Mohammad Arshad

Senior Team Lead with 9+ years of experience in US Healthcare Revenue Cycle Management (RCM), Accounts Receivable (AR), denial management, client reporting, and team leadership. Experienced in leading 35+ FTE operations, maintaining 98.5% posting accuracy and 100% TAT compliance, managing escalations, training teams, and driving process improvements. Strong hands-on knowledge of ERA 835, manual EOB, EFT, lockbox, patient payments, takebacks, recoupments, refunds, appeals, underpayments, payer behavior, and revenue-cycle analytics.

Senior Team Lead – AR, RCM - VCARVE RCM HEALTHCARE

(2024-06)

• Lead a 35+ FTE team supporting end-to-end payment posting and billing operations for the Weston Project.
• Maintained 98.5% posting accuracy and 100% TAT compliance across ERA, manual checks, and patient payments.
• Own MTD and month-end client reporting covering collection rate, adjustments, denial breakdown, and projection analysis.
• Manage payer escalations and coordinate with AR teams for denial routing, appeals, and resolution.
• Trained 15+ new joiners on CGM, posting SOPs, and compliance; developed process documentation and quality checklists.
• Cleared a $250K+ legacy backlog within 60 days.
• Handled takebacks, recoupments, refunds, and correspondence posting with zero compliance errors.
• Oversee end-to-end denial management, including appeals, reprocessing, and payer escalation; achieved a 12% win rate on 120+ AR.
• Implemented automated payment-posting workflows to reduce errors and accelerate reconciliation.
• Identify recurring denial drivers such as coding, authorization, and credentialing issues and partner with billing/coding teams on corrective training.
• Build team performance dashboards covering KPIs, denial resolution time, productivity, and coaching actions.

AR – Team Lead - VCARVE RCM HEALTHCARE

(2021-06 - 2024-06)

• Managed daily department functions with focus on timely and accurate execution.
• Generated monthly AR aging, denial-percentage, DSO, statistical, SOP, PPT, GCR, and NCR reports.
• Managed client escalations and maintained day-to-day coordination with onshore teams through email and calls.
• Created strategic plans to reduce 90+ aging outstanding balances and improve AR performance.
• Monitored team productivity and reported performance to management using defined KPIs.
• Generated carrier AR and reimbursement reports to highlight collection improvements and denial risk factors.
• Conducted team huddles, one-on-one coaching, and process training to close knowledge gaps.
• Supported denial management and payment-posting query resolution while maintaining SLA expectations.

SME - VCARVE RCM HEALTHCARE

(2020-05 - 2021-06)

Subject-matter expert supporting revenue-cycle processes, reporting, client analysis, and operational execution.

SR Process Associate - JSD Medical Billing

(2018-08 - 2020-04)

Supported US healthcare medical billing and revenue-cycle operations.

Process Associate - Reventics

(2017-06 - 2018-07)

Supported healthcare process operations and client-service activities.

B.Tech - Tirumala Engineering College, Hyderabad

Intermediate - Narayana Junior College, Hyderabad

S.S.C. - Gowtham Model School, Mancherial