Ashok Raj M
Team Lead - RCM Delivery
Chennai
Summary
Dynamic and organized team leader with a proven track record of building positive rapport, inspiring trust, and guiding teams toward achieving organizational goals. Adept at facilitating cross-departmental collaboration with co-management and top-level leadership, ensuring seamless communication and project execution. Excels in training and mentoring while fostering an environment of continuous learning and development. Committed to embracing new challenges to leverage skills, knowledge, and interests into meaningful contributions that drive company success.
Overview
6
6
years of professional experience
2
2
Certificates
1
1
Language
Work History
Team Lead
Omega Healthcare
09.2024 - Current
- Led a team of 30 RCM specialists responsible for denial management, AR follow-up, and payment posting across multiple client accounts.
- Acted as the primary liaison for client communication, ensuring consistent updates, issue resolution, and service satisfaction.
- Oversaw and optimized daily operations related to revenue cycle delivery, ensuring compliance with SLAs, and quality standards.
- Analyzed denial trends, and collaborated with internal teams and clients to implement corrective action plans to reduce recurring denials.
- Ensured accurate and timely insurance and patient payment posting, improving reconciliation, and reducing revenue leakage.
- Managed client tickets and support communication using Zendesk, ensuring timely follow-up and resolution of queries or concerns.
- Trained and mentored team members, conducted performance evaluations, and implemented productivity improvement initiatives.
- Prepared weekly and monthly performance reports for both internal management and clients.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Conducted regular progress reviews with individual team members to identify areas for improvement and provide guidance on career development opportunities.
- Assisted in recruitment to build team of top performers.
Quality Control Analyst
Omega Healthcare
12.2022 - 09.2024
- Conducted regular audits for 15 to 20 RCM specialist to ensure the quality and accuracy of process deliverables, maintaining compliance with client standards and internal KPIs.
- Performed dipstick audits to identify early signs of process deviation, and proactively implemented corrective actions.
- Generated and analyzed efficacy reports to evaluate team performance, identify training needs, and drive continuous improvement.
- Designed and maintained quality dashboards for leadership review, tracking quality trends, error types, and audit scores across teams.
- Acted as a key point of contact for client escalations, ensuring prompt resolution, root cause analysis, and preventive action implementation.
- Supported and participated in internal and external audits, ensuring documentation accuracy and process transparency.
- Utilized Pareto charts and other quality tools to identify top contributors to errors, and prioritize improvement efforts.
- Collaborated with operations and training teams to provide feedback, align process changes, and ensure ongoing compliance.
- Improved overall production efficiency by identifying and resolving quality control issues.
- Enhanced product quality by conducting thorough analyses and implementing corrective actions.
- Inspected items and compared against standards to meet regulatory requirements.
- Reduced customer complaints with consistent monitoring of products for adherence to company standards.
Accounts Receivable Executive
Omega Healthcare
11.2019 - 11.2022
- Performed end-to-end AR follow-up for insurance and 80 patient accounts per day, ensuring timely recovery of outstanding balances.
- Posted insurance and patient payments accurately, including manual and electronic remittances (EOBs and ERAs), minimizing payment discrepancies.
- Managed and resolved denials by analyzing root causes, coordinating with payers, and initiating re-submissions or appeals, as required.
- Handled both hospital (inpatient/outpatient) and professional billing, ensuring proper coding, documentation, and payer compliance.
- Regularly monitored aging reports, and took proactive steps to reduce AR days and improve cash flow.
- Collaborated with internal teams to streamline the AR process, resolve claim issues, and support revenue cycle efficiency.
- Maintained detailed documentation of all follow-up activities for audit readiness and client reporting.
- Identified, recommended and executed opportunities to enhance accounts receivable and billing processes to meet finance requirements.
Education
B.Tech/B.E. - Information Technology
University College of Engineering Villupuram
Villupuram, India 04.2001 -
12th - Biology
ABLMHSS
Tamil Nadu03-2014
10th - Science
ABLMHSS
Tamil Nadu04-2012
Skills
Revenue Cycle Management
Certification
R program with machine learning
Timeline
Team Lead
Omega Healthcare
09.2024 - Current
Quality Control Analyst
Omega Healthcare
12.2022 - 09.2024
Accounts Receivable Executive
Omega Healthcare
11.2019 - 11.2022
B.Tech/B.E. - Information Technology
University College of Engineering Villupuram
04.2001 -
12th - Biology
ABLMHSS
10th - Science
ABLMHSS
ADDITIONAL INFORMATION
Languages: Tamil, English
CUSTOM SECTION
- Rcm software
- Epic
- Billing zendesk
- Payor portal