Shiv Prasad
Ghaziabad
Summary
Senior RCM & Healthcare Business Leader with 19+ years of experience in US Healthcare Revenue Cycle Management (RCM), Medical Billing, and Business Transformation. Proven expertise in managing P&L, $900M+ portfolios, and 800+ FTE teams across multi-site operations. Recognized for building and stabilizing large offshore RCM centers, driving automation & AI adoption, achieving multi-million-dollar cost savings, and ensuring 100% SLA/KPI compliance for Fortune 500 healthcare clients.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Director, Provider Operations
Firstsource Solutions
11.2023 - 01.2025
- Scaled first offshore US Provider RCM client to 600+ FTEs within 1 year.
- Managed $900M+ receivables portfolio; improved DSO & cash flow.
- Expanded India operations with 4 new US hospital clients.
- Drove automation in claim statusing, ERA posting, dashboards → $2M annual savings.
- Standardized QA, training, and governance across all provider RCM processes.
Director
Knack Global Pvt Ltd
09.2022 - 07.2023
- Site Head – Jaipur (800+ FTEs); owned Operations, HR, Admin.
- Transitioned RCM operations from Mohali to Jaipur; stabilized Billing, AR & Collections.
- Established credit, cash apps, and compliance policies aligned with business needs.
Delivery Leader
R1 RCM Global Pvt Ltd
12.2016 - 08.2022
- Directed 150+ FTEs across AR, Credit, Collections, Payroll & Procurement.
- Implemented RPA in AR follow-up & reporting → 18% productivity gains.
- Delivered consistent cash collection goals, AR aging reduction, and denial resolution improvements.
- Project Manager for global Oracle migration, ensuring smooth transition.
Sr. Executive → Team Leader → Assistant Manager
E4E Healthcare Business Solutions
01.2010 - 01.2016
Sr. Executive
Globerian India Pvt Ltd
01.2006 - 01.2010
Education
M.Com -
Himachal Pradesh University
B.Com - undefined
Delhi University
PGDBA - Marketing & Finance
Symbiosis, Pune
Skills
- P&L Ownership & EBITDA Growth
- US Healthcare RCM (Billing, AR, Denials, Collections)
- AI & Automation (RPA, Dashboards, ERA Posting)
- Client Engagement & CXO Stakeholder Management
- Transition & Migration Leadership
- SLA/KPI Governance & Compliance
- Business Transformation & Cost-to-Collect Optimization
- People Leadership (800 FTEs, Multi-site Ops)
Accomplishments
- Built & scaled 3 offshore RCM centers (Chennai, Hyderabad, Jaipur) – 1000+ staff.
- Reduced denial rates by 30%+ through analytics & automation.
- Delivered $3M+ cost savings in cost-to-collect.
- Led 800+ FTEs across multi-site operations.
- Consistently achieved 100% SLA/KPI compliance.
Certification
- CRCR Certification – HFMA
- Lean Six Sigma Green Belt – Indian Statistical Institute, Delhi
Personal Details
English
Hindi
Japanese
Upper intermediate (B2)
Career Path Timeline (Vertical Infographic – Corporate Style)
- 2006-2010 | Globerian India Pvt Ltd | Sr. Executive – US Healthcare RCM (Billing & AR)
- 2010-2016 | E4E Healthcare Business Solutions | Sr. Executive → Team Leader → Assistant Manager | Managed RCM teams & transitions
- 2016-2022 | R1 RCM Global Pvt Ltd | Delivery Leader – AR, Denials, Collections, Credit, Cash Apps | Directed 150+ FTEs | RPA Automation | Oracle migration
- 2022-2023 | Knack Global Pvt Ltd | Director – Site Head, Jaipur (750+ FTEs) | Built center from scratch | Transitioned Mohali → Jaipur
- 2023-2025 | Firstsource Solutions | Director – Provider Operations (600+ FTEs, $900M portfolio) | Expanded 4 US Hospital Systems | $2M Automation Savings
- NEXT STEP | AVP – US Healthcare RCM | 800+ FTE Leadership | P&L Ownership | Business Growth
Timeline
Director, Provider Operations
Firstsource Solutions
11.2023 - 01.2025
Director
Knack Global Pvt Ltd
09.2022 - 07.2023
Delivery Leader
R1 RCM Global Pvt Ltd
12.2016 - 08.2022
Sr. Executive → Team Leader → Assistant Manager
E4E Healthcare Business Solutions
01.2010 - 01.2016
Sr. Executive
Globerian India Pvt Ltd
01.2006 - 01.2010
B.Com - undefined
Delhi University
M.Com -
Himachal Pradesh University
PGDBA - Marketing & Finance
Symbiosis, Pune
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