Senthil Ramachandran

About Senthil Ramachandran

Results-driven RCM Leader with over 20 years of experience in US Healthcare (Provider/Payer) known for Innovation, Solutions architecture, and a unique blend of Strategic, Creative, Operational, and Technical abilities. Demonstrated success in maintaining existing and securing new business for large, mid-size, and startup companies in the RCM space.Specializing in Medical Billing, US Healthcare, Transitions, Cash Posting, Reimbursement, Refunds, Demographics, Charges, EMR/EHR, Claims Processing, Clearing House handling and more. Certified in ISO 9K/27K - QMS (Quality Management System), ISMS (Information Security Management System), Compliance Officer, HIPAA Lead Auditor, CPMB (Certified Professional Medical Biller) and LSSGB (Lean Six Sigma Green Belt).Proven expertise in Operations Excellence, Denial Management, Accounts Receivable (Insurance & Patient AR Follow Up), Self Pay Review, Eligibility Verification, Pre-Certification, and various other aspects of Revenue Cycle Management. Proficient in Strategic business planning, Financial analysis, Human relations, and Client relations (CRM).Additional strengths include Security Management, HIPAA Compliance, Training Development & Implementation, ISO Audit, RCM Consulting, Process Excellence, Process Innovation, Risk Assessment, Process Optimization and Business Development roles. Skilled in Process Improvement, Strategic & Growth initiatives, Lead auditing, Lean management, Business analysis, Strategist and Technology advisory.Known for Leadership Training, Quality Assurance, Business Optimization, Industry Advisor, Career Mentor, and serving as a Healthcare Consultant & Automation Advisor. A versatile professional with a comprehensive skill set to drive success in the dynamic landscape of healthcare revenue cycle management.

Experience

1. Assistant Vice President - Rcm Operations

   Nyx Rcm Partners Llc

   Nov 2020 — Present

Education

• ORGN, Chennai

  VIth Standard to SSLC, Mathematics

  1995 — 1999

• ORGN, Chennai

  PUC, Computer Science

  1999 — 2001

• University of Madras

  Bachelor of Science (B.Sc.), Chemistry

  2001 — 2004

Skills

• Training
• Recruitments
• Process Improvement
• Screening
• Business Process Improvement
• Operations Management
• Credentialing
• Team Building
• Management
• Offshoring
• Accounts Receivable
• Benefits Negotiation
• Talent Acquisition
• Practice Management
• Hipaa
• Strategy
• Performance Management
• Crm
• Emr
• Vendor Management
• Service Delivery
• Technical Recruiting
• Invoicing
• Business Analysis
• Revenue Cycle Management
• Medical Coding
• Call Centers
• Healthcare
• Business Development
• Process Management
• Revenue Cycle
• Outsourcing
• Recruiting
• Sourcing
• Team Leadership
• Insurance
• Bpo
• Medical Billing
• Soft Skills
• Business Process Outsourcing (Bpo)