Karthikeyan Gopal
@karthikeyangopal
Dynamic Operations Manager with 18+ years of experience in optimizing end-to-end RCM processes.
What I'm looking for
I am a seasoned Operations Manager with over 18 years of experience in optimizing end-to-end Revenue Cycle Management (RCM) processes within the healthcare sector. My expertise lies in leading teams to enhance operational efficiency, improve financial performance, and ensure compliance with regulatory standards. I have a proven track record of streamlining billing operations, reducing denial rates, and increasing collection rates through process enhancements and staff training programs.
Throughout my career, I have managed large teams, coordinated with client management, and implemented quality control systems to boost productivity and accuracy. My technical proficiency includes experience with various EHR systems such as ECW, Medisoft, and EPIC, which has enabled me to integrate systems that enhance revenue cycle accuracy and productivity.
I am passionate about fostering a culture of continuous improvement and have successfully led projects that overhauled the revenue cycle process, resulting in significant increases in staff productivity and operational efficiency. My leadership approach focuses on strategic planning, KPI monitoring, and team building to ensure that both client and organizational expectations are met.
Experience
Work history, roles, and key accomplishments
Operations Manager - RCM
APM Billing Services
Jun 2023 - Dec 2024 (1 year 6 months)
Dynamic Operations Manager with over 18 years of experience in optimizing end-to-end Revenue Cycle Management (RCM) processes. Proven ability to lead teams, streamline operations, and enhance financial performance in healthcare settings. Successfully increased claim collection rates and reduced denial rates through effective team management and process improvements.
Manager - RCM
SGH Health Group
Oct 2021 - Apr 2023 (1 year 6 months)
Managed daily operations of the revenue cycle, ensuring compliance with regulations and policies. Oversaw departments to ensure timely payments and settlements, while identifying trends and issues affecting claim payments. Developed reports to track productivity and trained staff on billing best practices.
Assistant Manager - RCM
Universal Health Group
Aug 2012 - Oct 2021 (9 years 2 months)
Led the billing and claims processing team, ensuring accurate payment postings and reconciliation. Streamlined operational processes, resulting in increased efficiency. Fostered strong relationships with internal and external teams to achieve targets.
Supervisor - RCM
Medical Billing Wholesalers
Apr 2006 - Jul 2012 (6 years 3 months)
Oversaw daily operations of the business office functions, ensuring performance met client service level agreements. Developed standard operating procedures to enhance workflow efficiency and trained new team members on project responsibilities.
Denial Management Analyst (AR)
Medical Billing Wholesalers
Apr 2006 - Jul 2008 (2 years 3 months)
Handled accounts receivable management, including charge entry, payment posting, and claims analysis. Followed up on medical claims with insurance companies and ensured compliance with billing regulations.
Education
Degrees, certifications, and relevant coursework
Master of Business Administration (Hospital Administration)
Master of Business Administration, Hospital Administration
Currently pursuing a Master of Business Administration with a focus on Hospital Administration.
Bachelor of Business Administration
Bachelor of Business Administration, Business Administration
Master of Public Administration
Master of Public Administration, Public Administration
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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