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Usama Abdullah

@usamaabdullah

Revenue Cycle Management specialist optimizing U.S. healthcare billing and AR recovery.

Pakistan
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What I'm looking for

I seek a role where I can lead RCM operations, improve AR recovery and denial rates, collaborate with US clinical teams, and drive process and revenue improvements.

I am a strategic and results-driven Revenue Cycle Management specialist with over four years optimizing financial performance for U.S. healthcare practices. I focus on full-cycle medical billing, AR recovery, denial management, claims adjudication, and prior authorization.

I have led and coached billing and prior authorization teams across BPO and project-based environments, establishing end-to-end revenue cycle processes and improving reimbursement integrity. I routinely audit aged AR, analyze denials, and implement corrective actions to recover lost revenue.

My strengths include cross-functional collaboration with U.S.-based clinical and administrative teams, EDI/EFT/ERA setup experience, payer negotiations for out-of-network providers, and maintaining compliance with billing guidelines. I emphasize process design, performance metrics, and training to meet SLAs and reduce errors.

I bring strong communication, leadership, and multitasking skills, and a track record of positive recognition from management for professionalism, timeliness, and team-focused work ethic. I seek opportunities to further improve revenue outcomes for healthcare providers through best-practice RCM operations.

Experience

Work history, roles, and key accomplishments

DO
Current

RCM Specialist

Digital Omega

Oct 2024 - Present (1 year 8 months)

Conduct comprehensive audits of aged AR, analyze claim denials to implement corrective actions, and design end-to-end revenue cycle processes to improve collections and prevent timely-filing denials.

ME

Team Lead, Prior Authorization & AR

Medatron

Aug 2021 - Dec 2022 (1 year 4 months)

Oversaw prior authorization and AR teams, coordinated with US staff and providers for DME orders, managed auths and denials resolution, and handled EDI/EFT/ERA enrollments and insurer negotiations.

EL

Client Service & Prior Authorization Specialist

Exponere Billing, LLC

Aug 2020 - Aug 2021 (1 year)

Managed inbound/outbound communications with medical centers, pharmacies, and insurers, processed prior authorizations, handled faxes/emails, and conducted AR follow-ups to resolve denials.

Education

Degrees, certifications, and relevant coursework

Usama hasn't added their education

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Tech stack

Software and tools used professionally

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