Hire the Best TRAGHM Information Solutions CLAIMS Specialists

Hello, I’m Muhammad Usman Raheel, a Medical Billing & Credentialing Specialist with over 14 years of hands-on experience working with healthcare providers across multiple specialties. I help practices increase collections, reduce denials, and build a smooth, compliant Revenue Cycle system from start to finish. 🔹 What I Can Do For Your Practice: ✅ Full-Service Medical Billing (Part A & B) ✅ Medicare & Medicaid Enrollment ✅ Commercial Insurance Credentialing ✅ Eligibility & Benefits Verification ✅ Charge Entry & Clean Claim Submission ✅ Denial Management & Appeals ✅ AR Follow-Up & Aging Recovery ✅ Payment Posting (ERA/EOB) ✅ Practice Revenue Audit & Reporting ✅ Staff Training for Billing & Front Desk ✅ Workflow Setup for New Practices 🏥 Specialties I Have Worked With: Behavioral & Mental Health Sleep Medicine Internal Medicine Urgent Care Neurology DME Home Health Therapy (PT/OT/ST) Dental Ambulance Billing Laboratories Private Practices & Hospital-Based Providers 💻 Software & Portals Experience: Office Ally | Availity | ECW | NextGen | SimplePractice | CollaborateMD | Kareo | AdvancedMD | Athena | Practice Mate | Clearinghouses & Insurance Portals 🎯 Why Work With Me? • Detail-Oriented & Compliance Focused • Strong Denial Recovery Strategy • Transparent Monthly Reporting • Fast Communication • Revenue Growth-Focused Approach My mission is simple: Maximize your revenue while you focus on patient care. Best regards, Muhammad U Raheel

Hello! I am a Medical Billing and Revenue Cycle Management (RCM) professional with 8+ years of experience supporting healthcare providers, clinics, and multi-specialty practices within the U.S. healthcare system. My work focuses on managing the entire billing cycle in a structured and accurate way — from patient eligibility and charge entry to claim submission, denial resolution, and payment follow-up. I aim to help healthcare practices maintain steady cash flow, minimize claim rejections, and ensure compliance with insurance and CMS billing standards, including proper ICD-10 and CPT usage. Throughout my career, I have handled both independent responsibilities and team-based operations, including workflow coordination, high-volume billing accounts, and communication with insurance payers across different specialties. 🚀 Areas of Expertise I provide full-cycle Revenue Cycle Management services, including: • Complete Medical Billing Operations • Insurance Eligibility & Benefits Verification • Clean Claim Submission (CMS-1500 / UB-04) • Denial Management, Appeals & Claim Corrections • Accounts Receivable (AR) Follow-up and Aging Management • Payment Posting and ERA/EOB Reconciliation • Prior Authorization Processing and Referral Handling • Provider Credentialing and Enrollment (CAQH, PECOS) • ICD-10, CPT, and HCPCS Coding Support • HIPAA-Compliant Data Handling and Documentation 🏥 Healthcare Experience I have worked with a wide range of specialties, including: Internal Medicine | Family Practice | Behavioral Health | Psychiatry | Psychology Dermatology | Cardiology | Orthopedics | Podiatry | Physical Therapy Urgent Care | Laboratory Services | DME | Pain Management | Telehealth Workers’ Compensation and No-Fault (PIP) Billing I am also comfortable adapting to new specialties and workflows quickly based on client needs. 💻 Systems & Software Experience eClinicalWorks | Kareo/Tebra | AdvancedMD | NextGen | Office Ally Athenahealth | ModMed | CollaborateMD | DrChrono | Medisoft TherapyNotes | Practice Fusion | SimplePractice 🌐 Insurance & Payer Knowledge Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare Humana | Tricare | Molina Healthcare | Commercial and State Insurance Plans 📊 What I Have Achieved In my professional experience, I have consistently contributed to: • Increasing clean claim rates through accurate billing review • Reducing outstanding AR by improving follow-up processes • Strengthening revenue cycle performance for healthcare practices • Supporting billing teams with training and workflow improvements • Assisting with successful credentialing and payer enrollment processes 💡 What You Can Expect ✔ Reliable and accurate billing support ✔ Strong understanding of U.S. insurance and CMS guidelines ✔ Focus on reducing denials and improving reimbursements ✔ Organized workflow and clear communication ✔ Commitment to improving overall revenue cycle performance.

With a dedicated 3-year track record in Insurance Verification and Revenue Cycle Management, I provide high-level support to healthcare providers looking to streamline their front-end operations. My expertise lies in navigating complex payer portals, deciphering intricate benefit plans (HMO, PPO, EPO, and Indemnity), and securing timely authorizations to prevent service delays. I am committed to accuracy, HIPAA compliance, and maintaining the integrity of patient data so that your medical team can focus entirely on patient care. Core Competencies: ✅Strategic Verification: Proven ability to handle high-volume verification queues (50+ per day) while maintaining a 98% accuracy rate. ✅Revenue Protection: Expert in identifying 'hidden' coverage details that prevent costly billing errors. ✅Technical Proficiency: Experienced in various EHR platforms and major insurance portals (Availity, UnitedHealthcare, Cigna, etc.). ✅Communication: Fluent in professional English, providing clear updates to both clinical staff and insurance representatives.

