Summary
Overview
Work History
Education
Skills
Passport
Residence
Visa
Personal Information
Timeline
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Vishalkumar G

Vishalkumar G

Hyderabad

Summary

Strategic leadership development program graduate from India institute of Management-Bengaluru. High-performing result oriented professional operations-manager with expertise in building, optimizing, reengineering, organizational processes delivery to maximize business results in service operations. Action oriented & highly results driven individual with critical thinking and in-depth experience in Accounts receivable, Cash posting, Charge entry & Billing. Proactive approach in managing large size projects with expertise in creating and enhancing operational workflows and improving efficiency of the team with eye to detail approach. Successfully transitioned multiple projects over last 10 years of my career. Adaptive & flexible to the changes in global market & implement the ideas/business model. Entrepreneurial approach towards operations, excellent in managing teams with oversight of budget/revenue. Skilled strategist who transforms strategic plans into workable solutions and benchmarks performance against key operational targets/goals. Proven Skills in Managing teams to work in Sync with the corporate set parameters & motivating them for achieving business and individual goals. Exposure in identifying/adopting emerging trends and addressing industry requirements to achieve organizational objectives & norms. Hands on experience in Handling the complete back office operations in RCM(Revenue Cycle Management). Six Sigma Green Belt with extensive scope of responsibility, proven success, and track record of delivering optimal results in high-growth environments through initiatives that exceed operational performance targets and yield measurable outcomes. Highly organized and self-motivated professional experienced in project management, team development and process improvement. Skilled in developing and implementing strategies to increase efficiency and performance. Passionate about driving business growth and creating positive work environment.

Overview

16
16
years of professional experience

Work History

Associate Director

R1RCM
1 2020 - Current
  • Joined as Senior manager & currently managing $58M revenue for different clients of Physician and Hospital
  • Managing a team of 1100+ team members working on end to end RCM process across multiple locations (Hyderabad, Bangalore, and Delhi/NCR) with sub process as Doc Management, Charge Entry, Eligibility verification, Cash Posting, Accounts receivables, Credit balance
  • Vendor Management with Close to 100 users
  • Effective client management with consistent improvement in KPI's and which yielded in positive outcomes for client organization
  • Implemented enterprise-wide quality system, improve cost structure, enhance operating performance, oversee regulatory compliance, and build training capabilities
  • Streamline functions to meet Project specific timeliness in compliance with HIPAA and State laws
  • Built the workflow tool which has given the transparency in day to day operations and also simplified the efforts in data tracking, integrity and work assignments for the leads
  • Operational Due diligence post acquisition on all new acquires projects/Company
  • Part of India Senior leader ship team contributing to multiple organizational wide strategies.

Manager of Operations

Cognizant Technologies Solution
06.2016 - 01.2020
  • Recruited for New Health care Business to setup the complete RCM project across functions Accounts receivables, Eligibility, Charge Entry, Claims transmission and payment posting as per organization vision of Digital operations
  • Managed Complete Staff recruitment & team setup
  • Identifying areas of Automation and minimizing the manual effort to improve processes for consistent delivery and also to improve the operating cost
  • Created Fool proof structure of complete transition with utmost client satisfaction with minimal effect on outcomes during transition
  • Transition planning/ implementations achieved for 350+ Clinics across 2016 to 2018
  • Managed project resources, progress, completion timeframes, while exceeding key operational performance targets, with results that include
  • Grooming the new recruited leads/SME's with consistent feedback and inclining them to process specific goals to set them up for success
  • Detailed Focus on Revenue cycle processes for positive outcomes through strategizing, planning, process improvements and training
  • Weekly/ Monthly governance reviews with the client, management and teams
  • Work closely with both onshore and offshore leadership and operational teams for smooth transitions of new businesses
  • Consistently monitoring AR, Charges, Billing, Rejections and Payments.

Manager of Operations

IKS Health
11.2010 - 05.2016
  • Joined as Senior Associate in 2010 and promoted through the system up to Manager level in 5.5 years
  • Focus on revenue cycle processes for positive outcomes through strategizing, planning, process improvements and training
  • Providing statistics on AR resolution and denial reduction to maintain good AR days
  • Consistently monitoring AR, Eligibility, Charges, Billing, Rejections and Payments
  • Plan, Implement and execute strategies to override challenges for expected process outcomes
  • Review and drive standardized best practices by monitoring quality standard operations procedures and service level agreements which are critical to quality and critical to process
  • Successfully aligned business planning and performance improvement activities
  • Review and drive standardized best practices by monitoring quality standard operations procedures and service level agreements which are critical to quality (CTQ’s) and critical to process (CTP)
  • Transforming the revenue cycle processes to increase cash flow, by minimal efforts and maximum output for work functions across through root cause analysis on AR
  • Communicate project status and findings on a regular basis with internal and client leadership
  • Building teams with a vision to focus on result oriented delivery through recognizing and rewarding talents across functions
  • Providing necessary coaching, support & guidance to the team for growth opportunities.

Senior Process Associate

Apollo Health Street
04.2008 - 10.2010
  • Spearheaded process-improvement projects to ensure accurate, timely data delivery, Increased production, and effective relationships with hospital providers
  • End to end work for the entire accounts including client interaction
  • Preparing collection reports, denial reports, and client request reports
  • Working for four Doctors AR individually with focused resolution
  • Researching, Analyze information and Resolve claims
  • Advising clients based on strategic analysis with data on resolution
  • Analyzing and finding trends that can help clients re-engineer the process
  • Coordinating with authorizations, charge entry and cash posting team for process improvements
  • Research and Analysis on claims for resolution
  • Working towards resolution on denials, no response and underpaid claims
  • Summarize and validate the data every end of the day
  • Analyzing and finding trends that can help in bulk resolution
  • Assisting the team with a quick resolution.

Education

Strategic Leadership Development Program -

Indian Institute of Managment
Bengaluru, India
04.2001 -

Graduate in Maths, Electronics and Computer Science -

Osmania University

Green Belt - undefined

KPMG of Hyderabad, Lean Six Sigma concepts

Skills

    Operational Process/Multi-Site Operations

    Process Redesign

    Negotiation, Persuasion, and Communication

    Strategic Planning and Change Management

    Performance Management

    Training and Leadership Development

    Organizational Design and Development

    Continuous Improvement of Operational Processes/Standards

    P&L Management/Revenue Goal/Growth

    Key relationship management

    Strategic leadership

Passport

Yes

Residence

Hyderabad

Visa

B1 Visa United States

Personal Information

Date of Birth: 07/22/1988

Timeline

Manager of Operations

Cognizant Technologies Solution
06.2016 - 01.2020

Manager of Operations

IKS Health
11.2010 - 05.2016

Senior Process Associate

Apollo Health Street
04.2008 - 10.2010

Strategic Leadership Development Program -

Indian Institute of Managment
04.2001 -

Associate Director

R1RCM
1 2020 - Current

Graduate in Maths, Electronics and Computer Science -

Osmania University

Green Belt - undefined

KPMG of Hyderabad, Lean Six Sigma concepts
Vishalkumar G