Iswaria R

Results-driven Revenue Cycle Management (RCM) professional with 7+ years of experience in the US Healthcare industry, currently working as a Subject Matter Expert (SME) at Cognizant. Experienced in eligibility verification, team leadership, client communication, quality auditing, invoicing, reporting, escalation management, process improvement, and AI/bot operations. Proven ability to mentor teams, manage stakeholders, support automation initiatives, and consistently meet quality, productivity, and SLA targets.

Subject Matter Expert (SME) – Revenue Cycle Management - Cognizant - Bengaluru, India

(2019-01)

Career Progression: Joined as Fresher in 2019 → promoted to Senior Process Executive after 2 years → promoted to SME after an additional 3 years.

• Lead and support team members in day-to-day RCM and eligibility verification operations.
• Monitor team productivity, quality metrics, SLA/TAT performance, and operational targets to maintain consistent service delivery.
• Handle client calls and provide business updates, issue resolution, and process-related clarifications.
• Manage monthly invoicing, reporting, and reconciliation activities with a strong focus on accuracy and timeliness.
• Conduct quality audits to identify errors, strengthen compliance, and improve process accuracy.
• Train, mentor, and guide new associates and existing team members on process requirements and best practices.
• Manage operational escalations and coordinate with internal teams and external stakeholders for timely resolution.
• Support AI/bot-driven automation initiatives through operational monitoring, validation, and issue tracking.
• Identify process gaps and contribute to continuous improvement initiatives to enhance productivity and operational efficiency.
• Support management with reporting, performance tracking, and business requirements while maintaining client-specific standards.
• Ensure adherence to process guidelines, quality standards, compliance requirements, and client-specific procedures.

Process Associate – Stock & Billing Operations - BREG PROJECT

1 Year

• Managed stock and billing-related operational activities and maintained accurate business records.
• Performed data validation and quality checks to ensure accuracy and completeness.
• Prepared billing reports and supported timely processing.
• Coordinated with internal teams to resolve billing and data discrepancies.
• Supported documentation and process improvement activities.

Bachelor of Commerce - B.Com.