B. Ravikumar
Al Ain City
Summary
Seeking a managerial position in Revenue Cycle Management (RCM) where I can leverage my extensive clinical and medical knowledge, proficiency in healthcare technologies, strong analytical skills, and exceptional organizational abilities to drive operational efficiency, improve financial performance, and enhance the overall quality of care within the organization.
Overview
2026
2026
years of professional experience
1
1
Certification
Work History
Regional - Revenue Operation Manager / RCM Manager
Burjeel Holding
02.2025 - Current
- Oversee end-to-end revenue cycle activities, including patient registration, insurance verification, coding, billing, claims submission, payment posting, denial management, and collections.
- Manage and lead regional teams including billing specialists, coders, billers, Case Managers, Authorization.
- Provide training, coaching, and performance reviews to improve staff efficiency and compliance.
- Foster a collaborative and high-performance work environment.
- Identify opportunities to streamline revenue operations and implement process improvements to reduce billing errors, claim denials, and delays.
- Ensure compliance with regulatory requirements, payer policies, and internal controls.
- Keep up-to-date with healthcare regulations, insurance policies, and billing standards.
- Analyze financial reports, and revenue data to identify trends and areas for improvement.
- Develop and implement strategies to maximize revenue and reduce the accrual percentage.
- Collaborate with finance and accounting teams for accurate financial reporting.
- Work closely with clinical, administrative, and IT teams to align revenue cycle initiatives with organizational goals.
- Communicate regularly with regional leadership on revenue performance and challenges.
Group Revenue Optimization Manager
Burjeel Holding
04.2024 - 02.2025
- Company Overview: CCRCM
- Lead yearly budgeting processes focused on increasing revenue for both IP and OP services at the group level, ensuring alignment with organizational financial goals and enhancing cost-efficiency
- Implement group-level documentation improvement initiatives to enhance the accuracy, completeness, and compliance of clinical records, driving improvements in quality metrics and reimbursement rates
- Analyse denial trends across the group, developing and executing documentation improvement plans to address recurring issues and minimize claim denials, thereby increasing reimbursement and revenue
- Conduct comprehensive case management analysis at the group level, identifying opportunities for process improvement, optimizing care coordination, and enhancing patient outcomes across multiple facilities
- Collaborate with cross-functional teams, including clinical staff, operations leads, and finance, to align case management strategies with revenue cycle goals, ensuring better performance in metrics such as CMI, ARR, and ALOS
- Act as a liaison between clinical teams and management to mitigate documentation gaps and ensure alignment with overall organizational goals related to revenue cycle management and care quality
- Sharing the justifications to the payers for the high revenue cases from all the facility
Case Manager
LLH Musaffah & Lifecare Musaffah
02.2021 - 04.2024
- Lead initiatives to enhance both IP and OP documentation, ensuring compliance with regulatory standards and improving clinical accuracy
- Implement clinical documentation improvement strategies aimed at improving the quality and completeness of medical records, optimizing reimbursement, and enhancing patient care
- Conduct concurrent case reviews for inpatient (IP) cases to improve the quality of clinical documentation, ensuring that care provided is appropriately captured in medical records
- Perform cross-comparison analysis to evaluate documentation trends, identifying areas for improvement and developing new service line initiatives to enhance data accuracy
- Act as a liaison between clinical teams and management to mitigate documentation gaps and ensure alignment with overall organizational goals related to revenue cycle management and care quality
- Collaborate with operational leads and clinical teams to develop and execute project plans designed to improve key performance indicators (KPIs) such as CMI, ARR, ALOS and YPB
Senior Medical coder & Insurance Team Auditor
LLH Musaffah
06.2015 - 01.2021
- Company Overview: Abu dhabi, United arab emirates
