Mohammed Thazim
Manager, Revenue Cycle Quality
Chennai
Summary
Seasoned Operations & Quality Leader with over 16 years of experience in Revenue Cycle Management (RCM), including 12+ years in quality assurance and operational excellence. Adept at leading large teams, driving performance metrics, and delivering process improvements through data-driven decision-making. Proven expertise in managing end-to-end operations, designing quality management frameworks, and ensuring compliance with healthcare regulations. Recognized for driving high-performing cultures, fostering cross-functional collaboration, and achieving business outcomes through strategic leadership.
Overview
16
16
years of professional experience
3
3
years of post-secondary education
1
1
Certification
3
3
Languages
Work History
Manager, Revenue Cycle QA
Ventra Health
06.2024 - Current
- Results-driven Quality Manager with expertise in end-to-end Revenue Cycle Management (RCM) quality assurance.
- Adept at developing and implementing QA frameworks to enhance process efficiency, compliance, and accuracy in revenue cycle operations.
- Skilled in identifying process gaps, driving continuous improvement initiatives, and collaborating with cross-functional teams to optimize performance.
- Proven ability to lead quality teams, ensure adherence to industry regulations, and contribute to the financial success of healthcare organisation.
Assistant Manager
QWAY TECHNOLOGIES
02.2013 - 05.2024
- Successfully implemented and maintained ISO 9001:2015 certification, ensuring compliance with quality standards and customer requirements.
- Provided leadership and guidance to the operations team, ensuring a cohesive and motivated working environment.
- Identified opportunities for efficiency improvement in operational processes and implemented strategies to enhance workflow and productivity.
- Developed and implemented best practices to streamline operations and reduce costs.
- Conducted regular internal audits and facilitated external audits to ensure adherence to quality management system requirements.
Sr. AR Analyst
AGS Health Care
06.2012 - 02.2013
- Implemented a root cause analysis (RCA) program, resulting in a significant reduction in non-conformities and customer complaints.
- Collaborated with cross-functional teams to identify and implement process improvements, leading to increased productivity and cost savings.
- Managed supplier quality, conducting supplier audits and implementing performance monitoring programs to ensure consistent quality standards across the supply chain.
- Provided training and development programs to enhance employee skills and knowledge in quality control methodologies and procedures.
- Prepared and presented quality reports to senior management, highlighting key performance indicators and areas for improvement.
Customer Support Lead – Renewal Retention
Royal Sundaram Pvt Ltd
07.2011 - 06.2012
- Effectively managed a team of 14 members as the leader of the Health Renewal Retention team, covering nationwide operations.
- Led the team in implementing successful strategies for health policy renewals and customer retention on a pan-India scale, resulting in increased customer loyalty and revenue growth.
- Provided guidance and support to team members, fostering a positive and collaborative work environment that promoted productivity and excellence in customer service.
- Monitored and evaluated team performance metrics, identifying areas for improvement and implementing targeted training programs to enhance renewals rates and customer satisfaction.
- Collaborated with key stakeholders, including sales and marketing teams, to align strategies and initiatives, ensuring a seamless customer experience and maximizing renewal rates across the country.
Sr.AR Caller
Dell Perot System
03.2009 - 07.2011
- Conducted AR calling and follow-up activities with payers to address outstanding claims, ensure timely reimbursement, and minimize accounts receivable backlog.
- Utilized strong communication and negotiation skills to engage with payers, discuss denial reasons, and seek resolution through appeals, reconsideration, or additional documentation submissions.
- Implemented systematic follow-up procedures to track claim status, identify delays or issues, and proactively address outstanding claims for maximum revenue recovery and cash flow optimization.
- Maintained accurate documentation and records of denial management activities, AR calls, and follow-up actions, providing comprehensive reports and analysis to identify trends, improve processes, and enhance overall revenue cycle performance.
Education
Bachelor of Science - Chemistry
The New College / Madras University
06.2005 - 04.2008
XII- HSC. - undefined
MMA Govt. Higher Sec School
SSLC. - undefined
MMA Govt Higher Secondary
Skills
- Lean Six Sigma Black Belt
- Customer Retention
- Quality Management Systems (QMS) Auditing
- Selenium IDE Automation
- P&L Improvement
- Key Performance Indicators (KPIs)
- Root Cause Analysis
- Leadership
- Process Control and Improvement
Certification
Lean Six Sigma Black Belt
Timeline
Manager, Revenue Cycle QA
Ventra Health
06.2024 - Current
Lean Six Sigma Black Belt
08-2022
Assistant Manager
QWAY TECHNOLOGIES
02.2013 - 05.2024
Sr. AR Analyst
AGS Health Care
06.2012 - 02.2013
Customer Support Lead – Renewal Retention
Royal Sundaram Pvt Ltd
07.2011 - 06.2012
Sr.AR Caller
Dell Perot System
03.2009 - 07.2011
Bachelor of Science - Chemistry
The New College / Madras University
06.2005 - 04.2008
XII- HSC. - undefined
MMA Govt. Higher Sec School
SSLC. - undefined
MMA Govt Higher Secondary
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