Amarnath K

Detail-oriented and results-driven Assistant Manager with over 9+ years of experience in U.S. medical billing and revenue cycle management extensive experience in Prior Authorization, Client Services, and US Medical Billing operations. Skilled in managing healthcare revenue cycle processes, leading teams, handling client communication, and ensuring timely authorization approvals. Strong expertise in insurance verification, denial management, process improvement, and stakeholder coordination.

Proven ability to improve operational efficiency, maintain client satisfaction, and achieve performance targets.

Assistant Manager Client Services - Cascade Revenue Management - Kochi

(2019-02)

Started as Senior Auth Specialist for 2 years and then promoted as SME of the process handling multiple clients. Then promoted as Assistant Manager Client services. Served as primary point of contact for clients regarding operational updates, escalations, and process improvements.

• Managed daily prior authorization operations for multiple US healthcare clients and specialties (Cardiovascular, Gastroenterology and Ophthalmology)
• Supervised and guided a team of authorization specialists to stabilize the process and to deliver the services on time
• Adherence to SLA of each client, Preparing SOP, Client profile while onboarding & adding new process of the existing clients
• Analysed authorization trends, denial patterns, and turnaround times to improve workflow efficiency
• Conducted regular client meetings and prepared MIS reports, dashboards, and performance reviews
• Performing RCA to fix the issues/escalation and make it as an update to avoid same issues across all clients in the company
• Sharing ideas in creating the internal Dashboards, CRM Tools, Internal PMS development
• Ensured compliance with HIPAA regulations and payer-specific guidelines across all process
• Supported recruitment, onboarding, and training of new team members
• U.S. clients on monthly performance metrics, issue resolution, and compliance updates
• Handling client calls - Weekly/Monthly. Monthly performance review
• Usual RCM process – Billing, EV & VOB, AR, Posting, Credentialing. Monthly reports
• Identifying the talent, appreciating the extra efforts/out off box thinking/ideas shared by the employees under my team
• Reduced authorization turnaround time by 30%
• Improved client satisfaction scores through proactive communication and issue resolution
• Achieved consistent SLA and KPI targets across the department
• Successfully handled high-volume authorization requests with 98% accuracy

Senior Executive – Revenue Cycle - Access Healthcare - Pune

(2016-02 - 2018-01)

• Conduct training on preprocess, process for new hires as well as refresher training for existing staff
• Finding global trends in the process & satisfying the Client SLA's
• Team hurdles and challenges to be discussed in terms of Quality and production
• Handled Pune - BCP team
• To Maintain Monthly, Weekly and Daily Production and Quality data
• To Maintain the Production & Quality TAT as per the SLA
• To Provide Support and floor assistance for Fresher's

Graduate Engineer trainee – Site supervision - SMS infrastructure LTD - Madurai

Project: RAPDRP – Part-B. Overall execution & supervision of works under RAPDRP – Part B on turnkey basis.

• Installation, Testing and commissioning of new 11/.433 KV distribution Transformers

BE - ECE - Raja collage of engineering (2013)

PGDCA - Embedded and VLSI Design (2015)

HSC - PKN Boys School

SSLC - PKN Boys School