Karim RCM

Medical Billing and Revenue Cycle Specialist

RCMCorps • Indépendant

Dec 2023 - Present • 2 yrs 8 mos

Functioned as an independent Revenue Cycle Specialist managing end-to-end medical billing workflows for diverse US clinical practices. Executed daily charge entries, insurance eligibility verifications, and claim scrubbing routines to secure a consistent 97%+ clean claim rate. Audited old aging accounts receivable (A/R) to recover outstanding revenue, systematically clearing complex clearinghouse rejections and payer denials.

Medical Billing and RCM Specialist

Cactus Communications • Temps plein

Dec 2021 - Dec 2023 • 2 yrs

Managed the end-to-end revenue cycle for multiple US-based healthcare practices, ensuring seamless workflow from patient registration to final reimbursement. Consistently maintained a 95%+ clean-claim rate by performing rigorous pre-submission audits of CPT, ICD-10, and HCPCS coding. Proactively managed insurance verification and prior authorizations, reducing front-end denials by [Insert %]%. Utilized [Insert EMR Name, e.g., Athenahealth/Kareo] to accurately post ERAs/EOBs and reconcile daily patient and insurance payments. Strictly adhered to HIPAA regulations, ensuring 100% data security and confidentiality in all operations.

Medical Billing & RCM

BillHub • Temps plein

Mar 2020 - Apr 2021 • 1 yr 1 mo

Managed end-to-end revenue cycle management (RCM) and medical billing workflows for multi-specialty US healthcare providers. Responsible for demographic verification, charge entry, and claims scrubbing to achieve a 98% first-pass clean claim rate. Conducted aggressive accounts receivable (A/R) follow-ups, effectively reducing outstanding balances over 60–90 days. Routinely navigated major clearinghouses like Availity and Waystar to resolve rejections and appeal complex insurance denials.