Nelson Francis David is a results-oriented operations leader with over 19 years of experience in Healthcare RCM, driving operational excellence and business transformation in the BPO sector. He brings a strong blend of analytical expertise, process discipline, and leadership acumen that consistently enhances performance and client satisfaction.
A Master Black Belt in Lean Six Sigma and a BMS graduate in Healthcare from the Indian School of Business Management and Administration, Nelson is deeply committed to process optimization and continuous improvement. His hands-on leadership in AR management, denial prevention, and workflow efficiency has helped transform complex challenges into scalable, revenue-boosting solutions.
Throughout his career, Nelson has led high-performing teams that consistently exceed SLAs and client expectations. He has been instrumental in mentoring and developing emerging leaders, fostering a culture of accountability, collaboration, and excellence. His ability to translate business strategy into operational impact has earned him recognition for driving measurable outcomes in both client satisfaction and organizational efficiency.
Nelson’s strategic mindset and process-driven approach continue to make a significant impact in optimizing healthcare revenue operations and empowering teams to achieve sustainable growth.
Shamrock brings extensive experience and proven expertise across the full spectrum of RCM operations. She plays a pivotal role in driving process excellence, client satisfaction, and strategic growth through effective leadership and operational insight.
Shamrock has a distinguished record of leading end-to-end RCM functions, from operations and service delivery to client relationship management and seamless onboarding of new clients. Her strategic approach ensures that business transitions are executed with precision, maintaining both efficiency and compliance while enhancing client outcomes.
A strong advocate for collaboration and continuous improvement, Shamrock is known for building lasting client partnerships and aligning operational goals with organizational vision. Her ability to communicate effectively across teams and stakeholders has been instrumental in fostering trust, optimizing performance, and delivering measurable results.
With a client-first mindset and a passion for operational excellence, Shamrock continues to strengthen AnnexMed’s position as a trusted partner in the RCM industry.
Meet Sujatha, the General Manager of HR – Payroll at AnnexMed, bringing over 20 years of expertise in human resources across industries such as IT, ITES, and Commercial Real Estate. Sujatha’s rich experience spans a full range of HR functions, and her career is distinguished by her ability to set up entire HR systems from the ground up. Her problem-solving acumen and decision-making skills have been pivotal in her success.
At AnnexMed, Sujatha leads the payroll system with efficiency and precision, successfully establishing streamlined processes that ensure timely and accurate payroll for employees. She actively handles the complexities of her role, and the experience and learning from various industries form the core expertise she brings to AnnexMed. This has allowed her to optimize payroll operations, ensure compliance, and continuously improve the efficiency of the department.
Outside of work, Sujatha enjoys traveling, having tried solo journeys a few times. She also loves singing, cooking, and binge-watching movies whenever she gets the chance, reflecting her dynamic and multifaceted personality.
Vijayalakshmi is a results-driven leader with over 20 years of experience in U.S. medical billing operations, combining deep industry expertise with strong strategic and operational acumen. She has a proven track record in team leadership, client relationship management, and driving business growth, with a unique ability to bridge operations and technology to optimize healthcare revenue cycle management.
Her hands-on experience spans diverse business settings, including new venture startups, business turnarounds, and rapid growth scaling. She excels in process analysis, requirements gathering, and gap identification, ensuring solutions that are both efficient and aligned with organizational goals. Vijayalakshmi is adept at managing multiple projects in fast-paced environments, delivering results with accuracy and timeliness.
A strong advocate for automation, she focuses on implementing RCM process innovations that enhance revenue performance and operational efficiency. She has successfully defined roadmaps for the rollout of new accounts, processes, and automation initiatives, aligning them with client expectations and business objectives.
Vijayalakshmi’s collaborative approach, combined with her extensive experience across all phases of the software development lifecycle, positions her as a visionary leader capable of transforming operations while driving sustainable growth and excellence in healthcare revenue cycle services.
