Our Team

“We exist to bring clarity, compliance, and consistency to healthcare revenue cycle management—built on transparency, accountability, and long-term trust.”

Ajay Gurung is the CEO of AlterMed RCM and a seasoned healthcare revenue cycle management professional with nearly two decades of experience in US medical billing and healthcare operations. His expertise spans end-to-end RCM, including coding and documentation, claim submission, denial and AR management, compliance, insurance verification, pre-authorizations, and payer communications. Ajay has worked closely with healthcare providers across multiple specialties, bringing a strong background in workflow optimization, people management, and operational governance. He focuses on building disciplined teams and robust systems that support consistent performance. His leadership style emphasizes ethical execution, accountability, and process stability, making him instrumental in driving operational maturity and organizational growth.As a CEO, Ajay leads AlterMed RCM with a clear focus on transparency, regulatory compliance, team empowerment, and long-term client partnership

“Strong operations, ethical execution,and disciplined systems create the stability healthcare providers need to focus on patient care.”

John Negi brings extensive experience in provider credentialing, enrollment, licensing, operations leadership, and healthcare process management. As Director at AlterMed RCM, he plays a pivotal role in designing scalable operational frameworks, ensuring compliance, and maintaining service delivery excellence across projects. With a strong background in workflow optimization and people management, John focuses on building disciplined teams and resilient systems that support consistent performance. Known for his strategic mindset and operational depth, he combines process optimization with clientcentric execution to drive sustainable revenue growth

“Sustainable RCM success comes from adaptability, compliance, and a culture where quality and integrity drive performance.”

Tashi Gialchhan is a Director at AlterMed RCM with strong expertise in process optimization, quality management, and compliance-driven operations. His in-depth knowledge of provider credentialing, payer enrollment, primary source verification (PSV), accreditation, NCQA standards, OIG, and SAM compliance adds significant strength to AlterMed RCM’s compliance framework. He brings a practical and adaptive approach to managing complex RCM workflows in an everevolving healthcare billing environment. Tashi works closely with cross-functional teams to improve accuracy, turnaround times, and service quality. His leadership is centered on continuous improvement, regulatory adherence, and operational eƯiciency, ensuring reliable and scalable solutions for healthcare clients.

“Efficient workflows and strong internal processes are the foundation of better financial outcomes for providers.”

Jitender Kunjwal serves as an Operations Manager at AlterMed RCM, bringing handson expertise in day-to-day RCM operations, quality control, and workforce management. He has strong experience overseeing claim processing, follow-ups, and adherence to established billing protocols. Known for his structured and disciplined approach, Jitender ensures consistency across teams while maintaining compliance and operational eƯiciency. His focus on process discipline and execution excellence helps clients achieve improved cash flow and reduced revenue leakage.

“Aligning people, processes, and technology is key to reducing revenue leakage and improving turnaround times”

Shivam Kaushal is an Operations Manager with strong experience in process coordination, operational reporting, and workflow optimization within healthcare revenue cycle management. He works at the intersection of people, processes, and technology to ensure smooth and eƯicient service delivery. Shivam’s leadership style emphasizes precision, accountability, and proactive issue resolution. By closely tracking performance metrics and coaching teams, he drives improved turnaround times and sustained revenue performance for AlterMed RCM’s clients

“Precision, accountability, and proactive follow-ups define successful revenue cycle management.”

Mayank Marwah is an Operations Manager with specialized expertise in denial management, AR follow-ups, and performance monitoring. He plays a critical role in ensuring timely claim resolution and strict payer compliance. Mayank is skilled in identifying operational gaps, reducing ineƯiciencies, and implementing practical solutions that enhance productivity. His client-focused mindset and commitment to quality contribute significantly to AlterMed RCM’s ability to deliver consistent, scalable, and results-driven RCM outcomes.

“Operational excellence is achieved through precision, collaboration, and data-driven execution.”

Ankur Kamra is a Senior Manager with significant experience in operations management, performance monitoring, and team leadership. He specializes in streamlining workflows, tracking key performance indicators (KPIs), and implementing process improvements that enhance operational eƯiciency. With a detail-oriented and data-driven approach, Ankur plays a key role in aligning daily operations with organizational goals. His strengths include process standardization, reporting, cross-functional coordination, and mentoring highperforming teams to consistently deliver measurable results.

“Reliable communication, steady leadership, and a client‑first mindset are what turn RCM support into real operational stability.”

Nick Wolcott serves as a Client Success Manager at AlterMed RCM, bringing a strong background in medical billing, insurance coordination, and provider‑side operations. With experience as a Billing Manager and years spent navigating payer requirements, team oversight, and workflow troubleshooting, he understands the practical challenges practices face and how to resolve them efficiently. Nick is known for his calm, thoughtful approach and his ability to translate complex RCM issues into clear, manageable steps for clients and internal teams. He focuses on strengthening communication channels, identifying process gaps, and ensuring providers receive timely, accurate support. His steady presence, attention to detail, and commitment to follow‑through help clients maintain smoother operations, reduce administrative friction, and build confidence in their revenue cycle partnership.

“Proactive communication, thoughtful guidance, and a deep understanding of provider needs are the foundation of strong client partnerships.”

Amanda Shaw serves as the VP of Client Relations at AlterMed RCM, bringing extensive experience in credentialing, payer enrollment, and provider support across multiple healthcare settings. Her background in navigating complex compliance requirements and coordinating with both payers and practices gives her a clear, practical perspective on what clients need to operate smoothly. Amanda is known for her steady communication style, her ability to anticipate client concerns, and her commitment to resolving issues before they become obstacles. She focuses on building trust, strengthening provider relationships, and ensuring clients receive timely, accurate updates throughout every stage of the credentialing and RCM process. Her attention to detail, follow‑through, and client‑centered approach help practices maintain continuity, reduce administrative delays, and feel fully supported in their partnership with AlterMed.

“Clear communication, strategic structure, and client‑focused execution are what turn complex RCM challenges into sustainable growth.”

Kristin Wolcott serves as the VP of Business Development at AlterMed RCM, leveraging deep hands‑on experience across RCM operations, provider‑side billing, credentialing, and client relations. With a background that spans claims processing, DME operations, project management, and audit review, she brings a uniquely comprehensive understanding of how revenue cycle functions across every layer of a healthcare organization. Kristin leads with a blend of operational discipline and relationship‑driven strategy — ensuring clients feel supported, informed, and confident in the partnership. She oversees onboarding, outreach, contract development, and cross‑team coordination, helping providers navigate complex requirements while maintaining clarity and momentum. Known for her structured approach, branded communication style, and commitment to measurable outcomes, Kristin strengthens internal processes and elevates the client experience. Her focus on alignment, transparency, and execution helps drive stronger financial performance and long‑term client success.