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Karim RCM
@karim_rcm_exper
US Medical Billing RCM Specialist Denial Management and AR Recovery
Paquistão
Inglês
Sobre mim
Senior Medical Billing & RCM Specialist with 7+ years of expertise in US healthcare. I manage the full revenue cycle from front end registration and insurance verification to aggressive back end denial management and AR recovery. I specialize in identifying root causes of denials, drafting expert appeals, and accelerating cash flow for medical practices. Highly proficient in major EHR/EMR systems and strictly HIPAA-compliant. Whether you need to clean up aged accounts or optimize your clean claim rate, I provide the senior level precision your practice needs to improve its bottom line.
Habilidades
Karim RCM
offline •
Tempo médio de resposta: 1 hora
Conheça meus serviços
Assistência geral
I will provide medical billing denial management and ar recovery as rcm expert
Gerenciamento de Projeto
I will do mental health billing for therapists, denial management and insurance claims
Portfólio
Experiência profissional
Medical Billing and Revenue Cycle Specialist
RCMCorps • Autônomo
Dec 2023 - Present • 2 yrs 7 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 • Período integral
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 • Período integral
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.
