FIROZ ALAM

I am a dedicated US healthcare claims professional with over eight years of hands-on experience in claims adjudication, claim reduction, hospital billing, and RCM workflows. I consistently apply payer rules, CMS standards, and HIPAA requirements to ensure accurate reimbursement outcomes.

As an SME I have bridged operations and IT, led UAT testing, created SOPs and training materials, and supported escalations to improve system and process alignment. I have a strong track record in quality audits, error analysis, and delivering guidance that reduces denials and operational errors.

My recent roles include adjudicating claims end-to-end, validating coding accuracy, and maintaining complete documentation and audit trails for compliance. I collaborate cross-functionally with providers, payers, case managers, and implementation teams to resolve complex claim issues.

I am open to remote international opportunities and bring attention to detail, analytical thinking, effective communication, and time management to help organizations strengthen adjudication accuracy and RCM performance.