Open to opportunities

Gayathri Rajendran

@gayathrirajendran

Message

Operations-focused RCM leader specializing in billing quality, HIPAA compliance, and accounts receivable.

India

Message

What I'm looking for

I’m seeking a challenging position in a reputable organization to expand my learnings while driving operational excellence and quality assurance, with a strong focus on compliance, billing quality, and measurable A/R improvement.

I’m an Assistant Operations Manager with deep hands-on experience in US revenue cycle operations, focusing on patient billing, accounts receivable, and operational excellence. I bring extensive knowledge of billing regulations across Medicare, Medicaid, Commercial, HMOs, and PPOs.

In my current role at R1 RCM-India, I monitor and manage patient billing operations and accounts receivable (A/R), while maintaining complete confidentiality of HIPAA-regulated medical and financial information. I’m committed to quality through disciplined workflow oversight and compliance-minded execution.

Previously, as a Quality Control Analyst at Omega Healthcare, I developed, implemented, and managed a comprehensive quality assurance program, supervised team performance, and supported strategic planning. I also created and maintained written policies and SOPs for billing and quality assurance, including ambulance billing compliance reporting, and consistently upheld strict patient privacy standards.

Experience

Work history, roles, and key accomplishments

Current

Assistant Operations Manager

Current

R1 RCM-India

Oct 2022 - Present (3 years 9 months)

Manage patient billing operations and accounts receivable while applying billing regulations for Medicare, Medicaid, commercial payors, HMOs, and PPOs. Ensure HIPAA confidentiality and privacy compliance for medical and financial information.

Revenue Cycle Management (RCM)Accounts Receivable Billing Operations HIPAA compliance Medicare Medicaid HMO PPO Confidentiality A R Monitoring

Quality Control Analyst

Omega Healthcare

Jan 2020 - Present (6 years 6 months)

Develop and manage a comprehensive quality assurance program and oversee end-to-end patient billing workflows. Supervise team performance and maintain billing/quality documentation, SOPs, and compliance reports while upholding patient privacy standards.

Quality Assurance Team Supervision SOP Development Compliance Reporting Auditing Root Cause Analysis

Senior Client Partner

Access Healthcare

Feb 2018 - Present (8 years 5 months)

Interpret EOBs by reviewing medical documentation in client systems and take actions to address underpayments and denials in accounts receivable. Conduct root-cause analysis on aging claims and apply appropriate claim adjustment/action codes to support denial and underpayment resolution.

EOB Interpretation Account Receivables Root Cause Analysis Denial Management Aged Claims client support

Process Executive

AGS Health

Apr 2014 - Present (12 years 3 months)

Perform pre-call analysis and verify claim status with insurance payors using web portals, IVR systems, and direct representative calls. Maintain an audit trail through accurate documentation, conduct post-call diagnostic analysis, and resolve billing disputes and customer inquiries as first point of contact.

Dispute Resolution Web Portals IVR