Shaban Ahmed

5+ years of experience as a Medical Biller & Team Lead Seeking a full-time challenging position with a career-oriented company. I am dedicated, detail oriented, accountable, responsible, have the ability to work well with a wide range of personalities by way of excellent communication and interpersonal skills.

A/R Executive - Right Medical billing

(2020-03 - 2022-03)

• Managing health insurance claims follow up with insurance companies and patients
• Managing claims denials and appeals processes
• Keep informed of all the changes in rules and regulations in insurance carriers
• Interact with customers to resolve outstanding balance
• Research and resolve payment discrepancies
• Utilizes payer websites for effective follow up and claims rebill
• Ability to read and explain the Explanation of benefit

Supervisor (Out of network A/R) - Millennium Medical billing

(2022-03 - 2023-08)

• Receive and sort incoming payments
• Answer Clients equations and address problems
• Inform clients on their outstanding debts and deadlines
• Post bill receipts invoices
• Works with in specified deadlines and stressful situation
• Performs other tasks or special projects as assigned
• If Applicable submits secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to ensure expected revenue is Allowed
• Prepare and present report to your supervisor
• Ensures daily accomplishments work towards company goals for claims submission follow up statement management, month end close processes and other departmental goals as outlined

RCM Specialist - I Mark Billing is Now Simi Tree

(2023-08)

• Submit accurate, clean claims to insurance payers and manage the full billing lifecycle
• Review denied claims, investigate reasons, file appeals, and correct coding errors
• Monitor accounts receivable, analyze aging reports, and expedite recovery of outstanding payments
• Ensure strict adherence to HIPAA and CMS regulations
• Verify patient eligibility and insurance coverage
• Prepare reports on key metrics like net revenue, charge capture, and denial rates

Master's Degree - Accounting & Finance