Yuvarajan S
Assistant Manager (RCM)
Chennai
Summary
Dynamic Assistant Manager – RCM with 10+ years of experience in medical billing, team leadership, and operations management. Skilled in driving process improvements, workflow optimization, and client satisfaction. Proven track record in leading 50+ member teams, mentoring talent, and delivering high-quality outcomes. Now seeking a Manager role to leverage my expertise and contribute to organizational growth.
Overview
10
10
years of professional experience
Work History
Assistant Manager
Corro Health
09.2024 - Current
- Lead and manage a team of 50 associates along with 2 Management Trainees, overseeing end-to-end Hospital Billing (HB) AR follow-up and Physician Billing (PB) authorization & eligibility processes.
- Drive daily production, quality, and SLA adherence across AR follow-up functions including claims investigation, denial resolution, and payer correspondence.
- Oversee PB authorization & eligibility verification workflows, ensuring accurate benefit checks, prior authorizations, payer policy validations, and documentation completeness.
- Monitor AR aging buckets, identify denial trends, and implement corrective actions to reduce outstanding balances and improve cash flow.
- Conduct team huddles, coaching sessions, and performance reviews to maintain high productivity and deliver continuous improvement.
- Support new transitions, SOP updates, and workflow optimization to enhance billing accuracy and reduce rework.
- Collaborate with QA, Coding, and Client Teams to resolve escalations, streamline communication, and improve first-pass resolution (FPR).
- Prepare daily/weekly/monthly performance dashboards for internal and client stakeholders, highlighting KPIs, risk areas, and action plans.
- Ensure compliance with payer guidelines, HIPAA standards, and organizational quality frameworks.
- Mentor Management Trainees in leadership, RCM fundamentals, and operational excellence.
Management Trainee
Corro Health
04.2024 - 09.2024
- Assisted the Assistant Manager in monitoring daily team performance, productivity, and SLA adherence.
- Supported HB AR follow-up and PB authorization/eligibility workflows by analyzing trends and preparing reports.
- Participated in process audits, identified improvement areas, and helped implement corrective action plans.
- Coordinated with QA, Coding, and Client teams to resolve escalations and update process SOPs.
- Supported authorization and eligibility teams by performing benefit checks, prior auth coordination, and documenting payer responses.
- Verified insurance coverage, policy limitations, and payer conditions for both new and recurring patients.
- Acted as a bridge between the team and management, sharing performance updates and challenges.
- Helped supervisors track attendance, productivity, quality scores, and team KPIs.
- Participated in management meetings, learned decision-making processes, and contributed to operational planning.
Quality Auditor
Corro Health
04.2017 - 03.2024
- Audited Hospital Billing (HB) AR follow-up cases to ensure accurate documentation, correct payer actions, and compliance with SOPs.
- Reviewed PB Authorization & Eligibility Verification cases to validate timely benefit checks, prior authorization accuracy, and payer policy adherence.
- Conducted PB AR follow-up audits, checking correctness of denial handling, claim status updates, and follow-up actions taken by team members.
- Performed Indexing audits to ensure accurate document categorization, patient data validation, and error-free upload of medical/financial records.
- Collaborated with team leads and managers to identify common error patterns and implement corrective and preventive action plans (CAPA).
- Ensured 98–99% quality accuracy across HB AR, PB Authorization, Eligibility Verification, PB AR, and Indexing processes.
- Reduced repeat errors by conducting root-cause analysis and implementing targeted training sessions for teams.
- Audited high-dollar claims and aged inventory to prevent revenue leakage and maintain collection efficiency.
- Provided actionable insights to leadership by preparing detailed QA dashboards and trend analysis reports.
AR Caller
Corro Health
08.2015 - 03.2017
- Performed outbound calls to insurance payers to check claim status and resolve outstanding AR.
- Followed up on denied or pending claims and took necessary actions for resolution.
- Analyzed denial reasons and initiated corrective steps such as appeals, billing corrections, and resubmissions.
- Coordinated with coding and billing teams to resolve medical necessity, coding, and eligibility-related denials.
- Managed high-volume queues while maintaining productivity, quality, and turnaround time (TAT).
- Reduced AR backlog by prioritizing high-dollar and aged accounts, improving cash flow for the provider.
- Maintained 98% quality accuracy in documentation and meeting client SLA targets consistently.
Education
Bachelor of Science - Bachelor of Engineering (B.E) – Electrical And Ele
SMK Fomra Institute of Technology
Chennai 03.2014
Skills
Team Leadership (50 members)
Timeline
Assistant Manager
Corro Health
09.2024 - Current
Management Trainee
Corro Health
04.2024 - 09.2024
Quality Auditor
Corro Health
04.2017 - 03.2024
AR Caller
Corro Health
08.2015 - 03.2017
Bachelor of Science - Bachelor of Engineering (B.E) – Electrical And Ele
SMK Fomra Institute of Technology