j.antonyfrankduff
About Candidate
Location
Education
Work & Experience
PROFESSIONAL EXPERIENCE
ASSISTANT MANAGER – OPERATIONS (RCM)
AGS Health, Chennai | Apr 2023 – Apr 2025
• Owned end-to-end RCM operations, including eligibility verification, benefits validation, insurance
checks, charge capture, denial management, correspondence, payment posting, appeals and AR
follow up.
• Managed 100+ team members across team leads, supervisors, and associates in offshore delivery
model.
• Ensured metrics such as A/R days, Ageing Reduction, DSOs are met
• Oversaw process workflows, payer-specific requirements, and documentation.
• Monitored daily productivity, quality scores, TAT, and SLA compliance across teams.
• Led process improvement and automation initiatives, improving clean claim rate to 98%.
• Supported Lean Six Sigma projects improving quality up to 99%
• Conducted audits, root cause analysis, and corrective action plans to reduce front-end edits/errors,
AR days, and downstream denials.
• Handled client escalations, participated in performance review calls, touch base, and ensured
compliance with payer guidelines and client SOPs.
• Prepared and presented daily, weekly, and monthly reports (MBR’s, QBR’s) for leadership and • Supported new client transitions, hiring and training ramp-ups, performance management, team
engagement and process stabilization.
• Collaborated with automation team and implemented various BOTs to improve process efficiency.
SENIOR TEAM LEADER – OPERATIONS (RCM)
AGS Health | Apr 2019 – Mar 2023
• Managed 50+ team members supporting eligibility, billing readiness, and denial prevention.
• Drove productivity, quality improvement, coaching, and performance management.
• Supported client reporting, audits, and operational reviews.
SENIOR QUALITY AUDITOR (RCM)
AGS Health | Jan 2016 – Mar 2019
• Audited eligibility, billing, front-end rejections, denials and AR workflows.
• Reduced escalations by 35% through RCA and corrective actions.
PROCESS ANALYST (RCM)
AGS Health, Chennai | Apr 2014 – Dec 2015
• Supported RCM operations through documentation, reporting, and SLA tracking.
• Coordinated with operations teams to ensure process consistency and adherence to SOPs.
EARLIER EXPERIENCE (RCM)
Caliber Point, Chennai | Jul 2012 – Apr 2014
• Provided operational support across US healthcare revenue cycle workflows.
• Assisted with documentation, issue resolution, and performance reporting.

