Muhammad Usman

Director Operations

Medical • Tiempo completo

Jun 2015 - Present • 10 yrs 11 mos

As Director of Operations at MediMax Solutions LLC, I lead and oversee the end-to-end medical billing and revenue cycle management operations, ensuring efficiency, accuracy, and consistent cash flow for our clients. With over 13 years of experience in medical billing and credentialing, I manage a team responsible for charge entry, claim submission, payment posting, accounts receivable (AR) follow-ups, denial management, and insurance credentialing across multiple specialties. My role focuses on building structured workflows, implementing performance tracking systems, and maintaining accountability within the team to ensure that nothing falls through the cracks. I work closely with clients to understand their practice needs, optimize billing processes, and improve revenue outcomes. Key responsibilities include: • Managing daily billing operations and team performance • Overseeing credentialing and payer enrollment processes • Reducing claim denials and improving clean claim rates • Ensuring compliance with payer guidelines and regulations • Developing reporting systems for financial transparency and growth • Client communication and operational strategy implementation Through strategic planning and hands-on leadership, I have successfully improved revenue cycles, reduced AR days, and helped practices scale with a reliable and efficient billing infrastructure. At MediMax Solutions LLC, my goal is to deliver measurable results, operational excellence, and long-term value to every client we serve.

Medical Billing manager

CareCloud • Tiempo completo

Nov 2012 - May 2015 • 2 yrs 6 mos

I have extensive hands-on experience working with CareCloud, managing end-to-end medical billing and revenue cycle operations across multiple specialties. My responsibilities have included patient registration, insurance verification, charge entry, claim submission, payment posting, and accounts receivable (AR) follow-up. In CareCloud, I have worked on creating and scrubbing claims to ensure accuracy before submission, reducing rejection rates and improving first-pass claim acceptance. I am experienced in handling clearinghouse rejections, payer denials, and timely resubmissions while ensuring compliance with payer guidelines. I have also managed insurance eligibility and benefits verification, prior authorizations, and coordination of benefits. On the AR side, I have actively followed up with insurance companies to resolve outstanding claims, worked on aging reports, and implemented strategies to reduce AR days. Additionally, I have experience generating financial and operational reports within CareCloud, helping providers track performance, revenue trends, and outstanding balances. My focus has always been on improving cash flow, minimizing denials, and maintaining a clean and efficient billing process.