Shabab Kazmi

At Arthur Lawrence, I Manage the end-to-end Revenue Cycle Management (RCM) process, covering patient demographic & registration, insurance eligibility verification and benefits, Authorization, charge entry, medical claim submission, Rejections, payment posting, denial management, reconsideration and appeals, AR follow-up, patient payment, reconciliation and compliance. Monitor end-to-end RCM performance, AR aging, denials, reimbursements, and collection KPIs to reduce revenue leakage and optimize cash flow. Manage end-to-end Negotiation, IDR and TDI dispute processes, including submissions, Invoicing, offers, determinations, coolingoff and resubmission, and post-determination follow-ups. Serve as the primary point of contact (POC) for RCM/IDR matters, coordinating with clients, internal teams, insurance companies, patients, and other relevant stakeholders. Conduct regu lar RCM audits to identify billing errors, claim discrepancies, payment posting issues, and process gaps, ensuring accuracy, compliance, and improved revenue cycle performance. Proficient in Excel, Google Sheets, Reporting, KPI Monitoring, dashboards, data analysis, reconciliation, and RCM/IDR performance tracking. Proficient in creating and maintaining payer portals to streamline workflows. Manage medical billing tasks, including data entry, documentation, email correspondence, reporting, and record maintenance while ensuring HIPAA compliance and protecting patient confidentiality and PHI. Perform medical billing administrative tasks, including data entry, documentation management, email correspondence, report preparation, and record maintenance.