Kamruzzaman

RCM US Healthcare Eligibility, Insurance Verification & Medical Billing

Radiant Data Systems • Full time

Jun 2008 - Feb 2026 • 17 yrs 8 mos

Verified patient demographic and insurance information to support accurate medical billing and reimbursement processes for various hospitals and healthcare providers across the United States. Performed insurance eligibility and benefits verification through internet-based platforms and proprietary/local server systems. Verified patients’ insurance coverage, policy status, effective dates, benefits, and applicable coverage requirements prior to billing. Reviewed the patient’s reason for visit, medical condition, and diagnosis documented by the healthcare provider to determine relevant insurance coverage and billing requirements. Conducted eligibility verification for Medicare, Medicaid, Humana, Cigna, Aetna, UnitedHealthcare, Blue Cross Blue Shield (BCBS), and various other commercial insurance plans. Ensured the accuracy of insurance-related information to help healthcare providers submit claims correctly and facilitate timely insurance reimbursement. Identified discrepancies in patient or insurance information and coordinated the necessary verification to minimize billing errors and claim-related issues. Maintained confidentiality and handled sensitive patient and insurance information in accordance with professional healthcare standards.

Manager, Data Processing & Business Growth

Alltender • Full time

Apr 2004 - Jun 2008 • 4 yrs 2 mos

Managed and operated the Data Entry and Product Marketing Department of Alltender, an online platform for local and international tenders, auctions, and corrigenda. Collected, reviewed, and accurately entered tender, auction, and corrigendum information into the website database. Monitored and updated local and international tender notices, ensuring that published information was accurate, complete, and up to date. Managed the timely publication and updating of tender-related information, including deadlines, categories, organizations, and relevant procurement details. Supported product marketing activities by organizing and presenting product/service information for potential buyers and business clients. Maintained data quality and consistency across the website and ensured that information was properly categorized for easy access and search. Conducted regular monitoring of tender and auction information from relevant sources and updated the platform accordingly. Coordinated data-entry activities and supported the smooth day-to-day operation of the department. Assisted in improving the visibility and accessibility of tender and product-related information for prospective customers and business users.