Suresh Venkatraja
Healthcare Admin & Operations
chennai
Summary
Results Oriented Health professional with over 25 years of experience in Hospital Management. Seeking a challenging role as General Manager in Administration and Operations. Proven expertise in Hospital billing, Insurance and HIMS. Adept at implementing innovative logistics, ensuring quality control and improving processes. Strong leadership and team building skills. Eager to contribute strategic insights and hands on experience to drive operational excellence in a dynamic environment.
Overview
29
29
years of professional experience
5
5
Languages
Work History
Head – Billing, Insurance & Provider Network
Vasan Eye Care
Chennai
11.2025 - Current
- Lead end-to-end billing, insurance, and TPA operations across multiple eye care centers.
- Manage insurance & TPA empanelment, tariff negotiations, renewals, and package alignment.
- Oversee centralized cashless processing and claims management, reducing TAT and rejections.
- Drive corporate & PSU tie-ups through eye camps, health talks, and MoUs.
- Handle overseas insurance tie-ups and international patient billing coordination.
- Standardize billing processes, audit controls, and MIS reporting across centers.
- Lead and mentor teams to ensure compliance, productivity, and service excellence.
Head Billing & Insurance
Dr. Mehta’s multispeciality Hospitals Pvt Ltd
Chennai, India
07.2024 - 08.2025
- Ensure that auditing of final bill is done before sending to the patient (cash patients) and to Insurance company.
- Ensure that insurance claim details are shared with the insurance company made within 72 hours on discharge.
- Ensure that there is no revenue loss due to payor refusal/ patient to pay.
- Ensure that the insurance patients are guided properly with regard to the TPA procedures.
- To assist the insurance team in clearing the queries on bill amount for all the insurance and particularly VIP patients.
- Ensure that payment follow-up on payment collection is made to the TPA/ Insurance company on daily basis.
- To monitor whether both Cash and TPA processes are taken place as per set standards by the team and educate them then and there for such deviations.
- Generate the reports based on billing collections service wise, user wise, cash, admission- IP & OP wise on daily basis to the respective authorities on time.
- Ensure that the doctors payment have been dispatched within 7 days of realization or collection.
- Ensure teams productivity is increased by reducing customer complaints and improving customer satisfaction.
- Weekly Tasks:
- To approach Corporate / TPA companies for new tie-ups.
- To follow- up weekly with all TPA for payment not received for more than 7 days.
- To make sure that all Corporate/ TPAs contact details are maintained and updated on a weekly basis and share the list with relevant team.
- Monthly Tasks:
- To check for Corporate/ TPA renewals and take necessary action in applying for the same.
- Ensure new surgical package tie-ups are made with insurance companies.
- To maintain good rapport with all the Corporate /TPAs for better efficiency and build partner network.
- To make sure that Corporate/TPA patients volume increase by month on month.
- Submit monthly report on i) Outstanding payment collection list ii) Number of wrong bills, iii) Insurance Discharge Delay, iv) Number of wrong bills raised in wrong heads, v) Average waiting time for bill preparation & analysis details to the HOD and Management.
- Responsibilities @ Department Level:
- Ensure that advance/ caution deposit is collected from all the admitting patients.
- Ensure estimation bill is prepared and explained to the patients without fail.
- Ensuring interim bill is prepared and updated to the patients on daily basis.
- Ensures that all the investigations and other procedures are updated in the system on daily basis.
- Ensure billing is made as per our tariff both for OP and IP on daily basis.
- Give proper instruction to the inpatient billing staff to collect advance amount for the planned major surgeries.
- Ensure that there is zero error in billing process by verifying checklist in each case sheet.
- Ensure patients grievances are addressed on time.
- Responsible for issuance of receipt for the collection of advance amount from the patient.
- To coordinate with IT for system improvement in billing process for customer satisfaction.
- Ensure performance review is done on monthly basis and give 1:1 feedback on performance and improvement plan.
- Any other work as and when entrusted by the HOD and Management.
