Vivek Kumar

Experience

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  R1 RCM

  Sept 2013 - Dec 2016

  Quality Auditor at R1 RCM

  During my role as a Quality Auditor, I focused on optimizing team efficiency and performance. Responsibilities included daily audits with constructive feedback, monthly process knowledge tests, and regular meetings with operations. I identified and addressed training needs through organized sessions and daily huddles, actively contributing to team improvement.In terms of reporting, I produced detailed daily, weekly, and monthly performance reports and presented weekly dashboards for transparent discussions with clients and the onshore team. My role in client coordination involved making informed decisions on denials, addressing insurance enrollment issues through daily query support, ensuring prompt issue resolution, and maintaining client satisfaction.In process analysis and transition management, I conducted in-depth analyses of denial trends, proactively resolving issues with insurance. Notably, I successfully managed the transition of Medicare operations from onshore to India. My contributions fostered a culture of continuous improvement, effective communication, and proactive problem-solving, ensuring the team's success. Show less

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  Eye Care Leaders

  Jan 2017 - May 2023

  Team Leader at Eye Care Leaders

  As Team Leader, I effectively led teams, optimizing productivity through task allocation and constructive feedback. Regular One-on-one sessions and performance appraisals fostered a culture of continuous development. Managing multiple clients for voice and non-voice processes, I made informed decisions to enhance operational efficiency, conducting weekly client interactions for query resolution.In reporting and documentation, I prepared daily, weekly, and monthly reports, including MIS. I developed process manuals with version control procedures and organized team engagement activities for a collaborative environment.Handling diverse functions like Eligibility Verification, Payment Posting, AR Denials, Rejections, Credentialing, and Patient Calling, I facilitated the smooth transition of new clients and successfully transitioned the Credentialing process from onshore to the India team.In compliance management, I ensured companywide adherence to compliance policies, contributing to operational excellence. My leadership during this period significantly enhanced team efficiency and success. Show less

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  R1 RCM

  May 2023 - now

  Assistant Operations Manager at R1 RCM

  As Assistant Operations Manager since May 2023, I lead my team to smoothen scheduling processes. One-on-one sessions and regular feedback contribute to team performance enhancement, supported by ongoing appraisals. In client coordination and decision-making, I ensure effective communication and informed decisions for daily operations.My focus on process optimization and quality improvement involves identifying defects and implementing fixes to enhance overall efficiency. Successfully transitioning 4 new projects in scheduling workflow demonstrates my commitment to seamless integration.In reporting and documentation, I prepare and maintain daily, weekly, and monthly reports and dashboards for senior leadership discussions. This includes creating and updating process manuals with strict adherence to version control procedures.Cross-functional collaboration is a key aspect of my role, involving coordination with different departments to minimize downtime. Collaborating with the Training and Quality departments enhances team skills and accuracy. Additionally, I plan team engagement activities to foster a healthy bond among team members. Show less