Preethalakshmi Aaham

WORK HISTORY

EDUCATION

ABOUT PREETHALAKSHMI AAHAM

With over 19 years+ of expertise in U.S. healthcare Revenue Cycle Management (RCM), I bring deep knowledge and proven leadership in end-to-end RCM operations-Large scale team size — specializing in accounts receivable (AR) and denial management across both hospital and professional billing.I am certified by AAHAM and HFMA, holding multiple credentials, including:• Certified Revenue Cycle Specialist (CRCS – AAHAM)• Certified Revenue Cycle representative,Certified Specialist in Payment & Reimbursement, Business Intelligence, and Physician Practice Management (HFMA)• Lean Six Sigma Black Belt• Advanced Excel & Business Intelligence certifications• PMP certification trainingMy expertise spans:• Client success management, Payer contract analysis, Process improvement, Stakeholder management, RCM end-to-end operations—specialization in AR/Denial Operations/Revenue improvement• Cost optimization, SOW, automation processes, and Risk Management• Resource management, collections improvement, budgeting & invoicing• Payer contract evaluation, transition management, and quality assurance• Payment Methodologies- DRG, Carve out, Case Rate, FFS, Stop loss, Per Diem,I actively monitor industry-standard KPIs (MGMA & HFMA) to drive measurable results. By applying Lean Six Sigma methodologies, I optimise workflows, enhance cash flow, reduce denials, improve team productivity with quality, and meet client expectations. My skills include process improvement, SOP development, financial class payment analysis, waterfall methodology, and business continuity planning (BCP, BIA, and BCMS). Proven leadership in directing large-scale operations across multiple locations Leveraging data analytics alongside RCM expertise, I focus on achieving first-pass success without denials, consistently maintaining industry benchmarks in NCR, GCR, Denial %, AR Days, Ageing %, and First-Pass Denial Rate.My approach ensures streamlined revenue cycle operations, financial stability, and strategic improvements—empowering healthcare organizations to maximize efficiency and deliver sustainable results