“Meet Elan, Annexmed’s IT & Compliance Officer, wielding over 22 years of Healthcare Revenue Cycle Management expertise. Starting as a payment poster and navigating through AR, Elan delved into compliance, spearheading Annexmed’s SOC 2 Type 1 & Type 2 certification and, currently driving efforts for HITRUST compliance. His versatility and penchant for seizing opportunities define his invaluable contribution to Annexmed.
Elan is a multifaceted professional with an insatiable thirst for knowledge, excelling within Annexmed’s compliance domain and thriving in diverse passions beyond the corporate realm. He loves diving into visionary books by icons like Steve Jobs and Stephen Covey, always seeking growth. Armed with an M.Sc in Chemistry, Elan’s knack for juggling tasks comes from impactful research stints.
Elan’s skilled oration, humor, and spontaneous wit make him invaluable at Annexmed. He seamlessly combines compliance expertise with intellectual curiosity, leaving a lasting impact in and out of the corporate world.”
Meet Kala, a distinguished leader and head of Medical Coding at AnnexMed, driven by a remarkable vision for organizational growth. With over two decades of experience in healthcare – Medical coding and Revenue Cycle Management, she has played a pivotal role in expanding business operations and fostering excellence in service delivery.
Known for her client-centric approach Kala has successfully led large teams to achieve organizational objectives by solidifying her reputation as a transformational leader and mentor. Beyond daily operations, Kala has been recognized for her groundbreaking contributions to automation in medical coding projects. She is an active participant in industry confluences, where she shares her expertise while continuously expanding her knowledge base.
A Certified Professional Coder (CPC) and Certified Outpatient Coder (COC), Kala is a member of AAPC and the Indian Association of Physiotherapists and serves as Vice President of the AAPC Chennai Chapter.
Kala extends her impact beyond corporate leadership through mentoring, guest lectures, and knowledge-sharing. She also plays a key role in client contracting and physician education, positioning herself as a trusted partner in healthcare business process management.
Meet Kala, a distinguished leader and head of Medical Coding at AnnexMed, driven by a remarkable vision for organizational growth. With over two decades of experience in healthcare – Medical coding and Revenue Cycle Management, she has played a pivotal role in expanding business operations and fostering excellence in service delivery.
Known for her client-centric approach Kala has successfully led large teams to achieve organizational objectives by solidifying her reputation as a transformational leader and mentor. Beyond daily operations, Kala has been recognized for her groundbreaking contributions to automation in medical coding projects. She is an active participant in industry confluences, where she shares her expertise while continuously expanding her knowledge base.
A Certified Professional Coder (CPC) and Certified Outpatient Coder (COC), Kala is a member of AAPC and the Indian Association of Physiotherapists and serves as Vice President of the AAPC Chennai Chapter.
Kala extends her impact beyond corporate leadership through mentoring, guest lectures, and knowledge-sharing. She also plays a key role in client contracting and physician education, positioning herself as a trusted partner in healthcare business process management.
Meet Gayathri, the General Manager of HR at AnnexMed, with 20 years of diverse experience in Human Resources. Gayathri has a proven track record of working alongside senior management to integrate the HR function into the broader business strategy. Her expertise spans training, orientation, onboarding, and formulating partnerships across the HR function to deliver value-added services. She is highly skilled at fostering trustworthy and dynamic relationships with leadership while enhancing employee engagement and morale.
At AnnexMed, Gayathri leads employee relations with a focus on strengthening the connection between management and members. Her optimistic approach and passion for tackling challenges allow her to continuously drive improvements within the HR function. She is committed to building strong leadership relationships and fostering a collaborative environment that aligns with the company’s objectives.
Outside of work, Gayathri values family time and strives to maintain a healthy work-life balance. She enjoys socializing with friends and finds fulfillment in volunteering, seeing it as a privilege to give back to the community.
Meet Prabu, the Assistant Vice President of Operations at AnnexMed, where he brings 17 years of extensive experience in Revenue Cycle Management. Prabu’s expertise spans across Accounts Receivable and Project Management, making him a vital leader in driving operational efficiency and delivering impactful results. His career is marked by successfully leading cross-functional teams, managing high-stakes projects, and developing strategies that enhance overall financial performance.
