Ashfaq A

RCM Expert and Practice Management

Freelancer.com

Feb 2026 - Present • 8 mos

I am a dedicated freelance professional specializing in medical billing, data entry, and healthcare administrative services. With hands-on experience in managing patient demographics, claims processing, insurance authorizations, payment posting, and credentialing, I provide accurate, timely, and reliable services to help clients streamline their operations. I am committed to delivering high-quality work, meeting deadlines, and ensuring client satisfaction with every project

RCM and Credentialing Supervisor

Iatric MD • Temps plein

Feb 2025 - Jan 2026 • 11 mos

Oversaw the Revenue Cycle Management (RCM) and Provider Credentialing operations, ensuring accurate billing, timely reimbursement, and compliance with regulatory standards. Managed a team responsible for verifying provider credentials, maintaining payer enrollments, and optimizing revenue processes for healthcare services. Key Responsibilities: Supervised daily RCM operations, including patient registration, insurance verification, claims submission, denial management, and accounts receivable follow-up. Managed provider credentialing processes, ensuring timely submission and approval of applications with insurance payers, hospitals, and state/federal agencies. Ensured compliance with CMS, HIPAA, and payer-specific guidelines for billing and credentialing. Tracked key performance metrics (KPI) for revenue cycle efficiency, claim denial rates, and credentialing turnaround times. Coordinated with finance, billing staff, and providers to resolve billing discrepancies and credentialing issues. Developed and implemented workflow improvements to streamline RCM and credentialing operations. Trained and mentored RCM and credentialing staff to maintain high-quality standards and regulatory compliance. Maintained accurate records of provider contracts, insurance participation, and licensure renewals. Key Achievements: Reduced claim denials by X% through process optimization and staff training. Accelerated credentialing turnaround time from X days to Y days. Improved revenue collection efficiency by implementing automated RCM tools and reporting dashboards. Successfully onboarded X new providers, ensuring full credentialing compliance. Skills: Revenue Cycle Management (billing, coding, AR follow-up, denials management) Provider Credentialing and Enrollment HIPAA & CMS Compliance Team Leadership & Staff Training EHR/EMR Systems (Epic, Cerner, Athenahealth, etc.) Insurance Payer Communication & Contracting

Eligibility and Billing team lead

CSPM

Feb 2020 - Jan 2025 • 4 yrs 11 mos

Led the Eligibility and Billing team, ensuring accurate insurance verification, patient eligibility confirmation, and efficient billing operations. Acted as the primary point of contact for resolving billing and eligibility issues, while mentoring team members and optimizing workflow processes. Key Responsibilities: Supervised the Eligibility and Billing team, monitoring daily operations and workload distribution. Verified patient insurance eligibility, benefits, and coverage details to prevent claim denials. Oversaw billing processes, including claim submission, posting payments, and resolving denials. Ensured compliance with HIPAA, CMS, and payer-specific guidelines. Coordinated with patients, providers, and insurance payers to resolve billing discrepancies and eligibility issues. Developed and implemented team training programs, workflow improvements, and process standardization. Maintained accurate records of insurance verifications, authorizations, and billing transactions. Monitored KPIs for team performance, billing accuracy, and claim resolution time. Key Achievements: Reduced claim rejections and denials by X% through process improvements and staff training. Improved insurance eligibility verification accuracy, minimizing payment delays. Enhanced team efficiency by implementing standardized billing and eligibility procedures. Successfully trained and onboarded X new team members, improving overall team performance. Skills: Patient Eligibility Verification & Benefits Analysis Billing & Claims Submission Denial Management & Resolution HIPAA & CMS Compliance Team Leadership & Staff Training EHR/EMR Systems (Epic, Cerner, Athenahealth, etc.) Insurance Payer Communication & Coordination Workflow Optimization & KPI Tracking