Mohammed Saif

Motivated and detail-oriented AR Executive with hands-on experience in medical billing, denial management, and insurance follow-up. Proficient in claim resolution and EOB analysis. Eager to contribute to a dynamic healthcare organization.

AR Executive at VEE HEALTHTEK (2025-07 – Present)

• Worked mainly in No response work Queue, did follow-up on claims and worked for resolution.
• Handled denials, patient registration and missing payments.
• Software: EPIC
• Project: University of Michigan West
• Sub Projects: No response Commercial, No response Medicare (Traditional, Advantage & Supplemental), No response Medicaid (Medicaid & Medicaid managed care), Auto No-fault, Patient registration (In-patient & Out-patient)
• Worked on high-dollar accounts and successfully secured payments.
• Maintained detailed trackers to monitor aging reports, helping prioritize follow-ups and reduce A/R over 90 days.
• Proactively engaged with insurance reps to negotiate and settle delayed claims, ensuring faster turnaround.
• Escalated unresolved claims to supervisors and provided root cause reports for management review.

AR Analyst at Omega Healthcare (2023-09 – 2025-07)

• Completed training in RCM, CMS-1500, denial management, EOB analysis, and billing scenarios.
• Worked on end-to-end AR processes and claim follow-ups.
• Software: MMIS
• Project: Optum (Change Healthcare)
• West-Oklahoma Division (Oct 2023 - Nov 2024): Facilities: GEMD – Guidewell Emergency Medicine Doctors, GA (Emergency); WCH – John Muir Physician Billing, CA (Multi-specialty, Neuro, Trauma, Anesthesia); ORO – Oroville, CA (Multispecialty)
• Steward Lewiston Division (Nov 2024 - Mar 2025): Facilities: DIM – Diagnostic Imaging of Milford, ME (Radiology); SPN / SPNAES / SPNMAAP / SPNHMA – Steward Medical Group, MA (Radiology, Anesthesia, Pathology)
• Massachusetts Pathology Services (Mar 2025 - Jul 2025): Facilities: CCPC / CPP / HAMP / WIMPS – Various MA Pathology Services; HVM – Hudson Vista Medical, NY (Multi-specialty)
• Handled 40-50 accounts per day, maintaining high productivity and accuracy in claim resolution and documentation.
• Identified and flagged trends in denied claims across multiple payers, improving denial prevention strategies.
• Analyzed payer-specific denial patterns and developed payer escalation protocols, reducing rework time.
• Analyzed denial trends across multiple facilities, identifying root causes and recommending changes to reduce recurring denials.
• Resolved complex claim issues by coordinating with payers and providers, improving clean claim rate.
• Trained junior AR staff on denial codes, EOB interpretation, and escalation processes, increasing team efficiency.

12th Standard (PUC) – Al Ameen Pre University College (2021-01)

10th Standard – New Indian Public School (2019-01)