Muhammd Talha

Detail-oriented and results-driven Medical Billing professional with 1.5 years of experience in patient eligibility verification, claim submission, denial and rejection management, accounts receivable follow-up and insurance portal operations. Experienced in working with Office Ally, Simple practice, Availity and multiple payer portals to support accurate, timely and compliant billing workflows. Strong problem-solving skills, payer communication and attention to detail with a focus on reducing claim delays and improving revenue cycle efficiency.

RCM Specialist at WeCare 360 Billing (2025-02 – Present)

• Verified patient insurance eligibility and benefits prior to claim submission.
• Expertise in submitting and tracking prior authorization requests for medical procedures, medications and specialty services.
• Submitted claims accurately through billing systems and payer portals.
• Maintained accuracy in CPT, ICD-10, HCPCS codes, modifiers and billing documentation during claim processing.
• Submitted corrected claims, appeals and reconsideration requests to recover lost revenue.
• Reviewed rejected and denied claims, identified issues, corrected errors and resubmitted where necessary.
• Followed up on unpaid claims with insurance companies to obtain status updates and resolve outstanding balances.
• Reduced claim aging by ensuring timely follow-up, accurate documentationband effective denial resolution
• Communicated with insurance representatives and internal teams to resolve billing issues efficiently.
• Supported timely reimbursement by improving claim accuracy and reducing avoidable denials.

Bachelor of Commerce & Management Sciences – Abdul Wali Khan University Mardan (2022 – 2026)

FSc in Computer Science – Govt Post Graduate College Nowshera (2020 – 2022)