Open to opportunities

hamza ali

@hamzaali10

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Experienced medical billing expert with a focus on revenue cycle management.

Pakistan

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What I'm looking for

I am looking for a role that allows me to leverage my expertise in revenue cycle management while fostering a collaborative and innovative work environment.

With over 7 years of experience in revenue cycle operations, I have honed my skills in medical billing and healthcare operations, specializing in both Part A and B billing. My career has been marked by a commitment to streamlining billing processes, reducing claim denials, and maximizing reimbursement efficiency across various specialties, including Emergency Medicine and Gastroenterology.

In my most recent role as an RCM Account Manager at Arthur Lawrence, I managed full-cycle RCM operations for one of Texas's largest free-standing ER groups. I successfully led my team through KPI tracking and reporting, ensuring compliance and timely reimbursements. My technical proficiency with tools such as Athena and OfficeAlly, combined with my expertise in Independent Dispute Resolution, has allowed me to achieve a remarkable 90% success rate in resolving out-of-network claims.

I am eager to bring my leadership skills and extensive knowledge of revenue cycle management to a new organization, contributing to its financial goals and operational success.

Experience

Work history, roles, and key accomplishments

RCM Account Manager

Arthur Lawrence

Feb 2024 - Present (1 year 6 months)

Managed AR, denials, payment posting, Federal IDR TDI and reporting for one of the largest free-standing ER groups in Texas, ensuring timely reimbursements and compliance. Oversaw end-to-end revenue cycle management (RCM) for diverse specialties including Community Mental Health, Plastic Surgery, Ophthalmology, Internal Medicine and FNP practices, DME both in-network and out-of-network. Led full R

Revenue Cycle Management Denial Management Payment Posting Federal IDR KPI Tracking Team Leadership

Senior Billing Executive

PMTAC

Mar 2023 - Present (2 years 5 months)

Handled eligibility checks, claims submission AR follow-up, Denial management for OON Gastroenterology and Anesthesia claims and other in network practices Family Medicine, Mental Health, Podiatry and Pain Management. Managed denials and appeals to ensure timely and accurate reimbursements for NSA OON Claims. Prepared detailed aging, payment and AR reports.

A R Follow Up Denial Management NSA OON Claims

Medical Billing Specialist

SimplexMed

Jan 2019 - Present (6 years 7 months)

Specialized in Part A and Part B billing with a primary focus on Emergency Room (ER) claims. Handled denial management, appeals and thorough AR follow-ups to ensure timely and accurate reimbursement. Managed Federal Independent Dispute Resolution (IDR) and State IDR (TDI) arbitration processes for out-of-network claims since Jan 2022.

Part A And B Billing Denial Management A R Follow Up Federal IDR State IDR

Education

Degrees, certifications, and relevant coursework

Abbottabad University of Science and Technology

Bachelor of Economics, Economics

2018 - 2022

Activities and societies: Research Project Thesis

Studied economic principles and theories, completing a research project thesis. Gained foundational knowledge in economic analysis and research methodologies.