Mohammad Wasim

• Assisted customers with inquiries and problem resolution using company systems.
• Provided timely responses to customer emails and phone calls for support.
• Documented customer interactions accurately in the database for future reference.

• Conducted end-to-end quality checks on patient registration, coding, billing, and claims processing to ensure compliance with payer guidelines and healthcare regulations.
• Collaborated with cross-functional teams (operations, IT, billing) to map requirements, validate data, and streamline RCM processes.
• Performed root cause analysis of denials, payment delays, and revenue leakage, providing actionable insights to improve clean claim rates and reduce rework.
• Designed and monitored quality metrics, dashboards, and performance reports to track accuracy, productivity, and compliance.
• Supported UAT (User Acceptance Testing) and system validation for new healthcare platforms, ensuring smooth data migration and integration.
• Recommended process improvements and automation opportunities to enhance efficiency and accuracy across RCM workflows.
• Ensured adherence to HIPAA compliance and audit standards in all QA and BA activities.

• Perform root cause analysis on denials, underpayments, and AR backlogs, recommending corrective and preventive actions.
• Develop and monitor performance dashboards, KPIs, and trend reports to track operational efficiency and financial outcomes.
• Collaborate with cross-functional teams (billing, coding, operations, IT) to optimize workflows and resolve process bottlenecks.
• Support system upgrades, automation initiatives, and data migrations to enhance revenue integrity and compliance.
• Conduct quality audits on claims, documentation, and payer communications to ensure accuracy and regulatory adherence.
• Provide training and process guidance to junior analysts and operations teams, driving continuous improvement culture.
• Partner with leadership to design business requirements, validate solutions, and ensure alignment with payer policies and compliance standards (HIPAA, CMS, etc.).
• Deliver actionable insights and recommendations that improve clean claim rate, reduce denials, and maximize revenue capture.

Project Initiation

Capstone Project review

Vocational study

C.S.E Computer science and Engineering