Hammad Raja

I follow every claim until it is paid. More than 2 years of hands-on medical billing and AR at CareCloud MTBC, Proactive Billing Solutions and PRG Pakistan: claim follow-up, denials, appeals, payer negotiation and revenue recovery, with a steady focus on cutting AR aging and stopping revenue leakage. HIPAA-aware and documentation-driven.

AR Specialist at PRG Pakistan (2025-03 – Present)

• Own end-to-end follow-up on outstanding medical claims, driving timely resolution and lower AR aging.
• Key payer contact: verify eligibility and resolve claim discrepancies by phone and portal at high volume.
• Prepare appeals for denied and underpaid claims and track each one through to final payment.
• Identify secondary and tertiary coverage and correct billing errors to reduce revenue leakage.

AR Specialist at Proactive Billing Solutions (2024-10 – 2025-03)

• Verified coverage and explained patient responsibility: copays, deductibles and coinsurance.
• Ran full-cycle AR, denial management and appeals; resolved payer discrepancies within billing-cycle timeframes.
• Audited patient billing records, chased missing information and identified additional coverage.

Account Manager – Operations at CareCloud MTBC (2024-01 – 2024-09)

• Managed billing operations from claim submission to payment posting and denial resolution across multiple client accounts.
• Negotiated with insurers to resolve payment discrepancies and secure timely reimbursement.
• Activated secondary and tertiary coverage to protect revenue across a multi-account portfolio.

IT Specialist (Intern) at Ismmaart Group of Industries (2023-06 – 2023-08)

• First-line hardware, software and network support; documented recurring issues.

Customer Support Specialist at FFC Bagh (2022-06 – 2022-08)

• Resolved customer inquiries by phone, email and in person; kept accurate escalation records.

BSc. in Software Engineering – MUST Mirpur (2019 – 2023)

FSc. (ICS) – Intermediate – New Allama Iqbal College, Bagh (2016 – 2018)