Muhammad Tayyab

Accounts Receivable Specialist with 7+ years of experience in US healthcare revenue cycle management, specializing in AR follow-ups, denial resolution, and payer communication. Proven track record of reducing aged AR (90+ days) by 30% and achieving 92–96% first-pass claim acceptance. Recovered $50,000 in revenue within 3 months through targeted appeals with a 65–75% success rate.

Experienced in managing both insurance and patient accounts, including billing, follow-ups, write-offs, and adjustments, while maintaining accurate documentation in EHR systems. Proficient in eClinicalWorks, Waystar, Availity, TriZetto, and Office Ally, with hands-on experience working remotely with US-based providers across commercial and government payers.

Available: Remote US Time Zones (EST/CST/PST)

AR Specialist at SimiTree Inc (2024-11 – 2026-03)

• Prepared and submitted clean claims via EHR and clearinghouse platforms, managing end-to-end AR operations for multiple US healthcare clients and maintaining 95–98% resolution accuracy.
• Controlled AR aging and follow-ups, keeping AR days within 30–35 days and reducing aged AR over 90 days by up to 30%.
• Posted ERA/EOB payments accurately, reconciled payer remittance against contracted rates, and identified underpaid or overpaid claims for escalation.
• Investigated denials and rejections, identified root causes, drafted and submitted appeal letters with supporting documentation achieving 65–75% success rate and reducing repeat denials by 30–40%.
• Monitored claim batch status with insurance payers via portals and calls, securing 85–90% recovery on worked claims through consistent follow-ups.
• Resolved complex AR escalations in coordination with billing and coding teams, closing 90 percent within SLA timelines.

RCM Team Lead at PMTAC Pvt Ltd (2023-05 – 2024-10)

• Led and supported an 8-member RCM team while remaining hands-on in billing, AR follow-ups, and denial management to ensure consistent revenue performance.
• Managed daily workflows, task assignments, and quality checks, ensuring timely claim processing and end-of-day accuracy sign-offs.
• Served as the primary escalation point for complex billing, AR, and payer-related issues, directly supporting provider offices and internal stakeholders.
• Worked closely with coding teams to ensure accurate CPT coding and documentation, contributing to reduced denials and improved compliance outcomes.
• Prepared and presented weekly performance and AR reports for senior management, highlighting trends, risks, and improvement opportunities.
• Trained and mentored new team members, improving team productivity, billing accuracy, and adherence to best practices.

Backup Team Lead at PMTAC Pvt Ltd (2022-07 – 2023-04)

• Supported revenue cycle operations by improving claim submission, follow-up, and denial resolution workflows, ensuring smoother and faster reimbursements.
• Assisted in leading day-to-day billing and AR activities, achieving a 95% claim resolution rate within two weeks through proactive denial management.
• Ensured accurate claim submissions and account adjustments, maintaining a 98% claim approval rate across assigned accounts.
• Coordinated with audit and compliance teams to meet regulatory requirements, contributing to a 10% reduction in compliance-related issues.
• Trained and mentored 10+ team members on billing systems and RCM best practices, increasing team productivity by 20%.
• Analyzed denial trends and shared actionable insights during client discussions, supporting a 10% improvement in overall claim resolution performance.

Senior Billing Executive at PMTAC Pvt Ltd (2020-09 – 2022-06)

• Handled payment posting and AR activities, reducing denial rates by 15% through timely appeals and structured payer follow-ups.
• Supported cross-functional coordination between billing, coding, and operations teams, contributing to 20% improvement in workflow efficiency.
• Ensured 100% on-time submission of medical claims with zero missed deadlines, improving revenue cycle turnaround and billing accuracy.
• Reviewed claim rejections and implemented corrective actions, improving first-pass claim acceptance rates and minimizing reimbursement delays.
• Monitored claim batch status with insurance payers via portals and calls, securing 85–90% recovery on worked claims through consistent follow-ups.
• Resolved complex AR escalations in coordination with billing and coding teams, closing 90 percent within SLA timelines.

Billing Executive at CareCloud (2018-08 – 2020-08)

• Managed patient eligibility and insurance payment postings, resolving 90% of denials within the first appeal cycle, boosting revenue recovery by 10%.
• Ensured timely submission of 1,000+ professional medical claims monthly, reducing claim processing time by 15% and improving cash flow efficiency.
• Actively participated in weekly training sessions and quizzes, resulting in a 20% increase in billing accuracy and knowledge retention.

Bachelor of Science in Physics, Mathematics, Computer Science – University of Sargodha (2015)