Riaz Ahmad

Medical Billing Specialist (Mental & Behavioral Health)

Consultancy • Temps plein

Aug 2023 - Jan 2026 • 2 yrs 5 mos

Handled end-to-end revenue cycle management for US mental health and behavioral health practices, from charge entry to final payment posting. Submitted accurate claims using CPT, ICD-10, and HCPCS codes, maintaining a 98%+ clean claim rate. Verified patient insurance eligibility and benefits before appointments to prevent avoidable denials. Worked denied and rejected claims, identified root causes, and filed timely appeals to recover revenue. Followed up on aging AR with insurance payers, reducing outstanding balances and speeding up collections. Posted ERA/EOB payments and reconciled accounts to keep records accurate. Used SimplePractice, TherapyNotes, Tebra, AdvancedMD, Office Ally, and Kareo. Followed HIPAA guidelines to protect patient data in every workflow.

Medical Billing Specialis

BellMedEx Medical Billing and Revenue Cycle Management Services • Temps plein

Dec 2020 - May 2023 • 2 yrs 5 mos

Worked as a Medical Billing Specialist at BellMedEx, handling end-to-end revenue cycle management for U.S. mental and behavioral health practices. Responsibilities included: CPT/ICD-10 coding and charge entry for therapy and psychiatric services Clean claims submission through clearinghouses, minimizing rejections Denial management and appeals — identifying denial root causes and filing timely, well-documented appeals with payers including Medicare, Medicaid, BCBS, Aetna, Cigna, and Optum Insurance eligibility and benefits verification (VOB) prior to patient visits Payment posting and EOB/ERA reconciliation Accounts receivable (A/R) follow-up on aging and unpaid claims Maintained strict HIPAA compliance across all patient data handling Gained hands-on experience with SimplePractice, TherapyNotes, Kareo/Tebra, and AdvancedMD while managing multiple provider accounts simultaneously.