Hend Mohamed
@hendmohamed
Senior Medical Billing & RCM Specialist driving full-cycle claims, denial recovery, and compliance.
What I'm looking for
I’m a Results-driven Senior Medical Billing & RCM Specialist with 3+ years of full-cycle revenue cycle management experience for U.S.-based behavioral health providers. I own the end-to-end claims lifecycle—from charge entry and CMS-1500 submission to corrections, resubmissions, and claim closure.
I bring proven depth in Medicare/Medicare Advantage billing, including secondary and tertiary claims with Coordination of Benefits (COB). I perform insurance verification and eligibility checks before submission to reduce front-end denials, then complete A/R follow-up on denied, rejected, and unpaid claims.
My denial management is hands-on: I analyze payer-specific root causes, prepare formal denial appeals with supporting documentation, and collaborate directly with denials teams to recover claims. I also proactively introduced correct use of claim modifiers (25, 95, 93, XP, 59) on CMS-1500 forms to prevent same-day billing denials and improve first-pass acceptance rates.
As a trusted cross-team partner, I handle EOB/ERA payment posting, account reconciliation, and cash application—maintaining clean A/R and supporting month-end reporting. I also serve as a de facto Billing Department lead in the manager’s absence, training colleagues and ensuring HIPAA-compliant patient and insurance communication across remote U.S. time zones.
Experience
Work history, roles, and key accomplishments
Senior Billing Specialist
Brain Health USA
Jan 2023 - Present (3 years 4 months)
Managed full-cycle CMS-1500 revenue cycle workflows for a high-volume behavioral health practice, including eligibility checks, secondary/tertiary claims (COB), and telehealth/in-person coding. Reduced front-end denials by catching coverage gaps before submission and acted as de facto billing lead during manager absence.
Education
Degrees, certifications, and relevant coursework
AAPC
Certified Professional Biller (CPB), Medical Billing
In progress: Certified Professional Biller (CPB) certification with AAPC.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Social media
Job categories
Skills
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