Themiya

Senior Lead - Revenue Cycle Management Operations - USA

Collective RCM • Full time

Jun 2016 - Dec 2021 • 5 yrs 6 mos

Experienced in managing client relationships and team operations for medical billing and revenue cycle services. Skilled in handling client and carrier inquiries, ensuring timely follow-ups, and resolving complex claim or charge issues efficiently. Oversaw AR collections and denial management processes while maintaining high performance metrics, including 99% Clean Claim Rate (CCR) and 90+% AR accuracy. Developed and implemented SOPs, optimized workflows using online portals and tools like BCBS ERM, and trained team members on billing, appeals, and collections. Conducted induction programs for new hires and provided ongoing coaching to ensure client satisfaction and smooth service delivery.