Mehmood S

RCM Supervisor

NAHL e Medical Billing and Coding llc • Parttime

Mar 2022 - Present • 4 yrs 2 mos

I am a seasoned Revenue Cycle Management (RCM) Supervisor with expertise in streamlining medical billing operations, maximizing reimbursement, and minimizing claim denials. With a strong background in the healthcare industry, I ensure efficient financial operations and compliance with all regulatory and payer requirements. Core Services & Expertise: 1. Claims Management: Overseeing accurate and timely claim submission, scrubbing, and processing to insurance companies. 2. Accounts Receivable (AR) & Denial Management: Managing AR follow-ups, identifying denial trends, filing appeals, and implementing strategies to improve collection efficiency. 3. Payment Posting: Supervising the accurate posting of insurance and patient payments and reconciling accounts. 4. Insurance Verification & Authorization: Ensuring accurate patient information, verifying insurance eligibility and benefits, and securing necessary prior authorizations. 5. Compliance & Reporting: Conducting regular audits to ensure data integrity and compliance with HIPAA, CPT, and ICD-10 guidelines, and providing detailed performance reports to management. 6. Team Leadership & Training: Supervising, mentoring, and training billing staff to maintain high performance standards and stay updated on industry changes. Key Skills Leadership and Team Management Analytical and Problem-Solving Skills Proficiency in Medical Billing Software & EHR Systems In-depth Knowledge of Payer Guidelines and Regulations Strong Written and Verbal Communication

Account Receivable Supervisor

Prestige Medical Billing, Inc • Fulltime

Sep 2019 - Feb 2022 • 2 yrs 5 mos

I am an experienced Accounts Receivable (AR) Manager with a proven track record of optimizing revenue cycles, minimizing bad debt, and improving collection rates in the medical billing industry. I specialize in developing and implementing effective AR strategies to ensure timely and maximum reimbursement for healthcare providers. Core Services & Expertise 1. Accounts Receivable Management: Overseeing the entire AR lifecycle, from claim submission to final payment, focusing on minimizing aging balances and increasing cash flow. 2. Denial Management & Appeals: Analyzing denial trends, identifying root causes, and developing comprehensive appeal strategies to overturn denials efficiently. 3. Payer Follow-up: Managing and coordinating proactive follow-ups with commercial, Medicare, and Medicaid payers to ensure timely claim processing and payment. 4. Process Improvement: Implementing best practices and process enhancements within the AR department to improve efficiency, productivity, and financial performance. 5. Reporting & Analytics: Generating detailed AR aging reports, key performance indicators (KPIs), and financial analyses to provide actionable insights for management. 5. Team Leadership: Leading and mentoring AR teams to maintain high performance standards and stay current with evolving payer guidelines and regulations. Key Skills Financial Acumen & Analytical Skills Expertise in Medical Billing Software & Revenue Cycle Platforms In-depth Knowledge of CPT/ICD-10 Codes, Payer Guidelines, and Compliance Leadership and Team Management Strong Negotiation and Problem-Solving Abilities

Billing supervisor

BellMedEx • Fulltime

Sep 2017 - Aug 2019 • 1 yr 11 mos

I am an accomplished Medical Billing Supervisor Manager with extensive experience in optimizing billing operations for healthcare providers. I specialize in ensuring the accuracy of claims, maximizing reimbursement rates, minimizing errors, and leading billing teams to peak performance. My expertise covers all aspects of the medical billing lifecycle, ensuring compliance and financial efficiency. Core Services & Expertise 1. Billing Operations Oversight: Managing and optimizing daily billing activities, ensuring timely and accurate submission of all medical claims. 2. Quality Assurance & Auditing: Conducting regular quality control audits on billing processes and coded claims to ensure data integrity and compliance with CPT, ICD-10, and payer-specific guidelines. 3. Denial Prevention & Resolution: Implementing proactive strategies to minimize claim rejections and denials, and managing the appeals process for complex cases to maximize collections. 4. Payer Relations: Acting as the primary point of contact for complex payer issues, negotiating contracts, and staying current with all insurance carrier guideline changes. 5. Team Leadership & Training: Supervising, mentoring, and leading the billing team, fostering a high-performance culture, and facilitating ongoing training to stay updated on industry regulations. 6. Performance Reporting: Developing and analyzing key performance indicators (KPIs) and providing detailed reports to senior management regarding billing metrics and revenue cycle health. Key Skills Expert Knowledge of Medical Billing Software & EHR Systems Strong Leadership and Team Management Capabilities In-depth Understanding of Payer Guidelines and Healthcare Regulations (HIPAA) Analytical and Process Improvement Skills Exceptional Communication and Organizational Abilities