Benish Ghazii

Medical Billing & RCM Specialist with 3+ years supporting U.S. healthcare clients in claims, denials and appeals, AR follow-up, payment posting, and payer enrollment. Hands-on with AdvancedMD, including behavioral health billing, with direct payer communication for Medicare and Medicaid. HIPAA-aware and comfortable working independently.

MEDICAL BILLER | RCM at BELLMEDEX (2023-01 – 2026-05)

• Managed insurance credentialing and provider enrollment for U.S. healthcare clients, including CAQH setup, maintenance, and status tracking.
• Reviewed claims weekly for CPT, ICD-10, HCPCS, and modifier accuracy before submission; corrected rejected claims.
• Investigated denied claims across commercial, Medicare, and Medicaid payers, fixed root causes, and filed appeals within deadlines through payment recovery.
• Followed up with payers on unpaid and aged claims, prioritizing by aging and tracking filing deadlines.
• Posted payments and adjustments and reconciled them against EOBs and ERAs, investigating underpayments and discrepancies.
• Handled behavioral health billing in AdvancedMD, from charge review to denial follow-up.
• Partnered with providers on coding and authorization issues and flagged recurring payer problems to reduce repeat denials.

Master of Science in Human Nutrition and Dietetics – Karakoram International University, Gilgit (2026-01)

Bachelor of Science in Human Nutrition and Dietetics – Government College University, Faisalabad (2024-01)