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Ray AlamRA
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Ray Alam

@rayalam

I recover denied claims and improve medical billing accuracy across full-cycle revenue operations.

United States
Message

I'm currently leading full-cycle revenue cycle management at Trilogix Billing across inpatient, outpatient, hospital-based, and physician-based workflows. I recover denied and rejected claims through structured appeals, manage high-volume billing operations, and support multi-specialty organizations.

Across Trilogix Billing, Pickocean Staffing, MDTech, and CureMD, I've handled claim submission, charge entry, payment posting, AR follow-up, eligibility verification, denial resolution, and account reconciliation. I've worked with government, commercial, workers' compensation, Medicare, and Medicaid payers while maintaining strict HIPAA compliance.

I resolve coding and billing discrepancies involving ICD-10, CPT, HCPCS, modifiers, EOBs, CMS-1500, and UB-04 claims. I also use root-cause analysis, coding audits, payer policy research, and front-end eligibility checks to reduce preventable denials.

I've supported urgent care, pediatrics, behavioral health, pain management, laboratory, internal medicine, oncology, cardiology, surgery, and OB/GYN billing environments using Epic and numerous other EMR and billing platforms.

Experience

Work history, roles, and key accomplishments

TB
Current

Senior Revenue Cycle Specialist

Trilogix Billing

Jan 2024 - Present (2 years 7 months)

Direct full cycle revenue cycle management across inpatient, outpatient, hospital-based, and physician-based billing workflows for a multi-specialty organization. Recovered the majority of denied and rejected claims through structured, well-documented appeals, consistently exceeding department recovery benchmarks.

Education

Degrees, certifications, and relevant coursework

University of Michigan logoUM

University of Michigan

Bachelor of Science, Pharmaceutical Sciences

Bachelor of Science in Pharmaceutical Sciences.

Tech stack

Software and tools used professionally

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