Abdullah Shah

Manager

MediCloud Billing Solution LLC • Tiempo completo

Mar 2022 - Present • 4 yrs 2 mos

Experienced Medical Billing and Revenue Cycle Management (RCM) Specialist with over 4 years of hands-on experience managing end-to-end billing processes for US healthcare providers. Skilled in handling all aspects of the revenue cycle, including patient demographics entry, insurance verification, charge entry, claims submission, payment posting, accounts receivable (AR) follow-ups, and denial management. Proven ability to identify billing discrepancies, resolve claim rejections, and ensure timely reimbursements while maintaining compliance with industry regulations and payer guidelines. Demonstrated expertise in working with Medicare, Medicaid, and commercial insurance plans, with a strong understanding of CPT, ICD-10, and HCPCS coding systems. Experienced in managing high-volume workloads while maintaining accuracy and efficiency, ensuring clean claim submission and reduced turnaround time. Adept at communicating with insurance companies to resolve complex billing issues, negotiate payments, and improve overall collection performance. In my role as a Team Lead Manager, I have successfully supervised billing teams, streamlined workflows, and implemented process improvements to enhance productivity and revenue outcomes. Strong analytical skills combined with attention to detail allow me to effectively track key performance indicators (KPIs), reduce denials, and increase first-pass claim acceptance rates. Proficient in multiple billing software and EHR/EMR systems, with the ability to quickly adapt to new platforms. Committed to delivering high-quality billing services, optimizing revenue cycles, and supporting healthcare providers in achieving financial stability and operational success.