Fathima Shimari

Managed end-to-end U.S. revenue cycle management workflows for healthcare providers, improving first-pass clean claim rates by 70% through denial pattern analysis and corrective actions. Reduced Days Sales Outstanding (DSO) by monitoring AR aging and supporting timely claim submission and follow-ups.

Performed detailed billing dataset analysis to identify denial patterns and implemented corrective action plans to increase clean claim rates. Streamlined account follow-up processes between the Sri Lanka team and U.S. clients to improve workflow efficiency.

Oversaw high-volume medical billing portfolios while maintaining 100% compliance with HIPAA and U.S. healthcare standards. Appealed underpaid/denied claims by auditing EOBs and medical records, while serving as a primary client point of contact with weekly performance reporting.

Supported on-site outsourced U.S. operations by assisting with medical billing and claims-related workflows. Maintained accurate billing documentation and contributed to reporting and issue resolution to support timely revenue cycle processing.

Pursuing a Higher National Diploma in Human Resource Management (HRM) with CIPM, starting in 2024.

Completed an Advanced Certificate in Human Resource Management (HRM) with CIPM in 2023.

Completed G.C.E. Advanced Level at Seetha Devi Girls College in 2021.

Completed G.C.E. Ordinary Level at Seetha Devi Girls College in 2018.