shahid

Data Management

Freelancer.com • Freelance

Jan 2025 - Apr 2026 • 1 yr 3 mos

I am a driven healthcare revenue specialist with comprehensive expertise in U.S. medical and behavioral health billing, provider credentialing, and end-to-end Revenue Cycle Management (RCM). Bringing extensive practical experience to the table, I am adept at overseeing every phase of the billing lifecycle—including patient intake, insurance verification, claim submission, payment reconciliation, and rigorous denial resolution. My thorough command of national payer regulations and industry compliance standards allows me to consistently minimize claim rejections and accelerate practice revenue. Throughout my career, I have partnered with physicians, group practices, mental health clinics, home health organizations, and specialized medical centers to optimize their financial workflows. I manage the complete enrollment and credentialing process for Medicare, Medicaid, and commercial payers, ensuring seamless in-network status. Additionally, my background includes securing prior authorizations, managing complex out-of-network claims, maintaining accounts receivable (A/R) according to MGMA benchmarks, and executing persistent follow-up strategies to secure steady cash flow. I deliver clear financial reporting and bespoke RCM strategies designed to meet the unique demands of each practice.