Gulfam Raza

Results-driven Senior Dental Billing Executive with 4+ years of experience in Dental and Medical Revenue Cycle Management (RCM), insurance verification, claims processing, dental management, payment posting, and accounts receivable follow-up. Proficient in ICD-10, CPT, HCPCS, and ADA coding with expertise in maximizing reimbursements and ensuring accurate billing operations.

Senior Billing Executive - Physician Revenue Group (PRG) - Lahore

(2022-04)

• Prepare and submit Breakdown of Benefits (BOBs) to service providers.
• Verify patient eligibility and insurance coverage.
• Process claims, payment posting, and reimbursement management.
• Resolve denials and reduce outstanding balances through AR follow-up.
• Conduct medical and Medicare reviews and billing audits.
• Ensure accurate coding and compliance with insurance requirements.
• Achieve maximum reimbursement for providers.

Customer Service Representative - Telenor Pakistan - Lahore

(2019-06 - 2020-11)

Bachelor of Science - Physics - University of Central Punjab (UCP)