Jay Khan

Experienced Medical Billing and AR Specialist with over 12 years of comprehensive expertise in ICD-10, CPT, and HCPCS coding. Adept at managing end-to-end billing cycles, insurance claim submissions, denial resolution, and accounts receivable follow-up across Medicare, Medicaid, and commercial payers. Highly proficient in EHR/EMR systems, with a strong emphasis on accuracy, compliance, and maximizing reimbursement efficiency.

Recognized for delivering consistent results and optimizing revenue through meticulous attention to detail and process-driven strategies.

Account Manager-RCM - AC BILLING AND CREDENTIALING SPECIALISTS, LLC - Zanesville, Ohio

(2020-01)

• Manage end-to-end medical billing and revenue cycle operations across multiple specialties including Behavioral Health, Mental Health, Pediatrics, and other medical specialties
• Prepare, review, and submit accurate insurance claims to ensure timely reimbursement
• Perform detailed auditing and correction of patient accounts and billing discrepancies
• Track, analyze, and resolve denied or unpaid claims to maximize revenue recovery
• Verify patient insurance eligibility and benefits prior to services
• Maintain accurate and organized billing records and documentation
• Generate and analyze financial and AR reports to support revenue performance
• Post payments accurately and reconcile accounts efficiently
• Communicate with patients regarding billing inquiries and resolution of issues

Medical Biller and Coder - ORION RAND LLC - Simi Valley, California

(2017-01 - 2019-12)

• Prepared, coded, and submitted accurate medical claims for Internal Medicine, Family Medicine, OB/GYN, Nephrology, Orthopedics, and Pediatrics, ensuring compliance with ICD-10, CPT, and HCPCS standards
• Reviewed and verified patient bills for completeness and accuracy, resolving discrepancies to prevent denials and delays

VOB and Prior Auth specialist - BEACON HEALTH SYSTEM - Freelance | Actualmente

(2014-01 - 2016-12)

• Verified patients' insurance coverage and benefits to ensure eligibility and obtain necessary authorizations for procedures, treatments, and medications
• Secured pre-authorizations from insurance payers in compliance with provider and plan requirements, facilitating timely patient care
• Maintained accurate and detailed records of insurance verifications, prior authorizations, and communications with insurance companies to support claims processing
• Educated patients on their insurance benefits, potential out-of-pocket costs, and financial responsibilities
• Tracked pending authorizations and appeals, ensuring timely approvals and optimal reimbursement
• Assisted with provider credentialing, including verifying licenses, certifications, and payer enrollments to support network participation and compliance
• Monitored accounts receivable, conducted timely follow-ups on unpaid claims, and optimized revenue recovery across Medicare, Medicaid, and commercial payers
• Collaborated with clinical and administrative teams to streamline billing workflows, enhance operational efficiency, and maintain compliance with payer regulations

Associate degree - Health and Sciences - University of Dayton (UD) (2009-01 - 2013-12)