VIVEK KUMAR
New Delhi
Summary
Experienced and performance-driven RCM leader with 11+ years in US healthcare revenue cycle management, seeking the position of RCM Service Manager. Proven expertise in account management, AR analysis, team leadership, process improvement, and client relations. Adept at delivering measurable results in multi-specialty RCM environments by streamlining workflows, maximizing collections, and aligning operations with HIPAA and payer-specific requirements.
Overview
12
12
years of professional experience
Work History
Assistant Operations Manager
R1 RCM Global Pvt Ltd
05.2023 - Current
- Manage end-to-end RCM operations for multiple provider groups, overseeing a team of 200+ staff and 9 team leads
- Lead KPI governance including dashboards for productivity, quality, and TAT
- Ensure adherence to SLAs, HIPAA compliance, and client-specific guidelines across all revenue cycle functions
- Serve as primary client liaison—handling escalations, delivering monthly/quarterly reporting, and resolving complex issues
- Drive AR optimization by analyzing aging trends and directing teams to expedite collections
- Collaborate with internal stakeholders on workflow design, automation, and continuous improvement
- Coach and mentor team leads, plan FTE allocation, and conduct engagement and conflict resolution activities
- Deliver practice performance reviews, strategic recommendations, and process change implementations
Team Leader / Assistant Team Leader
EyeCareLeaders Pvt Ltd
06.2017 - 05.2023
- Supervised 40+ associates across Eligibility, Billing, AR Denials, Credentialing, and Patient Collections
- Managed onboarding of provider accounts including EMR/PMS integration and clearinghouse setup
- Led offshore-onshore coordination and delivered weekly/monthly performance dashboards to clients
- Conducted root cause analysis on denials, presenting actionable insights to improve FPR and reduce rejections
- Designed SOPs across functions to standardize quality and improve operational consistency
- Proactively handled attrition, shrinkage, and team development through training and bottom quartile management
Senior Quality Auditor
EyeCareLeaders Pvt Ltd
01.2017 - 06.2017
- Audited billing and AR processes to ensure compliance with Medicare, payer-specific rules, and client policies
- Generated audit reports with corrective recommendations, driving measurable improvements in quality and accuracy
- Conducted training sessions and calibration meetings to align evaluation parameters
Quality Auditor / Trainer / AR Analyst
R1 RCM Global Pvt Ltd
09.2013 - 12.2016
- Conducted quality audits, created training material, and delivered AR Denial training sessions across teams
- Played a key role in identifying billing discrepancies and implementing process enhancements
- Trained new hires on RCM workflows and compliance protocols
- Worked on AR follow-ups, reconciliation, payment posting, and data analysis to accelerate cash flow
Skills
- MS Excel (Advanced)
- PowerPoint
- SQL
- GSuite
- Zoom
- Docusign
- EHR/PMS
- Revenue Cycle Management (End-to-End)
- Client & Stakeholder Management
- AR Analysis & Denial Management
- KPI Dashboarding & SLA Tracking
- Team Leadership & Performance Coaching
- Strategic Planning & Process Optimization
- HIPAA Compliance & Regulatory Knowledge
Accomplishments
- Resolved $100M in billing backlog through targeted issue resolution strategies.
- Boosted team productivity to 115% while maintaining 98% accuracy.
- Designed an in-house software tool to reduce manual intervention across the RCM cycle.
- Received multiple accolades: Client Appreciation Award, Quality Excellence Award, and Star Performer Award.
Technical Skills
MS Excel (Advanced), PowerPoint, SQL, Salesforce, GSuite, Slack, Zoom, Docusign, Epic, AdvanceMD, Nextgen, iMedicWare, Proficient in eligibility verification, claim status checks, and remittance processing
Education
B.Sc. - Chemistry
University of Delhi
01.2013
Senior Secondary - Science
CBSE
01.2010
Secondary Education - undefined
CBSE
01.2008
Languages
English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)
Timeline
Assistant Operations Manager
R1 RCM Global Pvt Ltd
05.2023 - Current
Team Leader / Assistant Team Leader
EyeCareLeaders Pvt Ltd
06.2017 - 05.2023
Senior Quality Auditor
EyeCareLeaders Pvt Ltd
01.2017 - 06.2017
Quality Auditor / Trainer / AR Analyst
R1 RCM Global Pvt Ltd
09.2013 - 12.2016
Senior Secondary - Science
CBSE
Secondary Education - undefined
CBSE
B.Sc. - Chemistry
University of Delhi
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