Nandan Anvekar
US Healthcare RCM Leader | Payment Posting & Billing Operations
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About
Results-driven Revenue Cycle Management (RCM) leader with 9+ years in US healthcare operations, specializing in payment posting, denial management, and billing compliance. Track record of improving posting accuracy to 98%+, cutting turnaround time by 30%, and leading teams of 13+ associates. Skilled at translating client requirements into scalable workflows, automation, and KPI-driven performance improvement.
Experience
Lead Consultant – Payment Posting at Upwork (2024-04 – Present)
- Serve as primary client contact for payment posting engagements, ensuring service quality, satisfaction, and issue resolution.
- Maintain a 98% payment posting accuracy rate while resolving discrepancies and enforcing compliance standards.
- Reduced posting errors by 20% and improved turnaround time by 30% through workflow redesign and automation.
- Direct and mentor distributed staff, monitoring KPIs and preparing performance reports for leadership.
- Deliver strategic insights to leadership to support operational growth and continuous improvement.
Associate Team Lead – Billing Operations at Starmark Software (2020-10 – 2024-04)
- Promoted from Operations Lead to Product Lead for an in-house payment posting automation platform.
- Managed a team of 13 associates across payment posting, with daily, weekly, and monthly performance monitoring.
- Built KPI dashboards and automated repetitive tasks, improving visibility into workflow and cash flow planning.
- Partnered with QA teams on monthly performance reviews and improvement plans; led cross-site calibration sessions.
- Conducted root cause analysis (RCA) on operational issues and optimized clean claim ratios.
- Led billing audits and EOB reviews, ensuring accurate reconciliation, SLA compliance, and regulatory adherence.
Senior Process Executive – Operations at Omega Healthcare (2017-09 – 2020-04)
- Reconciled patient accounts and tracked reimbursements across multiple payer types.
- Managed end-to-end claims submission and posting (ERA/EFT/manual), including collection reports and patient statements.
- Conducted denial analysis and implemented corrective action plans to reduce recurring denials.
- Analyzed data trends to inform strategic operational decisions.
- Received the Pinnacle Award for driving continuous improvement initiatives.
AR Executive at Sys Information (2016-05 – 2017-09)
- Maintained tracking systems and analyzed payment trends to support accounts receivable accuracy.
- Conducted root cause analysis for denied claims and resolved client escalations.
- Negotiated payment terms with payers, optimizing cash flow for clients.
- Recognized as top performer (Shining Star award) for consistent excellence in AR management.
Education
Polytechnic Diploma in Computer Science – JNNCE College of Engineering (2011 – 2015)
