Waleed Malik

Detail-oriented Revenue Cycle Management (RCM) professional and Team Lead with practical experience managing end-to-end medical billing workflows, claims production, and accounts receivable tracking. Proven history of decreasing clean-claim turnaround times by systematically clearing clearinghouse exceptions and analyzing daily Electronic Remittance Advices (ERAs) to prevent recurring insurance rejections. Capable leader experienced in coordinating daily collection protocols, structuring secondary appeals documentation, and maintaining full compliance with HIPAA standards across independent medical practices and specialized clinical programs.

Senior Billing Executive at TWENTY FOUR SEVEN CONSULTANCY (2024-12 – Present)

• Manage day-to-day accounts receivable balances, targeting aging insurance buckets to reduce total outstanding collection cycles.
• Review complex claim denials directly from payer remittance codes to draft customized medical necessity appeals and clear technical cross-reference barriers.
• Coordinate processing interfaces with clearinghouse platforms to spot and repair raw data validation failures prior to formal claim submission.
• Conduct daily audits of patient charge data entry to ensure exact correlation between clinical documentation, procedural codes, and active patient policy coverage.
• Provide operational guidelines and technical tracking instructions to junior billing staff concerning modified payment codes and updated commercial enrollment guidelines.
• Compile weekly status logs detailing operational collection targets, clean-claim ratios, and unapplied insurance credits for administrative overview.

Account Manager Operations at PROMBS (2024-09 – 2024-12)

• Assembled, scrubbed, and routed electronic medical claims batches following standardized commercial and government insurance guidelines.
• Verified exact usage of modifier strings alongside specific CPT codes to satisfy localized payment edits and protect clinical reimbursement metrics.
• Communicated with insurance claims processing units to retrieve pending claim adjudication statuses and appeal out-of-network processing mistakes.
• Posted insurance payments, adjustments, patient copay values, and deductible balances across active patient accounting records.
• Reviewed delinquent patient accounts to issue correct outstanding statements and answer inbound billing inquiries with clear, plain language.

Team Lead at MIU MEDICAL BILLING (2022-08 – 2023-12)

• Supervised a team of billing specialists, reviewing daily production metrics and implementing standard data entry workflows to control data errors.
• Organized introductory training tracks for new team members highlighting clearinghouse error correction, medical terminology, and HIPAA rules.
• Investigated complex systemic payer rejections and client software configuration errors to preserve baseline workflow continuity.

Master of Business Administration in MBA – Abbottabad University of Science and Technology (2024-02)

Bachelor of Business Administration in BBA – Hazara University Mansehra (2022-07)