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KUMAIL HUSSAIN

@kumailhussain

Senior Medical Billing Specialist at AltaMed Health, tracing denials to root causes and surfacing revenue leakage.

United States
Message

At AltaMed Health, I oversee revenue cycle operations across outpatient, behavioral health, long-term care, and multi-specialty settings. I trace denials to their root causes and analyze A/R aging to recover stalled balances and identify revenue leakage.

I work with Medicare, Medicaid, Managed Care, and commercial claims, checking charge integrity and coding accuracy before claims go out. I also build billing performance reports and test automation for denial routing and claim scrubbing.

At TrueCareRCM, I managed provider enrollment and credentialing across payer networks. I kept provider profiles current, verified credentials against CMS, NCQA, and Joint Commission standards, and organized files for audits and recredentialing.

Experience

Work history, roles, and key accomplishments

AH
Current

Senior Medical Billing Specialist

AltaMed Health

Jul 2022 - Present (4 years 3 months)

Oversee revenue cycle operations across outpatient centers, behavioral health programs, long-term care units, and multi-specialty practices. Process high-volume Medicare, Medicaid, Managed Care, and commercial claims, run A/R aging analysis, and trace denials to root cause to improve first-pass claim acceptance.

Education

Degrees, certifications, and relevant coursework

CI

Codex International

Bachelor's Degree, Medical Technology

2015 - 2019

Bachelor's Degree in Medical Technology from Codex International, Abu Dhabi, UAE, from March 2015 to April 2019.

HI

HIPAA

Medical Billing Specialist, Medical Billing

Certification as a Medical Billing Specialist from HIPAA.

Tech stack

Software and tools used professionally

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