KG
Open to opportunities

Karthikeyan Gopal

@karthikeyangopal

Dynamic Operations Manager with 18+ years of experience in optimizing end-to-end RCM processes.

India

What I'm looking for

Seeking a leadership role in a dynamic healthcare setting where I can leverage my expertise in RCM to drive operational excellence, enhance team productivity, and contribute to financial growth.

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

AS
Current

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.

SG

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.

MW

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

MA

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.

BA

Bachelor of Business Administration

Bachelor of Business Administration, Business Administration

MA

Master of Public Administration

Master of Public Administration, Public Administration

Tech stack

Software and tools used professionally

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Karthikeyan Gopal - Operations Manager - RCM - APM Billing Services | Himalayas