Mustafa Iqbal

Dental RCM sepcialist

East Bay Family Dentistry • Período integral

Jan 2022 - Feb 2025 • 3 yrs 1 mo

I managed the complete Revenue Cycle Management (RCM) process from start to finish. My responsibilities began with Eligibility and Benefits Verification, where I thoroughly reviewed patient insurance coverage, annual maximums, deductibles, waiting periods, frequencies, and plan limitations. I accurately updated all verified benefits in the patient account to ensure correct treatment planning and billing. I handled insurance claim submission for dental procedures by ensuring correct CDT coding, accurate provider and patient details, and proper attachment of required documents such as X-rays, narratives, periodontal charts, and clinical notes. Claims were submitted timely through clearinghouses and insurance portals to avoid delays or rejections. I was responsible for payment posting, including posting insurance payments, patient payments, EOBs, ERAs, adjustments, write-offs, and contractual adjustments accurately into the practice management system. I ensured all payments were matched correctly with corresponding claims and patient ledgers. I actively managed Accounts Receivable (AR) follow-ups, reviewing aging reports (30/60/90+ days), identifying unpaid or underpaid claims, and following up with insurance companies via calls and portals. I worked extensively on denials and rejections, analyzing the root cause, correcting errors, submitting appeals with proper documentation, and resubmitting claims to ensure maximum reimbursement. In addition to billing responsibilities, I also supported provider credentialing and enrollment processes. This included completing and submitting applications to insurance networks, updating CAQH profiles, tracking application statuses, following up with payers, and ensuring providers were properly credentialed and enrolled to avoid claim denials related to provider eligibility. Overall, I handled end-to-end dental billing operations, ensuring clean claims, timely reimbursements, reduced AR days, and smooth revenue flow for the practice.

Dental Biller Team Lead

MD Billing • Período integral

Jun 2019 - Dec 2021 • 2 yrs 6 mos

At MDB Building Service, I work as a Team Lead, overseeing and actively performing end-to-end Dental Revenue Cycle Management (RCM) operations. Building on my strong foundation from Pyramid Global, I am responsible for managing the complete billing workflow for dental practices, ensuring accuracy, compliance, and timely reimbursements. My responsibilities include insurance eligibility and benefits verification, confirming coverage details, limitations, deductibles, and frequencies to prevent billing issues. I handle claim creation and submission with accurate and complete attachments such as X-rays, clinical narratives, and periodontal documentation to ensure clean claims and minimize rejections. I also manage payment posting using EOBs and ERAs, ensuring correct allocation of insurance payments and identifying underpayments or discrepancies. A major part of my role involves detailed AR follow-ups, where I track unpaid and aging claims, communicate with insurance carriers, resolve rejections, and work on denials and appeals to maximize collections. In addition, I support provider credentialing and enrollment activities when required, and I regularly update periodontal (Perio) charts based on office instructions, accurately entering pocket depths and clinical findings to support proper documentation and claim approval. As a Team Lead, I also assist with workflow coordination, quality checks, and guidance to ensure RCM processes are handled efficiently and meet client expectations. This role further strengthened my expertise in full-cycle Dental RCM and practice revenue optimization.

Dental insurance verification specialist

Pyramids Global Careers - Medical Billing • Período integral

May 2017 - May 2019 • 2 yrs

Pyramid Global is my first and parent company, where I began my professional career as a Benefits Verification Specialist. In this role, I was responsible for verifying insurance coverage, plan limitations, deductibles, co-pays, waiting periods, and frequency limits. I worked closely with insurance portals and payer guidelines to ensure accurate benefit information was communicated to the dental office. As I gained experience, I transitioned into dental benefits verification, where I handled in-depth verification for dental procedures, including preventive, basic, and major services. I ensured accuracy by reviewing insurance policies, annual maximums, remaining benefits, and coverage percentages, helping the practice avoid claim rejections and unexpected patient balances. After 9–10 months, I was entrusted with the responsibility of managing a dental practice’s billing workflow. My role expanded to include claim creation and submission with proper documentation and attachments (such as X-rays, narratives, and perio charts). I also handled payment posting using EOBs and ERAs, ensuring accurate allocation to patient accounts and identifying underpayments. In addition, I actively managed claim rejections and denials, performing root-cause analysis, correcting errors, submitting appeals, and following up with insurance carriers to secure timely reimbursement. This role allowed me to develop strong hands-on expertise across the full Dental Revenue Cycle Management (RCM) process, building a solid foundation in billing accuracy, AR management, and insurance compliance.