Basharat Ali

𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 & 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐕𝐢𝐫𝐭𝐮𝐚𝐥 𝐀𝐬𝐬𝐢𝐬𝐭𝐚𝐧𝐭 | 𝐀𝐑, 𝐑𝐂𝐌, 𝐇𝐈𝐏𝐀𝐀-𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐭

BelMeddex • Tiempo completo

Apr 2021 - Dec 2025 • 4 yrs 8 mos

I worked at Bell Medex Pakistan as a Medical Billing, Accounts Receivable (AR), and Revenue Cycle Management (RCM) Specialist, supporting multiple US-based healthcare providers and medical billing companies across different specialties. During my tenure, I handled end-to-end US medical billing operations, ensuring accurate claim submission, timely follow-ups, and maximum reimbursement while maintaining HIPAA compliance and payer-specific guidelines. Key Responsibilities & Expertise Complete medical billing lifecycle management (front-end to back-end) Insurance verification & eligibility checks (Medicare, Medicaid, Commercial) Prior & retro authorizations and referral management Charge entry & claim submission using CPT, ICD-10, and HCPCS codes Compliance with LCD, NCCI edits, and payer-specific rules Denial management, rejection fixing, and appeals Accounts Receivable (AR) follow-ups (30/60/90/120+ aging) ERA/EOB payment posting, adjustments, write-offs, and reconciliation Underpayment analysis & revenue recovery Mental health & behavioral health billing, including psychotherapy and psychiatry Patient billing inquiries, statements, and balance resolution Medical billing QA, audits, and financial/RCM reporting Specialized Experience Mental Health & Behavioral Health Billing Primary Care & Family Medicine Urgent Care Pain Management Physical Therapy & Chiropractic Multi-specialty Clinics Software & Tools Used AdvancedMD, SimplePractice, Kareo, Athenahealth, OfficeAlly, TherapyNotes, Theranest, ECW, Practice Fusion, Medisoft, RXNT, ICANotes, WebPT, Clearinghouses (Availity, Change Healthcare, Trizetto, OfficeAlly) Achievements & Impact Reduced claim denials through proactive eligibility and coding checks Improved AR turnaround time and provider cash flow Successfully handled high-volume US medical billing accounts Maintained strict HIPAA compliance and data security standards Supported providers with RCM cleanup and revenue optimization