
Naveenkumar P
Revenue Cycle Specialist | Support Team Lead — US Healthcare RCM
About
Revenue Cycle Team Lead with 5+ years of progressive experience across the full US healthcare revenue cycle — denial management, AR follow-up, claims resolution, and client-facing performance reporting. Currently lead an 8-member support team at Omega Healthcare Management, owning daily work allocation, quality monitoring, and SLA/KPI compliance for a portfolio that has sustained an A+ practice rating for 8+ consecutive months. Regularly present issue analysis directly to US-based clients, translating complex revenue cycle data into clear, actionable insights that drive process improvement.
Career track record includes resolving 2,950+ claims without AR escalation, maintaining 99%+ SLA/quality compliance across multiple roles, and earning recognition at every employer (Star Performer Award, Extra Mile Recognition, Sparkle of the Month). Combines this healthcare RCM expertise with a mechanical engineering foundation, which sharpens the root-cause analysis, process discipline, and data-driven problem-solving applied to escalations and workflow redesign.
Experience
Support Team Lead / Revenue Cycle Specialist at Omega Healthcare Management (2025-02 – Present)
- Lead and mentor an 8-member team across the full revenue cycle workflow, managing daily work allocation, capacity planning, and individual performance monitoring to keep the team on pace with SLA targets
- Facilitate weekly and monthly team huddles to review productivity, quality metrics, KPIs, and SLA compliance, using the sessions to surface recurring issues and coach individual performance gaps
- Analyze revenue cycle data (denials, aging AR, adjustment trends) to identify root causes, systemic gaps, and opportunities for operational and process improvement, feeding findings back into team workflows
- Lead client calls, presenting issue analysis directly to US-based stakeholders, raising and tracking JIRA tickets end-to-end, and driving resolution of long-standing and critical issues that had stalled with prior owners
- Design and maintain KPI dashboards used in both internal leadership reviews and client business reviews, giving stakeholders real-time visibility into team and account performance
- Prepare comprehensive monthly revenue and adjustment reports that support accurate revenue recognition and AR reconciliation for finance and client stakeholders
- Execute special projects and ad-hoc deep-dive analyses using advanced Excel, translating raw data into stakeholder-ready insights and recommendations
- Coordinate cross-functionally with QA, AR, IT, and management teams to resolve complex, multi-department operational challenges
- Identify training and knowledge gaps across the team, and lead onboarding, upskilling, and knowledge-sharing sessions to close them
- Sustained an A+ practice rating for 8+ consecutive months — the account's highest quality benchmark — despite high claim volume
Senior Process Executive at Cognizant Technology Solutions (2023-06 – 2024-10)
- Specialized in denial management with a focus on eligibility-related and payer-based claim rejections, building deep payerspecific knowledge across multiple accounts
- Performed detailed root cause analysis using global search techniques and payer guidelines to resolve recurring denial patterns rather than one-off fixes
- Maintained 99%+ SLA compliance across a high-volume workload; recognized with the Star Performer Award for consistent productivity and quality
- Secured payment on 2,950+ claims across newly onboarded practices without any AR escalation, supporting smooth transition of new accounts
- Handled high-dollar claim projects for Enterprise and MD Alliance accounts, working closely with leadership on service improvement and process optimization initiatives
AR Executive Analyst at Omega Healthcare Management (2022-02 – 2023-04)
- Analyzed and resolved denied insurance claims across multiple payers, ensuring timely reimbursement and minimal revenue leakage
- Partnered closely with QA teams to identify recurring denial trends and design corrective action plans that reduced repeat denials
- Achieved a 99% average quality score and consistently earned an Exceeds Expectations performance rating
- Received Extra Mile Recognition and Sparkle of the Month awards for going beyond standard expectations on account deliverables
AR Caller at Vastek Solutions Pvt. Ltd. (2021-11 – 2022-01)
- Verified insurance eligibility and benefits through payer portals and outbound calls, laying the groundwork for accurate claims processing downstream
- Followed up on outstanding claim status and payment discrepancies with payers to accelerate collections
- Prepared and audited claim documentation using MS Excel and MS Word, ensuring accuracy before submission
Production Engineer at Transenergy Pvt. Ltd. (2020-10 – 2021-11)
- Managed daily production workflows and equipment maintenance schedules to minimize downtime
- Mentored new team members on standard operating procedures and supported quality inspections
- Coordinated with manufacturing and procurement teams to meet production targets and delivery timelines
Education
Bachelor of Engineering in Mechanical Engineering – Muthayammal Engineering College (2017 – 2020)
Diploma in Mechanical Engineering – Muthayammal Polytechnic College (2014 – 2017)
