Yuvaraj Palanisamy

• Manage RCM operations for a Radiology service provider overseeing 350+ FTE including supervisors.
• Generate monthly revenue of $100M; maintain KPI core metrics like AR >120 days under 18%, AR days under 45 days, NCR at 97%.
• Overseeing Gross Margin, EBITDA, Net Revenue, and full P&L ownership, including budgeting and forecasting activities for the AR operations.
• Established strong relationships with key industry partners, creating mutually beneficial opportunities for growth and collaboration.
  Managed cross-functional teams for multiple large-scale projects, successfully completing each on time and within budget constraints
• Develop strategic policies and provide data analytics for process optimization.
• Guide service delivery teams, resolve conflicts, and ensure efficient task completion.
• Play a pivotal role in transitioning work in-house from vendors and on-shore to offshore.
• Identify client demands, manage service delivery, and foster business growth.
• Implement team evaluation strategies to enhance strengths and address weaknesses.
• Ensure achievement of goals in customer satisfaction, safety, and quality.

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• Managed RCM operations for an infusion service provider overseeing 200+ FTE including supervisors.
• Led charge entry, payment posting, eligibility verification, prior authorization, and AR processes.
• Overseeing Gross Margin, EBITDA, Net Revenue, and full P&L ownership, including budgeting and forecasting activities for the AR operations.
• Developed strategic policies and provided data analytics for process optimization.
• Guided service delivery teams, resolved conflicts, and ensured efficient task completion.
• Identified client demands, managed service delivery, and fostered business growth.
• Implemented team evaluation strategies to enhance strengths and address weaknesses.
• Ensured achievement of goals in customer satisfaction, safety, and quality.

• Directed Hyderabad RCM operations and managed service delivery teams.
• Developed strategies for cost optimization leveraging AI and automation.
• Built partnerships and aligned service offerings with business objectives.
• Created frameworks for evaluating and improving team performance.
• Maintained KPIs related to customer satisfaction, safety, and quality.

• Supervised Medicaid and commercial insurance AR processes with a 20-member team.
• Trained team members on new procedures and client requirements.
• Conducted client meetings to address quality and process issues.
• Automated prioritization of accounts to boost efficiency and reduce FTEs.
• Managed attrition, forecasting, and productivity improvements.

• Managed denial handling for Medicare, Medicaid, and commercial insurances.
• Allocated work orders and maintained production tracking.
• Responded to client queries and assisted in report preparation.

• Managed denial processing for commercial and workers’ compensation claims.
• Maintained high quality and exceeded production targets.

• Provided inbound customer service for Florida-based insurance payer.
• Explained insurance benefits and verified provider credentials.