Debasis

Visionary leader with 12 years of experience in leading operations team, within RCM/Onboarding forum and setting up business processes. Expertise in business research and project management implementation.

Experience in setting up business processes and building multifunctional team from hiring, training & mentoring them. Versatile exposure gained through rendering skills in different domains such as AR, Training, Invoice, CRMs expertise VOB/Auth & Billing. Leveraged capabilities in developing and implementing innovative processes and systems to reduce cost & head count and improve TAT while performing deep dives for analyzing and completing complex projects and programs.

Experience in working with US stakeholders & clients. Migrating and transitioning key business processes for cost arbitrage; analyzing and mapping business processes and suggesting and implementing improvements with stakeholder acceptance; building and implementing automation to reduced manual processes and improved performance and reduce errors. Managed mid-size to large teams and Customer Service Campaigns (Like Auto Insurance, Doctors on Call, Virtual Assistant, etc.) based in USA and in different locations and different functions.

Sharpening operational performance, driving standardization and curbing costs / time through innovative solutions as a Business Strategist focused on long-term viability.

Process Head / equivalent to Senior Manager (Physician/Hospital Division - RCM Operations) - MedKarma Healthcare

(2024-11)

Process Optimization with continuous improvement. Continuously evaluate & improve operational processes to reduce cycle time, increase accuracy & ensure high collections. Ensure smooth coordination between teams, like client service, IT, and Compliance to meet operational goals & client expectation.

Act as the primary point of contact for clients, understanding their needs and addressing their concerns. Regularly update clients on performance, trends, and operational improvements. Oversee the management of client accounts to ensure they receive exceptional service and are satisfied with the RCM process.

Collaborate with sales and business development teams to support existing client relationships and help secure new clients through improved service offerings. Streamline all aspects of the revenue cycle, including patient registration, coding, billing, claims submission, payment posting, and collections. Work closely with IT to implement, update, and optimize RCM software and tools.

Ensure the proper functioning of systems that aid in data management, billing accuracy, and compliance. Develop and manage budgets for the RCM operation, ensuring that resources are used efficiently. Mon

• Rapid Progression & Leadership: Earned 2 promotions in 1.7 years to Process Head, establishing end-to-end SOPs, policies, and operational structures from scratch for a new enterprise.
• Revenue Growth: Drove a 14% average revenue increase across 7 high-value clients spanning specialized domains (Advanced Wound Care, Urgent Care, Behavioral Health, Physical Therapy).
• Cross-Functional Strategy: Directed full Revenue Cycle Management (RCM) teams—including Training, Coding, AR, Billing & Quality—while spearheading client acquisition and AI integrations (voice bots, automated eligibility, prior auths).

Senior Team Lead (RCM Operations) - Coronis IT Systems PVT LTD

(2020-10 - 2024-11)

Responsible to lead, mentor and manage the account receivable, billing team & payment team. Oversee training, business analysis, and retention programs and coordinated efforts around global corporate employees and onshore employees. Provided strategic review for Account Managers, Team Leads, Trainers & SMEs, and developed the supporting strategies to achieve financial and subscriber goals. Oversaw contracts and efforts with retail and apartment management. Performance review for Team Leads and Assistant Team Leads to determine and clinch overall process management and budget reconciliation watermark. Work closely with cross-functional teams, including Training (Directly), Sales, IT, and customer support, to ensure a cohesive and positive client experience. Offer ongoing support to address client inquiries and concerns during the onboarding phase. Create and maintain comprehensive documentation of onboarding processes, configurations, and client-specific details. Collaborate with the Training &

Education team to update training materials, user guides & SOPs. Identify at-risk implementations promptly for clinics and PODs and handle escalations and report to manager for further suppor

• Grew total revenues by 9% (for Self-reliant POD) and 3% (for Major speciality PODs) by developing effective denial management programs/parameters that consistently decreased denial% and helped built an increased Net Collection rate.
• Gained a lots of knowledge and Certification like LSSBB, LSSGB, entry level CAPM, Certified HIPPA, etc.
• Best leader award in 7 quarters.
• Achieved 6 career promotions within 3.9 years by consistently exceeding performance targets and driving key business outcomes. Demonstrated exceptional leadership, rapid domain adaptability, and strong initiative, resulting in expanded scope of responsibility, enhanced team efficiency, and a proven ability to deliver high-impact results under fast-paced conditions.

Senior AR Specialist (Appeals/Auth/Line Trainer) - Navigant BPM

(2019-03 - 2019-10)

Following up with patients and insurance companies about outstanding bills. After the claim was completed adequately, I was responsible for submitting it to the relevant insurance company for payment.

• Regular followup on Unpaid / Unapplied Claims and Payments.
• Receiving and sorting incoming payments with attention to credibility. Managing the status of accounts and balances and identify inconsistency.
• Preparing bills and invoices, and documenting amounts due for medical procedures and services. Collecting and reviewing referrals and pre-authorizations.
• Oversee the on-time tasks of sending new invoices to clients and ensuring all outstanding invoices are paid in full and on time.
• Got an opportunity to learn and perform with Training and Education team.

Senior AR Specialist - Gebbs Healthcare PVT LTD

(2017-11 - 2019-03)

Following up with patients and insurance companies about outstanding bills. After the claim was completed adequately, I was responsible for submitting it to the relevant insurance company for payment.

• Regular followup on Unpaid / Unapplied Claims and Payments.
• Receiving and sorting incoming payments with attention to credibility. Managing the status of accounts and balances and identify inconsistency.
• Preparing bills and invoices, and documenting amounts due for medical procedures and services. Collecting and reviewing referrals and pre-authorizations.
• Oversee the on-time tasks of sending new invoices to clients and ensuring all outstanding invoices are paid in full and on time.
• Got an opportunity to learn and perform with Training and Education team.

Senior Process Associate (US Customer Service & RCM Operations) - Phoenix BPO LTD

(2013-11 - 2017-04)

Working and Managing customers account by working on Claims, Rejections and Appeals. Working with Raintree and Epic PMSs along with various CRM.

• Cross trained with US Customer service campaigns like Microsoft and Wallsfargo.
• Got an opportunity to learn and perform with US Customer Service and US RCM teams.

Bachelor of Engineering - Computer Science and Engineering - UCP engineering school, BAM (SCTE & VT)