Utkarsh Goswami
Delhi
Summary
Dynamic operations leader with over 8 years of experience in US Healthcare, specializing in process optimization and team productivity enhancement. Proven expertise in project management and healthcare compliance, resulting in significant reductions in order creation turnaround times. Adept at fostering cross-team collaboration to deliver high-quality service and elevate customer satisfaction. Seeking to leverage this experience to further improve operational efficiencies within a progressive healthcare organization.
Overview
9
9
years of professional experience
Work History
Associate Operations Manager
R1RCM Global Pvt. Ltd.
Gurugram
07.2023 - 04.2025
- Directed operations for a team including seven Assistant Managers, two Lead Analysts, and 141 associates.
- Managed fax indexing operations within the Central Scheduling Team, coordinating workflows between onshore teams in the US and Philippines
- Worked closely with US Senior Leadership (Senior Vice President, Vice President & Senior Director) on multiple projects and received multiple appreciations (Recommendation available on LinkedIn)
- Led initiatives to optimize scheduling processes, significantly reducing turnaround time for order creation
- Collaborated with cross-functional teams to streamline document processing and enhance operational efficiency
- Identified opportunities for process optimization through automation and technology implementations.
- Ensured compliance with healthcare documentation standards while maintaining high-quality service delivery
- Implemented process improvements that enhanced team productivity and customer satisfaction
Assistant Operations Manager
R1RCM Global Pvt. Ltd.
Gurugram
10.2021 - 06.2023
- Provided guidance and support to team members in order to meet project deadlines.
- Assisted in the recruitment, training, and evaluation of personnel.
- Created detailed reports on project progress and performance metrics.
- Led daily meetings with staff members to identify areas of focus, cover policy changes and facilitate positive communication.
Operations Team Leader
HGS Pvt. Ltd. (Now known as Sagility Health)
Bangalore
04.2019 - 10.2021
- Generated detailed reports outlining KPIs, quality control measures, and other related data points.
- Resolved conflicts among team members in a professional manner.
- Provided leadership and direction to a team of 41 operations personnel.
- Supervised daily activities of the operations team members, providing guidance when necessary.
Quality Analyst
HGS Pvt. Ltd. (Now known as Sagility Health)
Bangalore
11.2017 - 03.2019
- Developed and maintained quality assurance procedure documentation.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Provided analytical, planning and coordination support on projects as assigned, reviewing, interpreting, analyzing and illustrating data to stimulate and support enlightened decision making.
Executive Operations
HGS Pvt. Ltd. (Now known as Sagility Health)
Bangalore
10.2016 - 10.2017
- Worked as an A/R caller to take claim status and work on denials for insurance companies
- Responsibilities include working denials, answering phone calls for insurances and patients, and working front end and back end errors.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Trained new employees on calling methodology, multiple medical billing programs and data entry software.
- Analyzed and escalated complaints, issues and grievances to designated departments for investigation and response.
Education
Bachelor of Arts - Political Science (Hons)
Satyawati College, University of Delhi
Delhi05-2016
Class 12th -
Modern Public School
Shalimar Bagh05-2013
Skills
- Project Management
- Microsoft Office Suite (Excel, Word, PowerPoint)
- Denial management
- Healthcare compliance
- Team Leadership
- Data Analysis
Languages
Hindi
First Language
English
Proficient (C2)
C2
Accomplishments
- Received R1 Stars Award for Categories like Transform the Experience, Operate with Purpose, Partner with Purpose & Inclusion Star multiple times from Senior Leadership and Onshore Leadership Teams
References
References available upon request.
Timeline
Associate Operations Manager
R1RCM Global Pvt. Ltd.
07.2023 - 04.2025
Assistant Operations Manager
R1RCM Global Pvt. Ltd.
10.2021 - 06.2023
Operations Team Leader
HGS Pvt. Ltd. (Now known as Sagility Health)
04.2019 - 10.2021
Quality Analyst
HGS Pvt. Ltd. (Now known as Sagility Health)
11.2017 - 03.2019
Executive Operations
HGS Pvt. Ltd. (Now known as Sagility Health)
10.2016 - 10.2017
Bachelor of Arts - Political Science (Hons)
Satyawati College, University of Delhi
Class 12th -
Modern Public School
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