M Haroon Rashid

RCM Specialist

Fiverr • Freelance

Jan 2023 - Present • 3 yrs 7 mos

Revenue Cycle Management (RCM) Specialist Experience: 5+ Years Results-driven Revenue Cycle Management (RCM) Specialist with over 5 years of experience managing end-to-end medical billing for U.S. healthcare providers. Skilled in claims submission, payment posting, accounts receivable (AR) follow-up, denial management, insurance verification, prior authorization, and provider credentialing. Proficient in eClinicalWorks, NextGen, Office Ally, SimplePractice, AdvancedMD, Availity, Waystar, and major U.S. insurance portals. Experienced in working with Medicare, Medicaid, and commercial insurance payers while ensuring HIPAA compliance, maximizing reimbursements, reducing denials, and improving revenue cycle performance through accurate and timely billing processes. Core Responsibilities Medical Billing & Electronic Claims Submission (CMS-1500/UB-04) Insurance Eligibility & Benefits Verification Payment Posting (ERA/EOB) & Reconciliation Accounts Receivable (AR) Follow-Up Denial Management, Appeals & Claim Resolution Prior Authorization & Provider Credentialing ICD-10, CPT & HCPCS Coding Review Clearinghouse Rejection Analysis & Resolution Claim Status Investigation & Timely Follow-Up Revenue Cycle Reporting & Documentation HIPAA-Compliant Data Management Collaboration with Providers, Insurance Companies, and Billing Teams Software & Portals eClinicalWorks (eCW) NextGen Office Ally SimplePractice AdvancedMD Availity Waystar Medicare & Medicaid Portals Major U.S. Commercial Insurance Portals