Deputy General Manager - Operations (Billing & Insurance)
Annai Medical College & Hospital (Rajalakshmi Group of Institution)
03.2023 - 05.2024
- Supervised and managed billing processes, allocating tasks, and resolving disputes within the billing office. Conducted training for new team members on organizational rules, including HIPAA requirements.
- Engaged with patients, doctors, insurance providers, and third party administrators to address billing concerns. Implemented innovative logistics, verified bills, and assessed purchase orders to ensure accuracy in billing processes.
- Analyzed patterns affecting coding, charges, accounts receivable, and collections. Detected and corrected errors in billing processes, implementing quality practices and procedures to enhance overall efficiency.
- Managed and supervised the billing division, including hiring and monitoring personnel. Conducted audits, identified opportunities for improvement, and provided coaching to staff or skill development.
- Liaised with insurance companies for empanelment, payments, and reconciliation. Prepared surgery packages for standard insurance companies. Conducted training sessions, reviewed claims for accuracy and reported critical issues to management.
- Designed, updated, and implemented policies to ensure efficiency in insurance operations. Monitored discounts and rejections, submitted reports to the Finance Manager, and conducted weekly departmental meetings for updates and education on new work methods.
Senior Manager - Operations Billing & Insurance
Dr. Rela Institute & Medical Centre
Chennai
05.2022 - 03.2023
- Managed billing division, overseeing tasks, resolving disputes, and implementing innovative logistics, ensuring adherence to HIPAA requirements and maintaining quality billing practices.
- Analyzed patterns in coding, charges, and accounts receivable, assigning manageable tasks to the team while resolving complex billing issues and supporting audit teams.
- Supervised insurance operations, liaising with companies, preparing surgery packages, conducting training sessions, and reviewing claims for accuracy before submission.
- Implemented efficient policies and protocols for insurance operations, monitored discounts and rejections, and ensured up-to-date insurance schemes on the system.
- Fostered staff development, conducted weekly meetings, and provided guidance and coaching to enhance team knowledge and skills in both billing and insurance operations.
Senior Manager: Admin & Operations (Billing & Insurance)
SRM Medical College & Hospital
Chennai
12.2017 - 05.2022
- Managed Insurance, Billing, Accounts, FrontOffice, and Ward operations, specializing in HIMSSupport, package billing, and supplementary billing system implementation.
- Specialized in corporate hospital billing, cash billing, and Insurance corporate credit billing. Managed insurance claims, self-pay arrangements, and payment plans for patients.
- Supervised billing/intake department operations, ensuring accurate charge entry, payment posting, reimbursement management, and strong team building through regular staff meetings.
- Oversaw the entire insurance process from pre-authorization to claim settlement, managing operations, modifying procedures, minimizing financial risk, and presiding over claims investigations.
Manager - Admin & Operations (Billing & Insurance)
Saveetha Medical College Hospital
Chennai
05.2016 - 09.2017
- Executed organizational tasks adhering to policies, demonstrating proficiency in Microsoft Office and internet use, ensuring efficient administrative processes with a focus on policy compliance and quality initiatives.
- Exhibited strong leadership, supervisory, and communication skills, fostering positive relationships with healthcare staff while coordinating, supervising, and managing daily departmental activities.
- Utilized quick decision-making and problem-solving skills to handle and resolve departmental issues, interviewed, hired, and trained administrative staff, and maintained effective communication with senior management and suppliers.
- Successfully implemented health programs, services, and quality initiatives, generated reports, and coordinated medical programs and camps, showcasing adaptability in performing diverse administrative tasks as required.
Manager - Admin & Operations (Billing & Insurance)
Bloom Health Care Hospital
Chennai
03.2014 - 02.2016
- Spearheaded strategic planning and coordination of hospital services, overseeing executives and managers to ensure effective healthcare operations, including physicians, nursing, and medical records.
- Streamlined financial processes by creating reports, analyzing department effectiveness, managing budgets for marketing, advertisements, and procurement. Expertise in local vendor development and cost reduction.
- Implemented efficient inventory management systems through Karanium Technology’s hospital HIS software, preventing over-stocking and minimizing wastage. Liaised with finance for timely bill payments and generated procurement reports for top management.
