Prakash Chinnasamy

Results-driven Operations Leader with 14 years of experience in US Healthcare Revenue Cycle Management, specialising in Accounts Receivable, Physician Billing, Hospital Billing, and DME. Proven expertise in leading high-performing teams, optimising RCM operations, improving cash flow, and driving operational excellence through strategic leadership and continuous process improvement.

Senior Manager Operations - (Site Head) Chennai Location - Sagility India Pvt Ltd - Hyderabad & Chennai

(2024-07)

Provider type: Multi-Specialty (Hospital UB04 & Physician Billing). Scope of work: Client onboarding, Transition management, Patient Eligibility & benefit verification, Obtainning Prior & retro authorisation. EDI Rejections, AR follow-up & Denial management, Credentialing, coordinating with Coding & Clinical teams, Payment Posting, Credit Balance & patient eligibility statements and calling. Managing FTEs: 320. Billing Type: Contingency & FTE

• SLA Governance & Delivery Assurance: Own end-to-end delivery performance across all AR segments, ensuring 100% adherence to SLAs related to AR ageing, denial turnaround, collections, and response timelines.
• Client Communication & Governance: Conduct weekly and monthly client governance meetings to showcase operational health, risks, and improvement initiatives.
• Align client KPIs with internal performance levers to ensure continuous delivery aligned with client goals.
• Forecast collection targets and revenue performance using AR analytics, client trends, and operational metrics to meet collection goals and support business objectives consistently.
• Manage P&L - Working closely with the Director to optimise operational costs, resource utilisation, productivity, and financial performance, while ensuring profitability, SLA compliance, and sustainable business growth.
• Risk & Compliance Monitoring: Monitor delivery risks, including process backlogs, TAT slippages, and compliance violations.
• Workforce management - Forecast volume trends and proactively align resources to meet delivery demands, avoiding overstaffing or under-delivery.
• Automation utilisation - Drive operational transformation by partnering with IT and Automation teams to implement scalable technology solutions that optimise processes, improve productivity, enhance service delivery, and reduce operational costs.

Senior Operations Manager - AGS Health - Chennai

(2023-12 - 2024-02)

Operations Manager - R1 RCM Global Private Limited - Hyderabad

(2022-11 - 2023-12)

AR Follow-Up: Led the Project, mentored, and managed a team of RCM specialists and analysts. Executed strategic planning, aligning operations with company goals. Analysed performance metrics, driving continuous improvement initiatives.

Operations & Clent Reations Manager-End To End RCM - Global Healthcare Billing Partners Pvt Ltd - Chennai

(2019-09 - 2022-10)

Project: Drchrono. Scope: Oversaw the entire revenue cycle process, from Client onboarding, transition management, patient registration, eligibility & benefit verification, EDI clearinghouse setup, Fixing fee schedules, Credentialing, coordination with the coding team, Charge Entry, prior authorisation, Denial management, Payment Posting, Patient billing (statements) and patient calling. Handling multiple SOWs & Client-facing.

Team Leader (Athena Process) - Access Healthcare Services PVT.Ltd - Pune

(2017-08 - 2019-01)

Worked in the Athena project for AR follow-up, CIP, and Denial teams.

Senior Revenue Cycle Executive - Access Healthcare Services - Chennai

(2014-03 - 2017-07)

Worked in DME AR follow-up, AR review-Analyst, Cash posting and charge entry scopes.

BBA - Marketing Management - TNOU (2008-08 - 2011-06)

MBA - Marketing Management - TNOU (2014-06 - 2016-06)