Afzal Khan

Results-driven Revenue Cycle Management leader with 8 years of experience managing end-to-end US Healthcare RCM operations across hospital, physician, and SNF billing. Skilled in Accounts Receivable, Medical Billing, Denial Management, Appeals, Revenue Optimization, and Client Management. Proven track record leading teams up to 15 FTEs across multiple client accounts, reducing AR Days, improving Net Collection Rate, lowering denial rates, and maintaining SLA compliance above 98%.

Strong in workforce planning, KPI monitoring, process improvement, RCA, and stakeholder engagement using tools like Epic, Athena, Cerner, NextGen, Waystar, and Office 365.

Revenue Cycle Manager - Extreme Agile Pvt. Ltd.

(2025-05 - 2026-03)

• Managed end-to-end Revenue Cycle Operations for Hospital and SNF billing covering AR, Billing, Denials, and Payment Posting.
• Led a team of 15 FTEs across AR, Billing, Denials, and Payment Posting functions.
• Managed operational delivery for 8 providers and 3 client accounts, overseeing KPI and SLA governance.
• Conducted workforce planning, resource allocation, shift scheduling, hiring, onboarding, and training.
• Conducted quarterly and annual performance appraisals and performance management activities.
• Reduced AR Days by 20% and improved Net Collection Rate by 5%.
• Reduced Denial Rate by 15% and maintained SLA compliance above 98%.

Patient Account Analyst - Steward Global Consulting

(2023-10 - 2024-08)

• Managed patient accounts, AR follow-up, and billing processes.
• Handled insurance verification, charge posting, and payment reconciliation.
• Improved cash collections and claim resolution turnaround time.
• Reduced 90+ days AR aging by 15% through focused follow-ups.

Senior Operations Analyst - HealthRecon Connect LLC

(2023-05 - 2023-09)

• Managed denial management, cash posting, and prior authorization workflows.
• Conducted root cause analysis to reduce recurring denials and improve process quality.
• Improved First Pass Resolution Rate and reduced rejection rates.
• Ensured accurate eligibility verification and claim submission.

Senior Appeals Representative - Optum

(2021-10 - 2023-05)

• Handled payer appeals, denial resolution, and claim resubmissions.
• Prepared detailed appeal documentation and supporting evidence.
• Coordinated with payers to resolve underpayments and denied claims.
• Achieved over 70% appeal success rate, improving reimbursements.

Senior Analyst - R1 RCM

(2020-05 - 2021-09)

• Performed AR follow-up, denial management, and medical billing activities.
• Managed ERA/EOB posting, adjustments, and reconciliation.
• Conducted eligibility verification and authorization checks.
• Provided on-the-job and process training for new hires.
• Maintained billing accuracy above 98%.

Claims Examiner - Calibrated Healthcare Network

(2019-03 - 2020-03)

• Reviewed and processed medical claims for accuracy and compliance.
• Ensured adherence to CPT, ICD-10, and HCPCS coding standards.
• Conducted insurance eligibility verification and benefits investigation to validate patient coverage.
• Identified discrepancies and reduced claim errors.

Operations Representative - Concentrix

(2016-03 - 2018-05)

• Supported billing, eligibility verification, and customer service operations.
• Handled patient queries, insurance verification, and claim status follow-ups.
• Maintained high data accuracy and service quality standards.

B.Com - Commerce - Delhi University (2014)