Mazahar Shaik

Results-driven Senior Accounts Receivable (AR) Associate with 5+ years of experience in US Healthcare Revenue Cycle Management (RCM), specializing in Fresh Claims Follow-up, Claim Rejections, Hospital Billing, Denial Management, Insurance Follow-up, and Revenue Recovery. Experienced in working with Medicare, Medicaid, and Commercial insurance payers to maximize reimbursements, reduce AR days, and improve collections. Proficient in Epic, Atlas, and Cleopatra with strong analytical, communication, and client management skills.

Senior AR Associate at Kraft Business Solutions (2022-11 – Present)

• Manage hospital billing accounts by resolving insurance claim denials and payment delays.
• Investigate and resolve claim edit errors and clearinghouse rejections.
• Review EOBs to identify underpayments, denials, and reimbursement opportunities.
• Resubmit corrected claims within payer timely filing guidelines.
• Process secondary claims after primary insurance adjudication.
• Coordinate with insurance representatives regarding claim status and payment discrepancies.
• Approve contractual and non-contractual adjustment requests as per payer policies.
• Verify patient eligibility, benefits, and authorization requirements.
• Perform insurance follow-up to reduce aging accounts and improve collections.
• Participate in weekly client review meetings to discuss claim trends, productivity, and account status.
• Work with Epic, Cleopatra, and Atlas billing systems for claim processing and account management.
• Successfully managed high-volume hospital AR accounts while maintaining quality standards.
• Improved reimbursement turnaround through proactive denial resolution and timely claim corrections.
• Contributed to reducing outstanding AR and increasing provider revenue through effective insurance follow-up.

AR Associate at Access Healthcare (2021-06 – 2022-08)

• Performed Fresh Claims Follow-up with insurance payers to ensure timely claim adjudication.
• Resolved claim rejections received from clearinghouses and insurance companies.
• Verified claim status and identified reasons for delays, denials, and pending claims.
• Corrected demographic, coding, and billing errors before claim resubmission.
• Coordinated with insurance representatives to resolve claim processing issues.
• Ensured compliance with payer-specific billing guidelines and timely filing limits.
• Escalated unresolved claims and documented account actions accurately.
• Worked closely with internal billing teams to improve first-pass claim acceptance.
• Maintained productivity and quality targets while handling assigned claim inventory.
• Achieved consistent productivity and quality scores in Fresh Claims Follow-up.
• Improved first-pass claim acceptance by promptly resolving claim rejections.
• Developed strong knowledge of US Healthcare Revenue Cycle Management and payer workflows, building a solid foundation for advanced AR operations.