Khurshid Kiani
Copperas Cove,United States
Summary
Revenue Cycle Specialist with 11 years of progressive experience in the healthcare industry, specializing in medical billing, coding, denial management, accounts receivable, and prior authorizations. Proven track record of optimizing revenue, reducing claim denials, and streamlining billing workflows. Proficient in EHR/PM systems with strong expertise in ICD-10, CPT, and HCPCS compliance. Adept at collaborating with clinical, administrative, and payer teams to ensure accurate documentation, timely reimbursements, and regulatory compliance. Recognized for leadership, process improvement, and maximizing cash flow across multi-specialty healthcare settings.
Overview
12
12
years of professional experience
Work History
Team Lead RCM
MTBC
Somerset, USA
04.2023 - 12.2025
- Lead and mentor a team of RCM specialists, coders, and billers to achieve performance goals.
- Oversee end-to-end revenue cycle operations, including claims, A/R, and denial management.
- Monitor KPIs, analyze trends, and implement process improvements to optimize cash flow.
- Ensure coding accuracy, regulatory compliance, and adherence to HIPAA guidelines.
- Collaborate cross-functionally and provide training to streamline workflows and enhance efficiency.
Medical Billing Specialist (Remote)
CareCloud
Somerset, NJ
07.2021 - 04.2023
- Prepare, review, and submit accurate medical claims to maximize reimbursements.
- Verify insurance eligibility, benefits, and prior authorizations for patients.
- Post payments, reconcile EOBs/ERAs, and follow up on unpaid or denied claims.
- Ensure compliance with ICD-10, CPT, HCPCS, and HIPAA regulations.
- Collaborate with providers, payers, and internal teams to resolve billing issues efficiently.
Denial Management & AR
CareCloud
Somerset, New Jersey
06.2019 - 06.2021
- Analyze and resolve denied or unpaid claims to maximize reimbursements.
- Track and manage accounts receivable, ensuring timely follow-up on outstanding balances.
- Identify denial trends, implement corrective actions, and prevent future claim rejections.
- Collaborate with providers, payers, and billing teams to resolve complex payment issues.
- Maintain accurate documentation and ensure compliance with coding and regulatory standards.
RCM Specialist
CareCloud
Somerset, USA
06.2017 - 05.2019
- Manage the end-to-end revenue cycle from charge entry to payment posting.
- Verify insurance eligibility and submit accurate claims.
- Monitor and follow up on denials, rejections, and unpaid claims.
- Post payments and reconcile accounts receivable.
- Ensure compliance with coding standards, payer rules, and HIPAA.
Verification of Benefits & Auth
Athenahealth, Inc
Boston, USA
03.2015 - 05.2017
- Verify patient insurance coverage, benefits, and eligibility prior to services.
- Obtain and track prior authorizations and referrals as required by payers.
- Confirm coverage limitations, copays, deductibles, and coinsurance.
- Communicate authorization requirements to providers and billing teams.
- Ensure compliance with payer guidelines to prevent claim denials.
Account Manager
Athenahealth, Inc
Boston, USA
01.2014 - 03.2015
- Perform Verification of Benefits (VOB) and obtain required authorizations.
- Create, review, and submit claims to commercial and government payers.
- Work on payment posting, adjustments, and reconciliation.
- Handle denial management, appeals, and rework of rejected claims.
- Manage Accounts Receivable (A/R) and follow up on unpaid or underpaid claims.
Education
MBA - Business Administration And Management
FUUAST
AJK07.2016
Skills
- Medical billing & coding (ICD-10, CPT, HCPCS)
- Revenue Cycle Management (RCM)
- Claims submission, tracking & resolution
- HIPAA & payer compliance
- Denial management & appeals
- Strong attention to detail & problem-Solving
- Accounts receivable (A/R) follow-up & payment posting
- Effective communication & team collaboration
- Insurance eligibility & benefits verification
- Verification of Benefits (VOB)
- HER & billing software proficiency
Hobbies and Interests
- Hiking
- Cricket
- Sports
- Traveling
Languages
- English
- Hindi
- Urdu
- Local
Timeline
Team Lead RCM
MTBC
04.2023 - 12.2025
Medical Billing Specialist (Remote)
CareCloud
07.2021 - 04.2023
Denial Management & AR
CareCloud
06.2019 - 06.2021
RCM Specialist
CareCloud
06.2017 - 05.2019
Verification of Benefits & Auth
Athenahealth, Inc
03.2015 - 05.2017
Account Manager
Athenahealth, Inc
01.2014 - 03.2015
MBA - Business Administration And Management
FUUAST