
Malik Sohail
Medical Biller & Accounts Receivable Specialist
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About
Dedicated Medical Biller & Accounts Receivable Specialist with experience in Durable Medical Equipment (DME) and Freestanding Emergency Room (FSER) billing. Skilled in claims submission, denial management, payer compliance, and NSA/IDR negotiations across Medicare, Medicaid, and commercial payers. Proven ability to streamline billing processes, resolve payer disputes, and maintain full compliance with U.S. healthcare regulations.
Experience
AR Specialist | Freestanding Emergency Room (FSER) Billing at Right Medical Billing (2024-12 – Present)
- Manage billing and accounts receivable for FSER services in compliance with TDI and payer requirements.
- Handle NSA/IDR submissions and out-of-network reimbursement negotiations.
- Negotiate payments with Third-Party Administrators (TPAs) and pricing companies.
- Prepare and submit IDR and TDI cases, ensuring accurate documentation and timely resolution.
- Maintain full HIPAA compliance in all billing and collections activities.
Durable Medical Equipment (DME) Biller & Accounts Receivable Specialist at Bellmedex (2023-06 – 2024-11)
- Managed DME claim submissions and follow-ups to ensure timely payments.
- Resolved denials and reduced AR aging through consistent payer communication.
- Worked with Medicare, Medicaid, and commercial payers for claim resolution.
- Helped improve collection rates and maintain low denial ratios.
Education
Bachelor in BSCS – University of Azad Jammu and Kashmir
Intermediate in ICS – Alqalam Educational Network, Muzaffarabad
Matric in Computer Science – Bait ul Mamoor Public High School, Muzaffarabad
