CEO
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
Director
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
Director
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.
Operations Manager
EƯicient 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.
Operations Manager
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
Operations Manager
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.
Senior Manager
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.