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
Similar Profiles
Yuvaraj PalanisamyYuvaraj Palanisamy
Associate Director – AR RCM Operations at Ventra HealthAssociate Director – AR RCM Operations at Ventra Health
Dawn ChristensenDawn Christensen
Payment Analyst at Ventra HealthPayment Analyst at Ventra Health
Millie PageMillie Page
Account Escalations Representative at Ventra HealthAccount Escalations Representative at Ventra Health
Sri Ranjith SSri Ranjith S
Splst, Development at Standard Chartered BankSplst, Development at Standard Chartered Bank
DEVENDRAN MUTHUKUMARAMANIDEVENDRAN MUTHUKUMARAMANI
Blockchain Technical Project Manager at Casper AssociationBlockchain Technical Project Manager at Casper Association