Naveen Rockstar

Driven Revenue Cycle Management Specialist offering over 11+ years of successful track record in optimizing the revenue cycle of healthcare organizations through effective team & project management skills with a solid background in reviewing & interpreting medical documents and assessing operating procedures within the Healthcare domains. Driven experience in RCM cycle in US healthcare such as Patient eligibility Verification, Patient Registration, Provider Credentialing, Authorization Approval, Claims submission & Re-submission and Denial follow up. Possessing sound knowledge of multiple medical billing software, including Nextgen, Intergy, Greenway, Eclinicical works, EBM, DrChrono, MOMED, EPIC, MEDISOFT, MEDHOST, and CPSI.

Profound efficiency in correlating with cross-functional & multinational teams with the ability to prioritize, assign, and manage tasks within timelines and interact with clients across hierarchal levels to ensure smooth project execution and maintain long-lasting positive client relationships.

RCM Supervisor - Blue Med Home Healthcare LLC - Al Barsha, Dubai

(2023-05 - 2026-04)

• Supervised and managed a team of 3 RCM executives, ensuring accuracy, productivity, and timely completion of daily tasks.
• Oversaw end-to-end Revenue Cycle Management (RCM) operations, from approvals and claim submission to payment posting and follow-ups.
• Ensured timely submission, re-submission, and tracking of insurance approvals and claims to minimize delays and denials.
• Led insurance follow-ups with payers to secure quicker responses and resolve outstanding approvals and claims.
• Monitored insurance portals, e-claim systems, and payer websites, ensuring required updates and corrections were completed promptly.
• Maintained and reviewed active and inactive insurance patient lists to ensure billing accuracy and compliance.
• Prepared and shared regular reports on payment status, collections, pending claims, and aging AR with management.
• Acted as the primary point of contact for escalations, quality checks, and workflow improvements across the team.

Team Leader – Operations - Access Healthcare - Chennai, Tamil Nadu, India

(2016-04 - 2023-05)

Client Management & Delivery

• Served as the primary point of contact for 60+ US healthcare clients, ensuring smooth day-to-day RCM operations across multiple specialties.
• Managed RCM delivery across 15+ Practice Management and EHR systems, quickly adapting workflows to client-specific requirements.
• Led client communication, SLA adherence, and expectation management for insurance verification, authorizations, claim submission, AR follow-ups, denial management, and payment posting.
• Conducted regular performance reviews, AR aging discussions, and status calls with clients, providing actionable insights to improve collections.
• Handled client escalations, payer issues, and urgent revenue-impacting cases, ensuring timely resolution and high client satisfaction.
• Supported clients during system migrations, payer changes, staffing transitions, and AI tool adoption, maintaining continuity of revenue operations.
• Led and managed a team of 50+ RCM associates, including senior analysts and process specialists, across multiple RCM functions.
• Supervised daily operations for insurance verification, authorizations, charge entry support, claims submission, AR follow-ups, denials, and payment posting.
• Assigned workloads, monitored productivity, and ensured SLA and TAT compliance across all teams.
• Conducted quality audits and performance reviews, identifying gaps and implementing corrective actions.
• Mentored and trained associates on payer guidelines, client SOPs, workflow optimization, and best practices.
• Acted as the first and second-level escalation point for associates on complex payer and client issues.

Senior Executive - Omega Healthcare - Chennai, Tamil Nadu, India

(2013-04 - 2016-04)

• Managed the AR caller activities by calling on no-response claims
• Analyzed & prepared appeals for denied claims
• Carried out production and quality assurance functionalities within the team to ensure flawless workflow.

Diploma - Electronics & Communication Engineering - Directorate of Technical Education (2013)