
M. Zeeshan
Medical Billing and RCM Specialist for AR and Denial Management
Competenze

Consulta i miei servizi


Portfolio
Esperienza lavorativa
Operations Manager
Medcare MSO Global • Full time
Aug 2020 - Jun 2026 • 5 yrs 10 mos
Managed day-to-day Revenue Cycle Management (RCM) operations for a multi-specialty medical billing company, overseeing Accounts Receivable, denial management, prior authorization, claims processing, and payer follow-up across Cardiology, Radiology, Pain Management, Sleep Medicine, DME, and Mental Health. Key achievements: * Oversaw 10,000+ claims across 5+ years as Operations Manager, maintaining a 95%+ clean claim rate through effective billing, quality control, and claim follow-up processes. * Supported a client from the launch of her new medical practice, managing the full billing cycle from claims submission and AR follow-up to denial resolution. As the practice grew, its revenue exceeded $200K over 5 years, and the client continues to work with our company today. * Cleared a backlog of 1,000+ pending behavioral health claims, achieving a 95% clean claim rate on first submission and working 150+ outstanding denials through resolution and payment. * Worked across multiple EHR and practice management systems, including Epic, RXNT, Tebra, eClinicalWorks, SimplePractice, TherapyNotes, AdvancedMD, and NextGen. * Coordinated payer communication, eligibility and claim-status research, denial resolution, and follow-up through Availity and UHC portals.