Open to opportunities

Usama Waheed

@usamawaheed

Message

Dedicated RCM and Credentialing Specialist with extensive medical billing expertise.

Pakistan

Message

What I'm looking for

I am seeking a role that offers growth opportunities and values compliance in medical billing.

I am a seasoned RCM and Credentialing Specialist with a robust background in medical billing and coding. Over the years, I have honed my skills in various roles, including Medical Collector and AR Supervisor, where I successfully managed claims submission and denial management. My experience spans across multiple companies, including OMEGA Medical Company and ASCEND BPO, where I developed a deep understanding of billing regulations and electronic medical records.

In my most recent role at Innovative Lab Solutions, I focused on claims adjudication and appeals processing, ensuring compliance and accuracy in all submissions. My technical skills in medical billing software and data analysis have enabled me to streamline processes and enhance operational efficiency. I hold a BS in Computer Sciences and have pursued further education in Revenue Cycle Management, equipping me with the knowledge to excel in this field.

Experience

Work history, roles, and key accomplishments

Home Health Specialist

Immigrant Elder Home Care LLC

Jan 2023 - Present (2 years 7 months)

Provided specialized home health billing and coordination services. Ensured accurate insurance verification and payment posting for home care services.

Insurance Verification Payment Posting Denial Management Compliance Data Analysis Revenue Cycle Management System Implementation

Dental AR Specialist

Power Dental Group

Jan 2023 - Present (2 years 7 months)

Managed accounts receivable for dental services, focusing on claims submission and denial management. Ensured accurate payment posting and insurance verification for dental claims.

Denial Management Payment Posting Insurance Verification Data Analysis Compliance Revenue Cycle Management

RCM Specialist

Innovative Lab Solutions

Jan 2021 - Present (4 years 7 months)

Managed the revenue cycle for laboratory services, ensuring accurate claims submission and effective denial management. Utilized technical skills in claims adjudication and appeals processing.

Claim Adjudication Denial Management Appeals Payment Posting Insurance Verification Data Analysis Compliance Revenue Cycle Management

AR Supervisor

Medcare MSO Company

Jan 2020 - Present (5 years 7 months)

Supervised accounts receivable operations, focusing on improving collection rates and reducing outstanding balances. Implemented strategies for efficient payment posting and denial management.

Denial Management Payment Posting Data Analysis Revenue Cycle Management System Implementation Compliance

RCM Specialist

NOVA Diagnostic LAB

Jan 2020 - Present (5 years 7 months)

Oversaw revenue cycle operations for diagnostic services, focusing on claims submission and denial resolution. Applied expertise in claims adjudication and appeals processing to maximize revenue.

Claim Adjudication Denial Management Appeals Payment Posting Insurance Verification Data Analysis Compliance Revenue Cycle Management

Credentialing & Enrollment Specialist

ASCEND BPO Company

Jan 2019 - Present (6 years 7 months)

Specialized in credentialing and enrollment for healthcare providers. Ensured all necessary documentation was processed accurately and in a timely manner.

Credentialing Compliance Data Analysis System Implementation Revenue Cycle Management Payment Posting

Medical Collector

ACE Solution Company

Jan 2017 - Present (8 years 7 months)

Collected outstanding medical payments and resolved billing discrepancies. Applied knowledge of billing regulations to ensure compliance and optimize collections.

Medical Terminology Medical Billing Denial Management

Medical Biller

OMEGA Medical Company

Jan 2016 - Present (9 years 7 months)

Managed medical billing processes and ensured accurate claim submissions. Utilized medical terminology and coding standards to facilitate efficient revenue cycles.

Medical Terminology Medical Billing Denial Management

Education

Degrees, certifications, and relevant coursework

FAST Nuces Islamabad

MS Computer Science, Computer Science

2017 - 2019

Pursued a Master of Science in Computer Science through distance learning at FAST Nuces Islamabad. Expanded knowledge in advanced computer science concepts and methodologies.

Riphah International University, Islamabad

BS Computer Sciences, Computer Sciences

2015 - 2017

Studied Computer Sciences at Riphah International University, focusing on core principles and applications. Completed coursework relevant to the field of computer science.