Highly skilled Revenue Cycle Management (RCM) Specialist with over seven years of experience in end-to-end medical billing, claims processing, and revenue optimization. Proficient in CPT and ICD-10 coding, with a proven track record of accurately submitting claims and resolving complex payment discrepancies. Demonstrated success in reducing denials and increasing collections by implementing efficient billing workflows and auditing processes.
Adept at leading and training medical billing teams to improve productivity and compliance. Strong focus on HIPAA regulations, maintaining strict confidentiality, and data integrity in all aspects of billing and documentation. Known for delivering timely, accurate invoicing, and fostering strong relationships with providers, payers, and patients to ensure smooth reimbursement cycles.
Skilled in using various Practice Management Systems (PMS) and clearinghouses, and experienced in handling multi-specialty billing across a wide range of healthcare environments.
Work History
RCM Specialist
Simitreehc- Home health Institutional Billing
Miami
08.2021 - 01.2025
Scrubbing and submission of medical claims (professional and institutional billing). Resolve aging with necessary actions.
Resolving payment discrepancies.
Maintaining billing accounts and records, responsible for the timely and accurate distribution of client invoices that are mailed each cycle.
Responsible for the timely and accurate distribution of client invoices that are mailed each cycle.
Communicate with U.S.-based insurance on calls and emails, also to discuss patient claims. Communicate with U.S.-based medical reps to discuss daily tasks and issues.
AR Team Leader
Nobility RCM
Rawalpindi
12.2019 - 07.2021
Delegated daily tasks to team members to optimize group productivity.
Followed detailed end-of-month accounting procedures to verify the proper balancing of accounts and readiness for the new month.
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Reviewed account information to confirm that patient and insurance information is accurate and complete.
Organized information for past-due accounts and transferred it to the collection agency.
Handled billing, waivers, and claims for private and commercial clients.
Medical Billing Associate
Eservmd
Islamabad
12.2017 - 11.2018
Identified and corrected errors in denied claims to prevent payment delays.
Posted charges, payments, and adjustments while reviewing insurance coverage and balances.
Maintained up-to-date knowledge of CPT and ICD-10 coding principles and regulations.
Entered procedure codes and patient information accurately into software systems.
Completed appeals and submitted claims efficiently to expedite processing.
Reviewed benefits and eligibility with precision to ensure compliance.
Associate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt LtdAssociate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt Ltd
Collection Specialist III at Johns Hopkins Care At Home (Billing Department)Collection Specialist III at Johns Hopkins Care At Home (Billing Department)