Rohit Singh
@rohitsingh20
RCM Operations Manager specializing in US healthcare eligibility, AR follow-up, and denial management to improve collections.
What I'm looking for
I’m a results-driven RCM Operations Professional with 10+ years of overall operations experience across healthcare and financial services, deeply specialized in US Healthcare Revenue Cycle Management.
I focus on improving collections, reducing AR aging, and driving measurable process improvements using Lean Six Sigma methodologies (LSSBB). I’m adept at managing cross-functional teams and achieving SLA compliance while translating operational data into actionable insights.
Across enterprise platforms including Epic, Cerner, Allscripts, and Meditech, I strengthen execution of eligibility & benefits verification, claims processing, denials & appeals, and payer-specific workflows. I also bring strong expertise in CMS and HIPAA compliance, with a compliance-first mindset.
In recent roles, I’ve led RCA initiatives to reduce denial rates, optimized workflows to reduce claim turnaround time, and improved accuracy from 92% to 98%. I bring hands-on leadership through coaching, SOP audit & quality management, and escalation handling to deliver consistent business outcomes.
Experience
Work history, roles, and key accomplishments
Assistant Manager
FinThrive India Pvt Ltd
Nov 2025 - Jun 2026 (7 months)
Led end-to-end AR follow-up operations, ensuring adherence to payer-specific SOPs, workflows, and SLA benchmarks. Managed team KPIs, resolved payer escalations and denial disputes, and supported AR aging targets.
Optimized claim turnaround time through workflow improvements and corrective action planning. Led root cause analysis (RCA) initiatives to reduce denial rates and supported SLA adherence while mentoring team leads and handling escalations.
Supervised AR and billing teams handling insurance follow-ups, denials, and appeals across specialty and multispecialty accounts. Maintained SOPs aligned to payer policy changes and tracked KPIs for AR aging, productivity, and quality.
Conducted internal quality audits to ensure compliance with SOPs, payer guidelines, and provider billing policies. Analyzed error trends, drove continuous improvement, and implemented training and corrective action plans to improve accuracy from 92% to 98%.
Executed end-to-end billing and insurance follow-ups for unpaid and denied claims across multiple payers. Coordinated with payers to resolve denials and documentation deficiencies, improving collection rates.
Provided production coaching and subject-matter support for US healthcare medical billing, resolving complex user queries. Conducted internal audits, identified quality gaps, and implemented corrective actions to improve team performance.
Executive
Indiabulls Ventures Ltd
Jul 2014 - Aug 2015 (1 year 1 month)
Handled client billing queries and escalations in alignment with defined SOPs and compliance standards. Managed demat account issues and maintained CSAT through timely resolution and clear client communication.
Education
Degrees, certifications, and relevant coursework
Udemy
Healthcare Revenue Cycle Management – Advanced (Certification), Healthcare Revenue Cycle Management
Completed an Advanced Healthcare Revenue Cycle Management certification on Udemy (scheduled/mentioned for 2026).
Simplilearn
Lean Six Sigma Green Belt & Black Belt (IASSC), Lean Six Sigma
Earned Lean Six Sigma Green Belt and Black Belt certification (IASSC) through Simplilearn in 2023.
Amity University (Distance)
Master of Business Administration (MBA), Finance
Completed an MBA in Finance at Amity University (Distance) in 2016.
University of Delhi
Bachelor of Commerce (Honours), Commerce
Completed a B.Com (Hons) from the University of Delhi in 2013.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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