Hussain User

Led cross-functional behavioral health RCM operations for multi-specialty practices, improving operational efficiency by 25% through strategic workflow redesign. Reduced authorization denials by 35%, improved denial rates by 30%, and increased cash flow by $2M+ annually by building RCM dashboards and denial management workflows.

Managed end-to-end revenue cycle operations for behavioral health and medical practices, achieving a 92% authorization approval rate through clinical documentation and payer engagement. Decreased preventable denials by 28%, increased per-agent output by 22% while maintaining 99% claims accuracy, and reduced claim rejections by 32% through QA programs.

Supervised a 15+ member AR team focused on behavioral health claims, improving collection rates by 20% by implementing performance metrics and workflows. Managed appeals and authorization disputes, recovering $1.5M+ in previously denied claims and reducing onboarding time by 30% via SOPs and 42 CFR Part 2 training.

Analyzed behavioral health billing operations, including CPT validation and utilization review documentation, improving first-pass resolution by 15%. Executed appeals for denial reasons (medical necessity and parity violations) while maintaining 95% accuracy in clinical documentation support.

Processed US medical and behavioral health claims for outpatient mental health clinics and substance abuse treatment centers, achieving a 92% collection target. Managed AR follow-ups for Medicaid managed care plans and commercial behavioral health carve-outs while resolving claim discrepancies related to bundled services and authorization requirements.

Completed a technology program certification focused on leveraging generative AI for project management, including strategic insights and future trends.