At AnnexMed, Prabu oversees the RCM operations for more than 40+ clients, focusing on optimizing cash flow, reducing outstanding receivables, and fostering long-term client relationships. His project management acumen has enabled him to deliver initiatives on time, within scope, and with the highest quality. His commitment to precision and a client-centric approach ensures that every account is managed efficiently, delivering positive outcomes for both the organization and its partners.
Outside of his professional life, Prabu is passionate about traveling, which allows him to unwind and gain fresh perspectives. His love for exploration often inspires new ideas that he applies to his work, enriching both his personal and professional growth.
“Meet Serdeen, an industry veteran with 18+ years of diverse expertise spanning Operations, Learning & Development, and Transition in sectors like US healthcare, Freight & Logistics, and Finance & Accounting. Noteworthy among his achievements is leading multiple onsite & remote transitions, earning him the prestigious Brandon Hall Gold award in 2022 for Best Learning.
“As General Manager – Operations & Client Relations at Annexmed, Serdeen is the driving force behind service delivery management and client relations. His key responsibilities include formulating and executing management plans, and ensuring seamless operations across 45+ accounts. His strategic prowess extends to P&L oversight, where he plays a pivotal role in shaping Annexmed’s financial success.
“Beyond the boardroom, Serdeen’s passion for football keeps his adrenaline pumping, and in more leisurely moments, he indulges in binge-watching on Netflix, making it a favorite pastime. Serdeen’s dynamic leadership, coupled with his diverse experience and personal interests, makes him a valuable asset both within and outside the corporate arena.
Meet Gavin, the Assistant Vice President at AnnexMed, with 17 years of extensive experience in the Revenue Cycle Management industry, specializing in Accounts Receivable. Gavin is a data and performance-driven leader who consistently strives to exceed client expectations. His meticulous attention to timely deliveries and commitment to stakeholders ensures smooth operations and sustained business growth. Gavin is also passionate about exploring AI and Machine Learning technologies to drive efficiency, save man-hours, and accelerate growth.
At AnnexMed, Gavin oversees day-to-day operations, ensuring that client SLAs are consistently met. He maintains close client relationships through weekly interactions to align with their business practices and efficiency goals. As part of the leadership team, he contributes to discussions on business scaling and provides training to foster the professional growth of employees.
Outside of work, Gavin is a passionate rock music enthusiast, often immersing himself in the vibrant energy and intricate rhythms of the genre. He also treasures the time he spends with his family, during their annual vacations, which offer a chance to unwind and reconnect.
“Meet Vani, Annexmed’s accomplished General Manager spearheading the Quality Assurance division with nearly two decades of healthcare RCM expertise. Her professional journey has been a continuous evolution, marked by a relentless pursuit of learning and adaptability.
Beginning her career in a Financial BPO, Vani swiftly transitioned to the realm of RCM, starting as a team leader. Her trajectory witnessed diverse projects and team dynamics, providing invaluable insights into the intricacies of healthcare operations. Advancing through roles, she honed her skills in operations, steering end-to-end projects and venturing into MIS and Total Quality-Business Excellence divisions. At Annexmed, Vani leads the Quality Assurance team, collaborating with industry experts to ensure unparalleled service quality for clients. Her forte lies in implementing avant-garde Audit Methodology and Processes, elevating service standards.
Beyond her professional prowess, Vani indulges her passion for baking, crafting delightful cakes, pastries, cookies, and brownies. As a dedicated home baker, her aspiration to share her creations resonates with her dynamic spirit and creative endeavors.”
“Meet Neel, a seasoned professional whose journey in the healthcare sector commenced as an AR caller and ascended to spearheading Automation setups for practices. With over 15 years of experience, Neel has navigated various leadership roles across operations, transition, client management, and Business Excellence. His expertise extends to pioneering RPA and AI across process, showcasing his innovative approach to streamlining them.
