A SM
@asm
Team Lead in RCM revenue cycle, driving denial management, accounts receivable performance, and team efficiency.
What I'm looking for
I’m a dedicated and results-oriented Team Lead with extensive experience in medical billing and accounts receivable within the healthcare industry. I lead teams to optimize revenue cycles, reduce denials, and enhance operational efficiency while maintaining a strong focus on compliance and quality patient care.
Across roles including Revenue Cycle Specialist and Operations Associate, I’ve owned denial management, claim’s processing, appeals, rejections, and medical billing edits. I worked on projects such as MSI and NYU (Epic), Maury Medical Center, Baptist Health, Adventists Health, and multiple facilities including Corona Lab and Weiss & West Hospital—handling aging reports, DNFB/Revenue reporting, audits, and SLA performance to drive revenue with aging days.
As a team leader, I manage denial management teams, identify denial causes, and implement effective resolutions to minimize revenue leakage (including TFL clause monitoring). I prepare SOP documents, train new joiners and collectors, handle client escalations, and strengthen provider collaboration so issues resolve quickly and revenue targets are met.
Experience
Work history, roles, and key accomplishments
RCM Denial Team Lead
Health Recon Connect
Mar 2023 - Apr 2026 (3 years 1 month)
Led denial management operations as an operations associate and team leader, driving revenue optimization through denial root-cause identification and corrective actions across multiple hospital projects. Managed client escalations, partnered with providers to prevent denials, and monitored TFL (Timely Filing Limit) clauses to reduce revenue leakage while maintaining compliance with industry regul
Operations Associate
Huron
Mar 2021 - Feb 2023 (1 year 11 months)
Managed the HMO Medicare project for Adventists Health with a team of 16, performing audits, client updates, and monthly DNFB and revenue reporting. Trained new joiners and handled AR, denials, rejections, and appeals, clearing claims within TAT to maintain timely inflow.
Process Specialist
R1RCM
Aug 2020 - Feb 2021 (6 months)
Built denial workflow SOPs and supported the team as a partial process trainer to meet SLA targets. Handled accounts receivable activities including appeals, rejections, and billing edits, and participated in client meetings to resolve project issues.
Senior Revenue Cycle Specialist
Cerner Healthcare
Oct 2018 - Jul 2020 (1 year 9 months)
Managed multiple medical billing and denial management projects, supporting accounts receivable, claim processing, appeals, and billing edits. Prepared SOP documents, trained the team, and generated revenue by clearing accounts using TAT-focused aging reports.
Revenue Cycle Specialist
Omega Healthcare
Jul 2017 - Sep 2018 (1 year 2 months)
Worked as a Medical Billing Specialist on projects including MSI and NYU (Epic), handling denial management, accounts receivable, claim processing, appeals, and billing edits. Produced aging reports to clear accounts within TAT and generate revenue for the client.
Education
Degrees, certifications, and relevant coursework
SVR Engineering College
Bachelor of Technology
2013 - 2017
Completed a B.Tech at SVR Engineering College in Nandyal from 2013 to 2017.
National Junior College
Intermediate
2011 - 2013
Completed Intermediate studies at National Junior College in Nandyal from 2011 to 2013.
BALAAcademy
Secondary School Certificate
2009 - 2011
Completed S.S.C (school) at BALAAcademy in Nandyal from 2009 to 2011.
Availability
Location
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