Shahrukh Shaikh

Results-driven US Healthcare Revenue Cycle Management (RCM) Professional with 7+ years of experience specializing in end-to-end medical billing, Hospital/Physician accounts, and advanced AR strategy. Proven expertise across the complete billing lifecycle, including charge entry, claim submission, payment posting, complex denial management, and strategic appeals. Expert at leveraging Microsoft Excel (Pivot Tables, VLOOKUP, XLOOKUP) to analyze large data sets, track operational KPIs, perform Root Cause Analysis (RCA), and generate actionable financial reports to accelerate collections and optimize revenue recovery.

Senior RCM Specialist and Collection at Promed Intelsoft (2024-09 – Present)

• Oversee end-to-end AR and billing operations for US healthcare provider accounts, ensuring strict SLA compliance and optimized revenue recovery.
• Utilize advanced Excel (Pivot Tables, data filtering) to monitor daily, weekly, and monthly team KPIs, analyze high-value backlog claims, and prioritize aged accounts.
• Manage full-cycle denial resolution, appeals, corrected claims, and payer escalations across Commercial and Federal insurance networks.
• Perform comprehensive Root Cause Analysis (RCA) and QA audits on billing data to identify trend discrepancies, reduce repeat denials, and drive process optimization.

RCM Specialist and Collections at Streamlined Medical Solutions (2023-12 – 2024-09)

• Managed full-cycle AR follow-up and revenue management for diverse Hospital and Physician Billing portfolios.
• Analyzed clearinghouse rejections, payer denials, and payment variances; reviewed EOBs and ERAs to identify underpayments and billing discrepancies.
• Leveraged Excel formulas (VLOOKUP, XLOOKUP) to cross-reference patient eligibility, internal authorizations, and medical documentation to resolve open claim blockages.
• Maintained strict communication workflows between provider groups, major insurance payers, and internal teams to accelerate claim processing.

Senior Account Receivable Specialist at Credence Resource Management (2022-08 – 2023-08)

• Executed end-to-end AR follow-up, denial management, formal appeals processing, and contract variance analytics.
• Built segmented inventory reports using Excel to isolate and prioritize severely aged accounts ($60+ / 90+$ days), significantly boosting monthly collection metrics.
• Identified negative denial trends and partnered directly with billing units to fix system-wide electronic front-end errors.

Account Receivable Representative at Gebbs Healthcare (2020-11 – 2022-08)

• Conducted persistent insurance AR tracking through secure payer web portals and targeted outbound telephone inquiries.
• Processed manual and electronic payment posting, denial corrections, claim resubmissions, and thorough EOB reviews.

BBA in International Business – Savitribai Phule Pune University

Bachelor of Arts – YCMOU