At Annexmed, Neel leads an Operations division, showcasing his hands-on management style and meticulous approach in steering teams. His innate ability to decipher numbers and solve analytical problems adds substantial value to Annexmed’s operations. Holding an MBA, Neel’s educational foundation complements his practical expertise, enriching his managerial acumen.
Beyond his professional pursuits, Neel is an ardent food enthusiast, constantly exploring and savoring diverse cuisines. He finds solace in the pulsating rhythms of hard metal music during his leisure, reflecting a dynamic personality outside the office. Neel is multifaceted professional, seamlessly blending extensive healthcare experience, strategic leadership, and a passion for exploration, shaping him into an invaluable cornerstone of the team.”
“Meet Devi, Annexmed’s Senior VP of Quality & Training, boasting an illustrious 23+ years in the healthcare domain. Devi’s expertise spans orchestrating end-to-end setups for over 600 healthcare providers, showcasing her knack for crafting seamless healthcare systems. Her innovative training strategies have revolutionized staff development at AnnexMed, fostering a culture of continuous learning and skill refinement. As the architect behind AnnexMed’s progressive training initiatives, Devi fosters an environment where excellence thrives and quality becomes second nature.
Her diverse educational background including an MBA, Masters in Yoga and Human Science, and qualifications as a licensed speech therapist showcases her dedication to holistic healthcare.
Devi’s expertise extends beyond the corporate landscape. Her passion for cooking, specializing in seafood delicacies, mirrors her flair for perfection. She holds a national award for pencil sketching, a testament to her artistic prowess. Devi’s multifaceted persona, coupled with a keen eye for detail and a passion for creativity, makes her a driving force both within Annexmed’s domain and in her vibrant pursuits outside the office.”
Meet Radhika, the adept Sr. Vice President at AnnexMed, boasting 17+ years of diligent and versatile industry experience. A literature graduate with a master’s degree in Human Resources, she embodies a fusion of literary finesse and strategic acumen. Radhika champions a ‘Customer First’ spirit, channeling her expertise to optimize financial outcomes for our clientele.
Her leadership prowess is indomitable, driving growth strategies and leveraging her acute analytical and research skills to navigate complex challenges. Radhika stands as a beacon of AnnexMed’s commitment to setting visionary missions and executing them flawlessly. Her exceptional track record speaks volumes about her ability to align our goals seamlessly with those of our esteemed customers.
Within AnnexMed, Radhika’s multifaceted talents shine across critical domains including Service Delivery, Client Success and Operational Excellence, Peer Mentoring, Business Development, and the seamless transitioning of new clients and accounts. Her resourcefulness and dedication elevate our standards, ensuring unparalleled excellence in every facet of our operations.
“Meet Fabian Fernandez, the Executive Vice President of Annexmed, a stalwart in Revenue Cycle Management. With an illustrious 23-year career trajectory, Fabian has emerged as a visionary leader, steering the company’s strategic growth. His academic grounding in Economics fuels his prowess in navigating the intricacies of the healthcare landscape.
Fabian’s passion resonates in optimizing financial outcomes for healthcare providers, empowering them to excel in innovative patient care delivery. His approach revolves around a simple yet powerful philosophy: Assess, Prioritize, Work Smart, and Embrace the Journey. Within Annexmed, Fabian holds a pivotal role overseeing multifaceted domains such as Client Success Optimization, Strategic Expansion Initiatives, Operational Efficiency Enhancements, and Transformational Leadership. His astute guidance in these areas has been instrumental in propelling Annexmed toward unprecedented growth and operational excellence.
Beyond the professional sphere, Fabian treasures moments with his family and finds solace in his love for cricket, a sport that embodies his competitive spirit. Embracing thrilling challenges on the cricket field reflects his unwavering dedication and passion for excellence, both within Annexmed’s operations and in his personal pursuits.”
