Aliyan Zafar

Practice Management & Billing Supervisor

BellMedex • Tiempo completo

Sep 2021 - Jun 2025 • 3 yrs 9 mos

Lead operations for a full-service RCM department serving multi-specialty practices. My primary focus is end-to-end revenue cycle optimization, ensuring every claim submitted is accurate, compliant, and paid. Oversight: Manage a team of billers and coders, conducting daily audits of charge entry, payment posting, and claim submissions to ensure 100% HIPAA and payer compliance. Denial Management: Direct the appeals process for denied claims, identifying root causes (coding errors, eligibility issues) and implementing corrective protocols to prevent recurrence. AR Recovery: Strategize and execute aggressive follow-up on aging accounts (30/60/90+ days), communicating directly with payers to resolve complex disputes. Reporting: Analyze weekly financial KPIs to spot revenue leakage and provide actionable insights to healthcare providers. Workflow Optimization: Developed and implemented comprehensive Standard Operating Procedures (SOPs) to streamline the billing lifecycle, reducing manual errors and increasing team productivity by 15%. Front-End RCM: Supervise the patient eligibility and benefits verification process to minimize "not covered" denials before services are rendered. Software Proficiency: Oversee billing operations across multiple EHR/PM platforms (e.g., Athena One, Office Ally, Therapy Notes, Kareo, AdvancedMD and more), ensuring seamless data integration and clearinghouse management. Patient Financial Services: Manage the resolution of patient billing inquiries and statement cycles, improving patient collections and satisfaction scores. Credentialing Coordination: Assist with provider enrollment and insurance contracting to ensure zero gaps in billing coverage for new and existing physicians.