
Talha J.
Medical Billing Specialist and RCM Auditor
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Experiência profissional
RCM Specialist
CureMD • Período integral
Oct 2022 - Aug 2026 • 3 yrs 10 mos
Managed full-cycle Revenue Cycle Management (RCM) and denial analysis for multi-specialty practices using multiple EHR/EHR software. Identified, appealed, and resolved unpaid, rejected, and denied medical claims, recovering tens of thousands of dollars in backlogged A/R. Audited patient billing data, demographics, and CPT/ICD-10 coding to increase first-pass clean claim submission rates to over 98%. Communicated with commercial and government insurance payers (Medicare, Medicaid) to resolve complex authorization and eligibility denials. Ensured strict adherence to HIPAA guidelines and data protection protocols across all patient financial records.
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