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Shiva jiv

@shivajiv

Revenue Cycle Operations leader improving US healthcare RCM via denial management, KPI-driven follow-up, and team leadership.

India

Message

What I'm looking for

I’m seeking an Operations / Global Business Services leadership role where operational excellence and process improvement can drive business value—leading high-volume revenue cycle workflows, owning SLAs/KPIs, and improving denial resolution and AR recovery.

I’m an Operations and Revenue Cycle Management professional with over 10+ years of US Healthcare RCM experience, specializing in Accounts Receivable, denial management, operational reporting, and team leadership. I lead with KPI discipline, SLA ownership, and structured follow-up to drive measurable revenue recovery.

In my most recent roles, I managed operational workflows within the Accounts Receivable division for US healthcare clients, overseeing productivity, quality, aging AR, and resolution turnaround time. I’ve improved AR recovery performance through structured follow-up strategies, reduced aging accounts backlog through targeted denial resolution, and enhanced team productivity using workload optimization and performance monitoring, including building Excel-based KPI dashboards for leadership visibility.

I bring deep expertise in ICD-10-CM, CPT, HCPCS, E/M codes, medical terminology, and coding audit practices, including CDE and advanced documentation review. I work across digital RCM and analytics tools (Excel, Tableau, Power BI; ticketing like ServiceNow; and payer/clearinghouse portals), and I focus on continuous process improvement, root cause analysis, and cross-functional stakeholder communication to deliver operational excellence.

Experience

Work history, roles, and key accomplishments

Assistant Manager, RCM

Corrohealth

Nov 2022 - Apr 2024 (1 year 5 months)

Led US healthcare accounts receivable operations, managing denial resolution and client communication to improve revenue recovery outcomes. Managed team productivity and operational KPIs, ensured SLA adherence, and delivered operational reporting to senior stakeholders.

Accounts Receivable Denial Management KPI Tracking SLA Management Team Leadership ICD 10 CM CPT HCPCS Process Improvement

Team Lead, Revenue Cycle

Ascent Business Solutions

Nov 2022 - Apr 2024 (1 year 5 months)

Provided leadership for revenue cycle operations supporting US healthcare clients, focusing on claims follow-up, denial resolution, and operational performance monitoring. Conducted performance reviews and coaching, supported onboarding, and drove continuous process improvements to reduce aging and improve turnaround time.

Revenue Cycle Operations Accounts Receivable Root Cause Analysis Stakeholder Management Workforce Management Dashboards Quality Audits

Senior Associate, RCM

Infinx Pvt Ltd

Jul 2020 - Mar 2022 (1 year 8 months)

Managed accounts receivable and payable activities for US healthcare clients, including denial/unpaid claim follow-ups using claim re-submission and appeal workflows. Performed daily QA validation, supported training and knowledge transfer, and used payer portals and coding tools to drive claim resolution.

& QA McKesson Tools

Senior Associate, RCO Ops

Edge Business Solutions

Oct 2018 - Jul 2020 (1 year 9 months)

Executed revenue cycle operations for US healthcare clients by handling accounts receivable workflows and denial-related processing to support timely payments. Coordinated with stakeholders, maintained operational tracking, and supported quality assurance through self-audits and reporting.

Accounts Receivable Denial Management Self Audits

Senior Associate, RCO Ops

ACN Infotech

Feb 2017 - Aug 2018 (1 year 6 months)

Supported US healthcare revenue cycle operations by processing denials/unpaid claims, performing coding and documentation reviews, and contributing to claim resolution activities. Assisted with reporting and operational tracking to support performance management and service standards.

Revenue Cycle Operations Medical Terminology