Meet Anuradha, an anchor in driving AnnexMed’s expansion and development as the Chief Growth Officer. With a solid foundation across Finance, Administration, and HR divisions, her leadership shapes the very core of our organizational administration. Armed with a literature undergraduate degree and a Master’s in Public Administration, Anuradha embodies a unique blend of academic depth and practical wisdom.
Her 20+ years of instrumental experience spans pivotal roles in support divisions, new client acquisition, and client relationship management, positioning her as an indispensable player in AnnexMed’s pre-sales function, design, digital marketing, sales, and support domains. Her expertise in crisis management adds an extra layer of resilience to her abilities.
As a luminary within AnnexMed’s leadership team, Anuradha orchestrates initiatives aimed at fostering a skilled and cohesive workforce. Her meticulous approach uplifts organizational standards through the implementation and evaluation of robust employee relations policies and programs. Anuradha’s boundless energy, positivity, and relentless pursuit of knowledge drive her to surpass goals and conquer challenges, epitomizing AnnexMed’s ethos of unwavering growth and excellence.
Meet Chinal, the Vice President of AnnexMed, who brings over 20 years of expertise in Revenue Cycle Management to the team. Known for her strategic acumen and operational excellence, Chinal plays a crucial role in driving AnnexMed’s mission to optimize financial outcomes for healthcare providers.
Chinal’s RCM foundation has equipped her with the skills to navigate the complexities of the healthcare industry with precision and insight. Her passion lies in streamlining processes and implementing innovative solutions that empower healthcare providers to enhance their patient care services.
At AnnexMed, Chinal spearheads innovative projects that enhance service delivery, champions data-driven decision-making to boost performance metrics, and cultivates strategic partnerships to expand the company’s reach. Her focus on leveraging cutting-edge technology and best practices has significantly contributed to the company’s sustained growth and excellence in service delivery.
Chinal’s leadership philosophy is rooted in collaboration, continuous improvement, and embracing challenges as opportunities for innovation. Her strategic initiatives and unwavering dedication ensure that AnnexMed remains at the forefront of the industry, delivering unparalleled value to its clients.
Meet Victor Flores, a seasoned Vice President of Operations at AnnexMed. With a great career track of over 18 years in leadership roles, Victor provides a wealth of knowledge and experience focused on Cash Improvements and Revenue Cycle Management.
Prior to joining AnnexMed, Victor is a proven leader, as a Director of Revenue Cycle, in multi-facility and single facility healthy system. Victor has worked in large health systems, over $1B in Gross Revenue, along with smaller health systems managing over critical access hospital systems. Victor’s knowledge & experience in Pre-Clearance, Charge Master Improvements, Payor Contract Negotiations, efficient Billing & Collection best practices, and Denial Management are a few high-level drivers in Cash Improvement Results.
Victor’s commitment and dedication to AnnexMed and it’s Partners, will provide a strong partnership in our operations and results.
“Meet Mathew Houston, the seasoned Vice President of Operations at AnnexMed. With an illustrious career spanning over two decades, Mathew is a driving force behind the operational excellence and client-centric approach at AnnexMed.
Prior to joining AnnexMed, Mathew excelled as a director in acute care settings, where he led numerous revenue cycle initiatives and oversaw 9 successful EHR system implementations and migrations. His diverse background includes auditing for the United States Department of Defense and managing private practices in psychiatry and long-term care.
As a seasoned educator, Mathew has imparted knowledge through teaching HIM programs at multiple colleges for four years. His proficiency in healthcare revenue cycle management, extensive experience with various EHR systems, and dedication to enhancing RCM workflows have been instrumental in guiding AnnexMed’s US Division towards continuous growth and success.
With a commitment to leading strong, effective teams and delivering the most accurate and efficient RCM services, Mathew ensures that AnnexMed’s clients receive unparalleled support and expertise.
Meet Manoj the Chief Strategy Officer at AnnexMed. With over two decades of experience in Operation Management, Business Development, Client Relations, strategic planning, and execution, Manoj boasts a distinguished career marked by significant contributions to the healthcare RCM industry.
