Sameer Khan

Results-oriented RCM - Accounts Receivable Professional with over 3 years of experience in the Healthcare Revenue Cycle. Expert in managing aged Accounts Receivable (AR) balances for Medicare and Commercial Insurance payers. Proven success in analyzing EOBs, implementing payer updates, and utilizing platforms like NextGen and Epic to resolve complex claim denials and improve Days Sales Outstanding (DSO).

Healthcare Services Professional - CG MARIA HEALTH SERVICES - INDIA

(2024-06)

Review and resolve outstanding aged Accounts Receivable (AR) through intensive analysis and direct payer engagement to secure timely reimbursement.

• Identify and document denial trends related to Medicare and Commercial Insurance, providing process improvement recommendations to mitigate future revenue leakage.
• Consistently exceed Service Level Agreements (SLAs) for production and quality by processing complex claims with 98% accuracy.
• Verify insurance eligibility and coverage details using Navinet and Availity to prevent initial claim rejections.

RCM Professional - CORRO HEALTHCARE INFOTECH - INDIA

(2023-05 - 2024-05)

Aggressively reduced aged AR balances by analyzing EOBs and submitting targeted appeals for underpaid medical claims.

• Documented all communication and analysis outcomes in the billing system with clear, coherent notation for audit readiness.
• Resolved billing-related roadblocks by collaborating with management to implement updated payer guidelines and credentialing requirements.
• Improved key operational metrics, including Days Sales Outstanding (DSO), by optimizing the claim follow-up workflow.

BPO Professional - PACIFIC BPO - INDIA

(2021-11 - 2023-04)

Utilized a suite of RCM tools including Waystar, RealMed, and Trizeto to track claim lifecycles and ensure accurate data entry.

• Facilitated professional conflict resolution during payer negotiations to accelerate the release of contested patient funds.
• Reviewed daily transaction reports to identify discrepancies in claim submissions and initiated corrective actions immediately.
• Managed high-volume accounts with a typing speed of 30-40 WPM, ensuring rapid documentation in proprietary billing systems.

BSCE - ST. XAVIER UP (2018-01)

12th passed - ST. XAVIER UP

10th passed - ST. XAVIER UP