Kashif Ali

Dedicated and detail-oriented professional with extensive experience in AR follow-ups, denial resolution, and payment reconciliation for U.S. healthcare providers. Strong background in reviewing unpaid and denied claims, performing aging analysis, and coordinating with insurance payers to resolve discrepancies and secure timely reimbursements. Experienced in working with EMR systems to support end-to-end revenue cycle processes.

Demonstrated ability to manage high-volume AR workloads and analyze payer trends following Medicare, Medicaid, and commercial insurance requirements.

Manager at Epic Soft Technology (2018-05 – 2025-04)

• Provided strategic guidance and oversight for a team of 40-45 medical billing processors while overseeing routine operations and task delegation to streamline workflows and reduce billing errors
• Reconciled daily financial transactions while preparing comprehensive income reports and statistical summaries to support accurate record-keeping and data-driven financial decision-making
• Directed the medical billing cycle for a multi-specialty group practice by verifying and submitting insurance claims to payers, aimed at expediting payment cycles and maintaining revenue consistency
• Leveraged strong communication skills while addressing clients' billing queries via emails to uplift customer satisfaction
• Collaborated closely with the development team to identify new billing software requirements and implement updates for optimal functionality and seamless billing operations
• Conducted routine follow-ups on claim status for the accurate resolution of approved and disapproved claims while adhering to company policies and regulatory standards
• Tracked unpaid claims to identify delays or issues, while resubmitting corrections as needed for efficient reimbursement and optimizing payment recovery rates
• Carried out R&D on emerging billing scenarios and changes to revise procedural protocols, delivering presentations for better team understanding and alignment with new standards

Sr. Medical Billing Executive / Team Lead at Cyber System, Inc (2012-08 – 2018-04)

• Set up initial software configurations by assessing new client requirements and customizing functionalities for smooth onboarding procedures and increased user adoption
• Uncovered overdue accounts by performing A/R analysis and reviewing payment trends to refine collection strategies
• Determined knowledge gaps and facilitated targeted training sessions for 8 – 10 team members on billing challenges to foster a skilled and motivated workforce
• Utilize an advanced web-based online Billing system to process claims, including coding, Rejection handling, and payment posting for effective cash flow management
• Offered proactive remote assistance for clients with daily tasks regarding patient record management to support seamless healthcare operations and raise data accessibility
• Coordinated weekly and monthly meetings with supervisors and operations managers to resolve provider issues and deploy innovative solutions for elevating service delivery
• Evaluated practice-specific data to create detailed reports and actionable follow-up plans with a keen focus on performance improvement and efficient resource allocation
• Drafted and finalized arbitration-related documents with meticulous attention to detail for timely dispute resolution
• Maintained patient records, such as medical, surgical, family, and social histories, in the EMR system for accurate diagnoses and informed treatment planning

Medical Billing Professional at Sequel Systems, Inc. (2008-08 – 2012-07)

• Addressed information gaps by thoroughly reviewing patient data imported via EMR for timely resource availability
• Verified patient eligibility, referrals, and authorizations using websites, IVR systems, and live phone calls to aid in smoother insurance approvals and lower rejection rates
• Processed routine charges utilizing detailed scans and SOAP notes from client offices for comprehensive financial records-keeping and smooth revenue cycle management
• Contributed to achieving project milestones within timelines by aligning with team efforts and sharing key insights
• Executed medical billing tasks for off-shore providers in accordance with regulatory standards
• Upheld a positive, friendly, and professional attitude while engaging in Tele-conversations with U.S.-based doctors to discuss updates and build strong relationships
• Communicated with health insurance providers to resolve disputes over denied claims and decrease revenue losses

Bachelor of Arts – Punjab University