Sana Javed

Results-driven Revenue Cycle Management professional with 7+ years of experience in U.S. medical billing, currently working as a Team Lead managing a team of 3 resources across multiple practices. Hands-on experience in the full RCM cycle: eligibility verification, claim submission, payment posting, denial management, rejections, AR follow-up and claim letters. Also experienced in provider credentialing and payer enrollment, including CAQH profile management and re-credentialing.

Worked across multiple specialties and practices in 8 U.S. states, using a wide range of EHR/EMR and billing platforms. Strong knowledge of ICD-9/ICD-10, CPT, CMS guidelines, NCCI/CCI, Medicare/Medicaid policies and HIPAA compliance. Looking for a remote (work-from-home) role where I can reduce denials, improve cash flow and support provider revenue growth.

Team Lead | Medical Billing and Accounts Receivable at Exponere Billing (2023 – Present)

• Lead and mentor a team of 3 billers, managing daily revenue cycle operations for multiple U.S. practices across internal medicine, cardiology, urogynecology, podiatry and dermatology
• Own the complete billing cycle: eligibility verification, claim submission, payment posting, denial management, rejections, AR follow-up and claim letters
• Verify patient eligibility and benefits before visits to prevent front-end denials and delays in payment
• Submit clean claims through clearinghouses and payer portals, and resolve rejections quickly to keep claims moving
• Work denials by root cause (coding, eligibility, documentation and authorization), prepare strong appeals and track them to resolution
• Prioritize aging buckets and high-dollar claims in AR follow-up to speed up collections and reduce Days Sales Outstanding (DSO)
• Post payments accurately and reconcile them against remittances and deposits
• Review the team's work, give feedback and train new members to keep quality and productivity high
• Track KPIs such as denial rate, aging buckets and collection ratio, and present findings and improvement ideas to leadership
• Identify billing bottlenecks and improve workflows to reduce revenue leakage and increase cash flow
• Maintain full compliance with HIPAA, CMS and payer-specific guidelines
• Handle provider credentialing and payer enrollment for new and existing providers across multiple practices
• Create and update CAQH profiles, and track licenses, DEA and malpractice insurance expiry dates
• Submit enrollment applications to Medicare, Medicaid and commercial payers, and follow up until approval
• Manage re-credentialing and revalidation deadlines using Excel/Google Sheets trackers

Accounts Receivable (AR) Specialist | Medical Billing at PRG (2019 – 2023)

• Managed AR for multiple providers, working claims from submission to final payment
• Followed up with insurance companies through calls, emails, faxes and portals to recover unpaid and underpaid claims
• Analyzed denial and rejection trends across Medicare, Medicaid and commercial payers, and corrected coding-related denials
• Prepared and submitted appeals with the right documentation, with a focus on recovering high-dollar impacted claims
• Reconciled payments and credit balances and resolved discrepancies with payers
• Handled patient billing questions and disputes professionally, and sent patient letters when required
• Worked with providers and office staff to collect complete documentation for clean claim submission
• Consistently met quality and productivity targets while following HIPAA, CMS and payer guidelines