- Responsible for coding DRG / day-care and submission & resubmission for the same
- Dealing with insurance to obtain approval and justification for rendered service
- Coordinating with treating physician for documentation improvement and medical necessity to meet the standard as per coding guidelines to avoid rejection in initial level
- Software INSTA & 3M
- Analysing the appropriate ICD-9CM, ICD-10CM and CPT codes for DRG files and using software like Encoder Pro, 3M to ensure the code assigned reflects to all activities of care rendered to the patient during the period of hospitalization
- Analysing for rejected claims and ensure to do appropriate resubmission without delay
- Abu dhabi, United arab emirates
Senior Medical Coding Auditor
e4e Health care Business Services Pvt Ltd
04 2013 - 05 2015
- Company Overview: Kovilambakkam Chennai, India
- Responsible for information from claims and medical records to verifying is billing accurate and follows standard practice guidelines
- We will login to the CBIZ TACS, CITRIX and ALIFE SOFTWARES and will work on assigned documents
- Analysing the appropriate ICD-9CM, ICD-10CM and CPT codes using the Code finder software like Encoder Pro, 3M to ensure the code assigned reflects to all activities of care rendered to the patient during the period of hospitalization
- Associate the diagnosis codes to the appropriate procedure codes (CPT) and sequence the codes in such a way as to ensure proper reimbursement
- Responsible for coding various specialties which include E/M, Inpatient, outpatient, emergency department, radiology and anaesthesia and HCC
- Respond professionally to all provider inquiries
- Kovilambakkam Chennai, India
Medical Records coder Senior Representative
Dell International Services Pvt Ltd
03 2012 - 03 2013
- Company Overview: Chennai, India
- Responsible for coding and auditing the charts using electronic medical record system
- Meet the productivity targets of clients within the stipulated time
- Prepare and Maintain status reports
- We will login to the Zotec software and ALIFE SOFTWARES and will work on assigned documents
- Validate the accuracy of Radiology and IVR reports
- Evaluate medical records and charge tickets to ensure completeness, accuracy and compliance with ICD-9-CM and to optimize reimbursement by ensuring that diagnostic and other documentation accurately reflect and support the patient visit and to ensure that data comply with coding guidelines.
Medical Coder Analyst
Visionary RCM Pvt Ltd
08.2010 - 02.2012
- Validate the accuracy for HCC Reports (well point and atena)
- Analysing the appropriate ICD-9CM codes using the Code finder software like Encoder Pro, 3M to ensure the code assigned reflects to all activities of care rendered to the patient during the period of hospitalization
- Auditing for HCC (well point in client side)
Education
B.Pharm. -
Dr.M.G.R University
HSSC - undefined
Jayankondam
Certification
- Certified Professional Coder (CPC)
- ICD-10-CM Certified Coder from AAPC, 01332501
- Certified Professional Medical Biller (CPMB)
Languages
English
Fluent
Tamil
Native
Personal Information
Custom
This is to certify that the above mentioned information is true to the best of my knowledge and belief.
Timeline
Regional - Revenue Operation Manager / RCM Manager
Burjeel Holding
02.2025 - Current
Group Revenue Optimization Manager
Burjeel Holding
04.2024 - 02.2025
Case Manager
LLH Musaffah & Lifecare Musaffah
02.2021 - 04.2024
Senior Medical coder & Insurance Team Auditor
LLH Musaffah
06.2015 - 01.2021
Medical Coder Analyst
Visionary RCM Pvt Ltd
08.2010 - 02.2012
HSSC - undefined
Jayankondam
Senior Medical Coding Auditor
e4e Health care Business Services Pvt Ltd
04 2013 - 05 2015
Medical Records coder Senior Representative
Dell International Services Pvt Ltd
03 2012 - 03 2013
B.Pharm. -
Dr.M.G.R University
Similar Profiles
Kadeejath RahilaKadeejath Rahila
Admin Executive- Customer Relation Officer at Burjeel Holding HospitalAdmin Executive- Customer Relation Officer at Burjeel Holding Hospital
Monisha MohanMonisha Mohan
Anesthesia Technician at LLH Burjeel HoldingAnesthesia Technician at LLH Burjeel Holding
Dina SabounDina Saboun
Patient Account Representative at Burjeel holding HealthCare GroupPatient Account Representative at Burjeel holding HealthCare Group
SABRA FAQIR MUHAMMEDSABRA FAQIR MUHAMMED
Reception Assistant at COPE MEDICAL CENTERReception Assistant at COPE MEDICAL CENTER
DONIA ESLAMDONIA ESLAM
GB Dentist at Arafa Dental CareGB Dentist at Arafa Dental Care