- Improved care efficiency, stayed abreast of new laws, represented the facility at governing boards, and organized comprehensive records of facility services, contributing to quality management and ISO team operations.
Assistant Manager - (Billing & Insurance)
Frontier Life Line Hospital
Chennai
12.2011 - 02.2014
- Orchestrated a streamlined workflow for the Inpatient billing department, ensuring hospital-wide efficiency and compliance with industry standards.
- Collaborated with IT to implement cutting-edge software updates, enhancing overall operational performance and technological capabilities.
- Fostered strong relationships with government bodies, insurance agencies, and financial departments, guaranteeing accurate billing, approvals, and adherence to regulations.
- Managed international patient services, prioritizing meticulous billing settlement and nurturing positive relationships with medical professionals, patients, and attenders.
Sr Executive - Health Care Logistics
Apollo Hospitals
Chennai
06.2006 - 11.2011
- Facilitated timely approval from insurance companies and managed bill enhancement submissions upon Patient discharge for efficient claims processing and payment follow-up.
- Demonstrated customer satisfaction and leadership skills while overseeing a team in the Critical Care Unit at Apollo Main Hospital.
- Coordinated the Online Appointment system, efficiently scheduled doctor appointments, and handled cash transactions in the OP department.
- Managed reception duties, maintained a high call response rate, and facilitated patient guidance for appointments, demonstrating efficiency and professionalism in daily tasks.
Executive
Mobiletel India Pvt Ltd
Chennai
02.2001 - 05.2006
- Orchestrated success in channel partner management, overseeing 15 partners, driving mobile product promotion, and achieving targets through incentives.
- Led a 5-Led member team, ensuring seamless operations, interacting with diverse customers, managing projects, and maintaining comprehensive documentation.
Assistant Purchase Officer
Gupta Garments Pvt Ltd
Chennai
07.1997 - 12.2000
- Spearheaded team leadership, managing office and factory administration, including effective oversight of material inventory through regular checks and meticulous record-keeping.
- Assisted Purchase Officer in procuring raw materials, Optimizing garment production by innovatively handling product purchases, and responsibly managing export-related affairs.
Education
MBA - Technology Management
Anna University
ChennaiBachelor of Commerce (B.Com) -
Pachaiyappa’s College, Madras University
ChennaiDCA - Tally
Loyola Institute of Business Administration
Skills
Leadership
Administration
Operation
Billing
Insurance
Quality Control
Communication
Process Improvement
Financial Acumen
Procurement
Team Management
HIMS
PERSONAL DETAILS
- Date of Birth: 29th May 1975
- Passport Number: K5958904
Timeline
Head – Billing, Insurance & Provider Network
Vasan Eye Care
11.2025 - Current
Head Billing & Insurance
Dr. Mehta’s multispeciality Hospitals Pvt Ltd
07.2024 - 08.2025
Deputy General Manager - Operations (Billing & Insurance)
Annai Medical College & Hospital (Rajalakshmi Group of Institution)
03.2023 - 05.2024
Senior Manager - Operations Billing & Insurance
Dr. Rela Institute & Medical Centre
05.2022 - 03.2023
Senior Manager: Admin & Operations (Billing & Insurance)
SRM Medical College & Hospital
12.2017 - 05.2022
Manager - Admin & Operations (Billing & Insurance)
Saveetha Medical College Hospital
05.2016 - 09.2017
Manager - Admin & Operations (Billing & Insurance)
Bloom Health Care Hospital
03.2014 - 02.2016
Assistant Manager - (Billing & Insurance)
Frontier Life Line Hospital
12.2011 - 02.2014
Sr Executive - Health Care Logistics
Apollo Hospitals
06.2006 - 11.2011
Executive
Mobiletel India Pvt Ltd
02.2001 - 05.2006
Assistant Purchase Officer
Gupta Garments Pvt Ltd
07.1997 - 12.2000
DCA - Tally
Loyola Institute of Business Administration
MBA - Technology Management
Anna University
Bachelor of Commerce (B.Com) -
Pachaiyappa’s College, Madras University