mohamed musthafa
@mohamedmusthafa1
Experienced medical billing specialist driving revenue recovery and process improvements.
IndiaWhat I'm looking for
I am a medical billing professional with over six years of experience in accounts receivable, denial management, and credit balance resolution. I focus on delivering accurate, timely revenue recovery while maintaining compliance and quality.
In my most recent role as a Senior Specialist, I handled client communications, coordinated cross-functional resolution, assigned and prioritized incoming work, reviewed team output, escalated complex claims, maintained SOPs, and delivered training to new hires and existing staff.
Earlier roles as an AR Analyst and Senior AR Caller strengthened my QA, EOB analysis, appeals, and claims follow-up skills. I am proficient with AR Plus, DAQ Billing, CureMD, and Health Fusion (Next Gen), and I prioritize team development, process improvement, and operational consistency.
Experience
Work history, roles, and key accomplishments
Senior Specialist
Health Prime Pvt Ltd
Aug 2023 - Jul 2025 (1 year 11 months)
Managed incoming client communications and coordinated internal teams to resolve complex claims; reviewed and resolved credit balances and escalated high-value unresolved claims. Developed and maintained SOPs, led training and calibration sessions to improve team quality and consistency.
AR Analyst
Amromed Pvt Ltd
Sep 2021 - Jun 2023 (1 year 9 months)
Conducted internal quality assurance and maintained QA procedure documentation; monitored agent performance and analyzed quality trends to drive process improvements. Provided input on improvement plans and proposed proactive solutions to reduce quality failures.
Senior AR Caller
Annexmed Pvt Ltd
Nov 2018 - Feb 2021 (2 years 3 months)
Performed payer follow-up on pending, denied, and underpaid claims, analyzed EOBs and initiated appeals or corrected claims to expedite reimbursement. Investigated claim status, resolved issues, and escalated high-value or unresolved cases while contributing to process improvements.
Education
Degrees, certifications, and relevant coursework
Elumalai Polytechnic College
Diploma, Electrical and Electronics Engineering
Grade: 91%
Completed a Diploma in Electrical and Electronics Engineering with 91% at Elumalai Polytechnic College, passed in 2011.
St Xavier's Matriculation School
SSLC, Secondary Education
Grade: 70%
Completed SSLC at St Xavier's Matriculation School with 70% in 2008.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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