Nagaraj K

Results-driven Healthcare RCM Operations Leader with 16+ years of experience managing outsourced revenue cycle operations, multi-center project setups (Chennai, Mohali, US), and Cross-functional teams. Proven track record in process optimization, SLA compliance, and consistently exceeding performance targets.

Senior Team Leader – RCM (AR Analysis) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2011-07)

Led AR operations by directly managing 25 agents with SME, across multiple Accounts Receivable processes for US-based healthcare clients, ensuring seamless day-to-day operations without intermediary leads.

• Direct Operations Management
• Training & Onboarding: Conducted training sessions for new hires on medical billing software (AdvancedMD, IDX, Horizon Practice Plus, GPMS), client-specific guidelines, and AR workflows to ensure strict compliance.
• Predictive Forecasting: Forecasted productivity metrics one month in advance, consistently achieving client-set targets and maintaining operational excellence.
• Account & Denial Analysis: Analyzed patient accounts to identify payment delays, trends, and systemic obstacles impacting insurance reimbursements.
• Workflow & SLA Management: Assigned work files strategically to ensure uninterrupted production flow; monitored work queues to strictly adhere to TAT commitments and SLA targets.
• Carrier Escalations: Escalated bulk issues directly with insurance companies, coordinating resolutions and providing timely updates to executive clients.
• Appeals & Documentation: Provided documentation to insurers to substantiate complex claims, expediting approvals and accelerating cash flow.
• Portal & Process Manuals: Managed insurance website portal access for high-value AR accounts to boost self-resolution rates; authored process manuals for claim status checks across Medicare, Medicaid, and Commercial insurances.

Senior Team Leader (Handling AR callers and Non voice process) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2025-01)

Team Leader (On-job Trainer, AR Analysis & Website Admin) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2022-07 - 2024-12)

Desk Head (AR Analysis) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2021-12 - 2022-06)

Senior AR Analyst (AR Analysis & Denials & AR caller) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2018-06 - 2021-12)

Quality Analyst (Credit Balance) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2014-05 - 2018-06)

Senior Executive (Payment Posting, Credit Balance) - Coronis Health Solutions Pvt. Ltd. - Chennai

(2009-11 - 2014-05)

B.Sc. - Mathematics - Madras University