USMAN ABRAR
RCM Specialist| AR Specialist| Medical Biller| Denial Specialist
Riverview,MI
Summary
Highly skilled AR Specialist, RCM Specialist, and Medical Biller with 6 years of experience in managing accounts receivable, resolving denials, and optimizing revenue cycle processes. Proficient in claims submission, follow-up, coding, and insurance appeals across diverse payer systems. Expertise in reducing claim rejections and ensuring accurate reimbursement through in-depth knowledge of billing regulations and payer policies. Committed to driving operational efficiency and contributing to the financial health of healthcare organizations.
Overview
7
7
years of professional experience
3
3
Languages
Work History
Billing Specialist
Optum, UnitedHealth Group
01.2026 - Current
- Manage and maintain assigned insurance accounts to ensure timely resolution of outstanding claims
- Handle both inbound and outbound calls with insurance payers and patients to address billing inquiries
- Contact insurance carriers to verify claim status and obtain necessary updates
- Submit appeals and conduct follow-ups on denied, unpaid, or underpaid claims to ensure maximum reimbursement
- Review, analyze, and resolve overpayments and discrepancies in accounts
- Utilize Optum proprietary systems and various payer portals efficiently for claim management and documentation
- Perform high-volume data analysis and reporting using Microsoft Excel
- Ensure compliance with payer guidelines, company policies, and regulatory requirements
- Maintain accurate and detailed documentation of all account activities and communications
- Collaborate with internal teams to resolve complex billing issues and improve workflow efficiency
- Identify trends in denials or payment issues and recommend process improvements
- Meet productivity and quality benchmarks in a fast-paced environment
RCM SPECIALIST
Physicians Revenue Group
Downers Grove
01.2023 - 12.2025
- Managed daily accounts receivable (AR) tasks including claim follow-ups, denials, rejections, and collections to ensure timely reimbursement.
- Processed explanations of benefits (EOBs), edited claims, and verified insurance eligibility using tools such as Epic, Athenahealth, NextGen, ECW, and Kareo.
- Developed and submitted detailed insurance appeals for denied or rejected claims, ensuring proper documentation and timely resolution.
- Accurately applied ICD-10, CPT, and HCPCS codes along with appropriate modifiers to reduce denials and optimize reimbursement.
- Conducted thorough AR follow-up for denied, unpaid, and underpaid claims, including inpatient and outpatient billing via phone and payer portals.
- Verified and updated patient demographics and coordinated benefits across primary, secondary, and tertiary payers to ensure billing accuracy.
- Tracked and maintained denial logs using Excel and produced detailed reports for senior management to support revenue improvements.
- Identified and corrected billing discrepancies and coding errors, ensuring compliance with payer requirements and industry standards.
- Executed timely secondary billing, COB validations, and account adjustments to reduce denials and improve claim accuracy.
- Contributed to revenue cycle optimization, reducing claim rejection rates by identifying recurring issues and improving billing processes.
AR Specialist/Medical Biller, Accounts Receivable
CureMD
New York
03.2019 - 12.2022
- Conducted detailed accounts receivable (AR) follow-up, reducing aging accounts and improving cash collections and days in AR.
- Verified insurance eligibility and benefits across commercial, government, and workers' compensation plans for accurate billing.
- Resolved coding discrepancies involving ICD-10, CPT, HCPCS, and modifiers, minimizing denials and ensuring compliance.
- Prepared and submitted well-documented insurance appeals, resulting in a 90%+ recovery rate on denied/rejected claims.
- Utilized EHR systems (Epic, Athenahealth, eClinicalWorks, Health Fusion) to process claims and streamline billing operations.
- Researched payer-specific guidelines to resolve complex denials and optimize reimbursement outcomes.
- Maintained an organized claims inventory system, preventing delays and ensuring timely reimbursements.
- Ensured compliance with HIPAA regulations and payer requirements to protect patient data and support audit readiness.
Education
Bachelor Degree - Bachelor of Busniness Administration
Schoolcraft College
Livonia, MI01-2016
High School Diploma -
Trillium Academy High School
Taylor, MI1 2014
BBA - Bachelor of Busniness Administration
University of Michigan Dearborn
Dearborn, MI01-2025
Skills
- Medical Billing & Coding Advanced
- Claims Processing & Submission Advanced
- Denial Management & Appeals Advanced
- Attention to Detail & Accuracy Advanced
- Accounts Receivable (AR) Management Advanced
- Insurance Verification & Authorization Advanced
- Time Management & Multitasking Advanced
- Expert in Epic, ECW, Nextgen and Athena Health Advanced
- Electronic Health Records (EHR) Systems Advanced
- ICD-10, CPT & HCPCS Coding Advanced
- HIPAA Compliance & Confidentiality Advanced
- Communication & Provider Relations Advanced
Interests
Music, Video Gaming, Soccer, Manga Reading, Watching Movies and TV Shows
Timeline
Billing Specialist
Optum, UnitedHealth Group
01.2026 - Current
RCM SPECIALIST
Physicians Revenue Group
01.2023 - 12.2025
AR Specialist/Medical Biller, Accounts Receivable
CureMD
03.2019 - 12.2022
High School Diploma -
Trillium Academy High School
BBA - Bachelor of Busniness Administration
University of Michigan Dearborn
Bachelor Degree - Bachelor of Busniness Administration
Schoolcraft College