Aseef S

Behavioral Health RCM Consultant | Billing, AR & Denials

Self employed / Freelance • Freelance

Jun 2017 - Present • 9 yrs 4 mos

• Behavioral Health RCM: Worked Mental Health and SUD accounts across Detox, Residential, PHP, IOP and Outpatient levels of care. • AR Recovery: Managed aging and difficult AR from initial payer follow-up through final resolution, including claims sitting 90/120+ days. • Denials: Worked authorization, medical necessity, eligibility/COB, coding/modifier, provider, timely filing, documentation and payer-policy denials. • Authorization Issues: Resolved cases involving missing/incorrect auth, date mismatches, exhausted units/days, level-of-care mismatches and services billed outside the approved authorization. • Medical Records & Prepay Reviews: Handled payer record requests and prepayment reviews, coordinating treatment plans, progress notes and supporting clinical documentation. • Appeals & Escalations: Prepared and followed corrected claims, reconsiderations and appeals, including direct payer follow-up when claims weren't moving through normal channels. • Underpayments: Reviewed reimbursement discrepancies, identified why claims paid incorrectly and followed them through correction and posting. • Payer Experience: Hands-on experience across Medicaid, managed care and commercial payers, including complex claim follow-up, denials, appeals and reimbursement issues. • From Reactive to Preventive: I don’t just resolve denials after they happen. I identify what’s driving them upstream and work to prevent the same issue from reaching AR again.