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Umme Laila

@ummelaila

VOB and AR RCM specialist improving US healthcare reimbursements through denials analysis and aggressive follow-up.

Pakistan
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What I'm looking for

I’m looking for a role where I can own end-to-end RCM for US healthcare, reduce AR backlog through denial root-cause analysis, and collaborate closely with payers—within strict HIPAA/HITECH compliance and a performance-driven culture.

I’m a Revenue Cycle Management (RCM) professional with 4 years of progressive experience maximizing financial performance for US healthcare providers. I own the full claims lifecycle—from insurance verification (VOB) and charge entry to payment posting, reconciliation, and AR follow-up.

In my current role as a VOB Specialist / AR Specialist, I manage end-to-end AR and VOB for high-volume Mental Health practices. I verify eligibility, benefits, copays/deductibles, prior authorizations, referrals, and coverage for therapy, psychiatry, telehealth, and behavioral health—before billing to prevent avoidable denials.

I resolve denied and aging claims using detailed root-cause analysis, appeal submissions, and claim corrections, while prioritizing aging reports to reduce AR backlog. I also negotiate directly with US-based insurance payers to reprocess claims and accelerate reimbursement pipelines, staying fully compliant with HIPAA/HITECH data privacy standards.

Experience

Work history, roles, and key accomplishments

RM
Current

VOB Specialist / AR Specialist

RCM Tech Matter

Dec 2024 - Present (1 year 7 months)

Managed end-to-end AR and VOB for high-volume mental health practices, including eligibility verification, prior authorizations, and referral requirements. Resolved denied and aging claims through root-cause analysis and payer follow-up to accelerate reimbursement.

PP

Billing Executive - Operations

Pro Medical Billing Solutions (PROMBS)

Sep 2023 - Dec 2024 (1 year 3 months)

Drove medical billing operations by overseeing daily charge entry, posting and balancing insurance and patient payments, and correcting clearinghouse rejections. Ensured billing resubmissions aligned with compliance protocols.

Education

Degrees, certifications, and relevant coursework

PMAS Arid Agriculture University, Rawalpindi logoPR

PMAS Arid Agriculture University, Rawalpindi

Master of Philosophy (MPhil) in Agriculture, Agriculture

2024 -

MPhil in Agriculture at PMAS Arid Agriculture University, studying since 2024 (in progress).

PMAS Arid Agriculture University, Rawalpindi logoPR

PMAS Arid Agriculture University, Rawalpindi

Bachelor of Science (B.S. Hons) in Agriculture, Agriculture

2018 - 2022

Bachelor of Science (Hons) in Agriculture at PMAS Arid Agriculture University, completed from 2018 to 2022.

Tech stack

Software and tools used professionally

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