, scheduling, and execution
- Coordinated with architects, designers, subcontractors, and vendors to ensure project requirements are met on time and within budget
- Developed and maintained project schedules, budgets, and progress reports
- Conducted regular site visits to monitor construction progress, quality, and safety compliance
Team Lead - RCM AR
Augustus Healthcare India LLP
Pune
07.2016 - 10.2018
- Led a team of healthcare professionals within a US healthcare setting, overseeing operations and ensuring quality patient care while achieving key performance metrics
- Designed and implemented quality control processes to maintain high industry standards
- Supervised operational teams and enhanced efficiency through strategic planning
Sr Ar Executive
3 Gen Consulting Services LLP
Pune
02.2016 - 07.2016
- Managed revenue cycle processes, including claims processing, denial management, and patient accounting
- Ensured compliance with US healthcare regulations (HIPAA, CMS)
AR executive
Ascent Business Solutions
Nagpur
07.2014 - 02.2016
- Handled revenue cycle management, including revenue analysis, accounting, and client management
- Optimized billing processes and improved revenue collection efficiency
Head Of Operations
Zero Gravity - Dr Shrikant Jichkar Foundation
04.2009 - Current
- Began as a volunteer and progressed to managing Corporate Social Responsibility (CSR) initiatives in collaboration with organizations such as Infosys, Camlin, Being Human, and Infocepts
- Concurrently, spearheaded on-ground operations for government-funded shelters and educational institutions across Maharashtra, ensuring effective implementation and compliance
Education
Bachelor of Engineering -
DBACER
01.2014
Diploma in Engineering -
SDMP Polytechnic
01.2011
SSC -
Hadas High School
01.2008
Skills
- Revenue Cycle Management
- Healthcare Billing and Coding
- Claims Processing and Denial Management
- Patient Accounting and Revenue Analysis
- Regulatory Compliance (HIPAA, CMS)
- Process Optimization and Workflow Management
- Customer Relationship Management
- Leadership and Team Supervision
- Strategic Planning and Project Management
- Technical Troubleshooting and System Implementation
Projects
Team Leader, 07/01/16, 10/31/18, Acted as a Team Leader for a high-performing RCM team, overseeing billing operations, AR recovery, and denial resolution to maximize revenue integrity., Trained and mentored a team of approximately 40-50 RCM professionals, ensuring adherence to quality standards, productivity metrics, and compliance protocols., Simultaneously managed quality assurance operations and the recruitment process, ensuring the onboarding of skilled talent to meet organizational goals., Implemented process improvements that reduced claim denial rates and accelerated AR collections, improving revenue cycle turnaround time., Conducted regular revenue cycle audits and provided actionable insights to leadership, driving revenue growth and operational excellence.
Timeline
Manager - Operations and Business development
HERD Medical and Research Foundation
03.2024 - Current
Sr. Associate operation (AR)
First Insight Corporation
01.2023 - 02.2024
Founder
Polariti Energy and Solutions
11.2018 - 03.2024
Team Lead - RCM AR
Augustus Healthcare India LLP
07.2016 - 10.2018
Sr Ar Executive
3 Gen Consulting Services LLP
02.2016 - 07.2016
AR executive
Ascent Business Solutions
07.2014 - 02.2016
Head Of Operations
Zero Gravity - Dr Shrikant Jichkar Foundation
04.2009 - Current
Bachelor of Engineering -
DBACER
Diploma in Engineering -
SDMP Polytechnic
SSC -
Hadas High School