I am a US Healthcare RCM Specialist with 15+ years of experience in Medical Billing, AR Follow-up, Denials Management, Cash Posting, and DME Claims Operations. I have worked with leading healthcare clients and organizations handling high-volume medical billing operations, denial resolution, reconciliation, and revenue recovery. I specialize in improving billing accuracy, reducing denials, and increasing collections for healthcare providers. My Core Expertise Medical Billing AR Follow-up Denials Management Cash Posting / Cash Application DME Billing Payment Posting & Reconciliation EOB Analysis Claim Corrections & Resubmissions Insurance Follow-up Revenue Cycle Optimization Credit Balance Review Process Insurance & Patient Refunds I currently work as an Assistant Manager in US Healthcare Operations, managing large teams and ensuring operational excellence across revenue cycle processes. Key achievements include: • Managing 137+ team members in healthcare billing operations • Reducing electronic claim rejections by 19% • Improving team KPI performance by 20% through structured training programs • Extensive experience in RCA (Root Cause Analysis) and denial trend analysis • Expertise in workflow improvements and operational efficiency Tools & Skills • Medical Billing Systems • Excel Reporting & Dashboards • Claims Management • Revenue Cycle Reporting • Process Improvement • Lean Six Sigma (Green Belt Certified) What I Can Help You With ✔ AR Follow-up to maximize collections ✔ Denial analysis and resolution ✔ Cash posting and payment reconciliation ✔ Medical billing workflow improvement ✔ Claims correction and resubmission ✔ RCM reporting and analysis If you're looking for someone who understands US healthcare billing operations, insurance workflows, and revenue recovery, I would be happy to support your business. Let’s work together to improve your revenue cycle performance.

100% Job Success Top Rated Plus 🦷Results I've Delivered ✔ Reduced insurance A/R by 20–40% across multiple clinics ✔ Achieved a 60% appeal success rate on denied and underpaid claims ✔ Accelerated insurance payment turnaround times ✔ Improved clean claim rates, reducing denials and rework ✔ Increased team productivity through KPI tracking, coaching, and standardized workflow Areas of Expertise ✔HIPAA-Compliant 🦷Revenue Cycle Management ✨Insurance Verification & Eligibility ✨Claims Submission, Tracking & Follow-Up ✨Payment Posting (ERA/EOB) ✨Accounts Receivable (A/R) Management ✨Insurance Aging & Recovery ✨Denial Management, Appeals & Resubmissions ✨Patient Billing & Account Reconciliation ✨PPO & Medicaid Billing 🦷Leadership & Operations ✨Team Leadership, Coaching & Performance Management ✨KPI Development & Performance Monitoring ✨SOP Development & Process Improvement ✨Workflow Optimization & Quality Assurance ✨Root Cause Analysis for Denials & Collection Issues ✨Collaboration with Providers, Office Managers & Administrative Teams 🦷Reporting & Analytics ✨Collection & A/R Performance Reporting ✨Aging Analysis & Recovery Strategies ✨Revenue Trend & Financial Performance Analysis ✨Production-to-Collection Ratio Monitoring ✨Payer Mix & Reimbursement Analysis ✨Action Plans to Increase Collections 🦷Software Proficiency ✨Open Dental ✨Dentrix ✨Dentrix Ascend ✨Eaglesoft 📩Let's connect and discuss how I can help your practice achieve stronger financial performance

I help multi-location practices achieve: ✔ Reduced A/R by 20–40% across multiple clinics ✔ 60% appeal win rate on denied or underpaid claims ✔ Faster turnaround on insurance payments ✔ Cleaner claims, fewer denials, and more consistent collections ✔ Stronger team performance through coaching, KPI monitoring, and SOP-driven workflows Are you looking for a Dental RCM Team Lead who not only understands the full Revenue Cycle Management process but also knows how to lead, train, and optimize a high-performing billing team? With over 3 years of experience as an RCM Team Lead and combined with 5 yrs of Dental end-to-end billing, I manage a full department of 20 A/R specialists and payment posters, overseeing the performance and collections of 15 dental clinics across the U.S. I ensure accuracy, efficiency, and maximized revenue by combining strong leadership, deep knowledge of dental billing, and the ability to analyze trends that impact collections. ✅ Core Competencies as a Dental RCM Team Lead ⭐ Leadership & Team Management — Oversee daily operations of 20 A/R reps & posters, set KPIs, conduct coaching, and ensure accountability ⭐ Full Dental RCM Oversight — Eligibility, verification, claims, appeals, posting, patient billing, reconciliation ⭐ Claims Management — Optimize submission workflow, track denials, improve acceptance rate, reduce rework ⭐ A/R Reduction Strategy — Create action plans, weekly aging reviews, and implement recovery strategies ⭐ Payment Posting & Reconciliation — ERA/EOB posting oversight, audit accuracy, correct posting errors ⭐ Denial & Appeal Management — Identify patterns, lead root-cause analysis, and drive successful appeals ⭐ Clinic Performance Monitoring — Review provider and clinic collection trends, production-to-collection ratio, and payer mix ⭐ Cross-Department Coordination — Communicate with providers, office managers, and admins to resolve issues ⭐ Team Training & SOP Development — Create guidelines and workflows for consistency and compliance 💡 Operational & Analytical Strengths ⭐ Monthly RCM Reporting — Create executive-level reports on collections, aging, adjustments, low-collection causes, and improvement plans ⭐ Identify Low Collection Drivers — Analyze coding, fee schedules, denials, claim submission gaps, and front-office issues ⭐ Process Optimization — Implement automation, streamline workflows, and enforce best practices 🦷 Dental Software & Tools I Work With ⭐ Dentrix ⭐ Dentrix Ascend ⭐ Open Dental ⭐ Eaglesoft If you’re looking for a Dental RCM Team Lead, Billing Manager, or someone who can take full ownership of your clinics’ revenue cycle and team performance, let’s connect! 📩 Ready to improve collections and strengthen your billing team? I’m here to help.