Muhammad Tayyab

(Remote) Revenue Cycle Manager

Vainer & Vainer Nephrology • Tiempo completo

Jul 2023 - Aug 2025 • 2 yrs 1 mo

Managed complete Revenue Cycle Management (RCM) for a large nephrology and dialysis practice in Atlanta, GA. Handled end-to-end medical billing operations including: • Insurance Eligibility & Benefits Verification: Used Medisoft to verify patient scheduling and confirm coverage details, creating detailed Excel reports on copayment/coinsurance responsibilities • Claims Submission & Clearinghouse Management: Submitted claims via TriZetto clearinghouse, addressing rejections related to ICD codes, patient details, and insurance IDs • ERA/EOB Processing: Downloaded Electronic Remittance Advices (ERA) from clearinghouse • Accounts Receivable Follow-Up: Monitored aging reports and followed up on unpaid/denied claims via Cigna, Availity, Medicare, and Medicaid portal • Compliance & Reporting: RESULTS ACHIEVED: ✓ Reduced claim denials by 40% ✓ Maintained AR under 30 days (from 45+ days) ✓ Achieved 99% clean claim rate ✓ Processed claims with 100% accuracy in eligibility verification