Prior to AnnexMed, Manoj held senior leadership roles at Omega Healthcare and Nittany Decision Services, where he spearheaded growth initiatives, championed innovation, and fostered operational excellence. Notably, he built and expanded Omega Healthcare’s Coding business line before transitioning to a Business Development and Client Relations role.
As a seasoned strategist, Manoj navigates the complexities of the healthcare landscape with unwavering focus. He seamlessly aligns contemporary perspectives with core business requirements, propelling AnnexMed on a trajectory of excellence. His visionary approach forms the cornerstone of AnnexMed’s strategic initiatives, ensuring the company remains at the forefront of the RCM industry.
Manoj’s unwavering commitment to excellence extends beyond strategy. His passion for fostering strong client relationships has positioned him as a trusted advisor, consistently exceeding expectations with his ability to deliver results. His strategic vision, operational acumen, and dedication to excellence propel the company forward, solidifying AnnexMed’s position as a leader in healthcare RCM solutions.
Meet George, our Executive Vice President at AnnexMed, Inc. Since joining AnnexMed, George has been a key player in the company’s growth and success. With over 14 years of experience in the healthcare industry, George uses his impressive knowledge and insight to meet the specific needs of clients.
George assists in the oversight of business development, client/vendor relations, and general day-to-day operations. Through communication with operational leadership within, he ensures seamless interaction between clients and personnel. George has extensive knowledge of overall RCM processes and a keen sense of identifying improved performance metrics to implement for Provider Groups, Hospitals, FQHCs and Surgery Centers of all specialty types.
George is committed to being a forward-thinker in the healthcare and revenue cycle industries. To that effort, he is involved with various industry organizations, such as the Healthcare Financial Management Association (HFMA), where he has participated and sponsored multiple organization conferences, George continues to stay on the forefront of the ever-evolving medical billing industry. George’s work with the HFMA and elsewhere helps ensure the continued success of AnnexMed and its clients.
Meet Nick, our Executive Vice President at AnnexMed, Inc. Nick has 21 years of experience in Revenue Cycle Management, Sales, accounting & financial analytics. His education includes a Bachelors degree in Business Administration from Utah State University with a minor in Healthcare Finance and is an HFMA Certified Revenue Cycle Representative.
Nick has experience in operations management & leadership in large and mid-size RCM companies. Nick has managed billing & coding departments overseeing all functions & responsibilities including developing programs to optimize healthcare center’s RCM functions to improve overall financial performance. Nick has worked with Hospitals, Provider Groups, FQHCs, and Surgery Centers of all specialty types and sizes to ensure performance KPIs are achieved and maintained to meet monthly & annual goals. Nick effectively communicates with C-level executives and Revenue Cycle Directors to achieve both short-term and long-term objectives to meet the needs of AnnexMed’s clients.
Nick is dedicated and committed to the success levels of all our clients and works tirelessly to develop strong programs that truly benefit our clients. His main objective is strengthening the growth of AnnexMed in the US to achieve maximized RCM performance metrics across all our partnerships.
Meet John Britto, the visionary President at AnnexMed, pioneering a transformative journey within the healthcare industry. With over two decades of unparalleled expertise, John’s leadership embodies a profound understanding of healthcare intricacies and an extensive network of valued customer relationships. His multifaceted proficiency spans administration, Workforce management, customer relations, and operations, solidifying AnnexMed’s reputation as an industry stalwart.
The spark of ambition ignites the fire, but stoking it into a roaring blaze demands ceaseless fuel. John’s relentless pursuit to broaden professional horizons has seen remarkable success across diverse industry verticals and global landscapes. His innate ability to swiftly pinpoint core issues and deliver innovative business and technological solutions distinguishes him.
As an expert in US healthcare Business Process Management, John seamlessly navigates business requirements while strategically aligning contemporary perspectives, fueling AnnexMed’s trajectory toward excellence. His visionary approach serves as the cornerstone of our core competencies, igniting AnnexMed’s direction and propelling us towards impactful transformations in the healthcare landscape.