Umair I.
Senior Medical Billing Specialist
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Muhammad Umair I. is a dedicated Medical Billing Specialist with five years of experience in the healthcare industry. His expertise in Revenue Cycle Management (RCM), accounts receivable, claim submission, denial management, payment posting, and insurance follow-up has made him a valuable asset in optimizing reimbursement outcomes while ensuring compliance and accuracy. With a Master's degree in Physics, he has honed his analytical and problem-solving abilities, which he applies to streamline processes and improve financial outcomes. Proficient in a range of medical billing software and EHR/EMR systems, Muhammad Umair has effectively managed the end-to-end revenue cycle, negotiated reimbursement settlements, and collaborated with multidisciplinary teams to enhance the overall performance of medical billing operations. His commitment to high-quality patient account management is evident in his meticulous approach to maintaining compliance with HIPAA and other regulatory standards.
Experience
Revenue Cycle Management (RCM) / IDR Specialist
Arthur Lawrence · 2025 — PresentOversaw the entire revenue cycle, focusing on accounts receivable follow-up, denial management, and reimbursement optimization. Analyzed claims for underpayment and denial, preparing cases for the Independent Dispute Resolution process while ensuring regulatory compliance. Handled negotiations with insurance payers to enhance revenue recovery. Conducted contract and claim analyses to bolster negotiation efforts and support dispute resolutions. Produced appeal letters and managed documentation for complex disputes. Fostered collaborations with various teams to address payment issues and boost reimbursement accuracy. Monitored aging reports to prioritize claims and reduce outstanding balances while investigating payment variances for record accuracy.Senior AR Specialist
null · 2023 — 2025Managed accounts receivable reports to prioritize collections, aiming to improve cash flow. Led follow-up for claims that were denied or unpaid, addressing root causes and facilitating appeals with insurance providers. Ensured payment accuracy through rigorous account reconciliations while adhering to payer contracts. Addressed complex billing discrepancies and provided timely resolutions. Maintained thorough AR documentation and monitored performance metrics, recommending process enhancements. Collaborated with billing and coding teams to rectify claim issues and foster efficient revenue cycle management. Assisted in mentoring junior staff on best practices relating to denial management and collections.Account Manager Operations
Ver-Techs · 2021 — 2023Oversaw the medical billing cycle, which encompassed patient registration, charge entry, claim submission, and follow-up on accounts receivable. Ensured the submission of accurate claims to Medicare, Medicaid, and commercial providers while maintaining compliance. Reviewed claims for errors to enhance reimbursement and managed follow-up for unpaid or denied claims, engaging with insurance companies as necessary. Verified insurance eligibility and benefits, ensuring accurate payment posting and account reconciliation. Utilized coding standards such as CPT, ICD-10-CM, and HCPCS to maintain billing accuracy while generating reports to identify revenue cycle improvement opportunities.
Skills & Expertise
Education
- Master of PhysicsUniversity of Poonch AJK
- Bachelor of ScienceUniversity of AJ&K
- IntermediateSquadron Leader Masood-ul-Haq Shaheed model School & Collège
- MatricAJK BISE Mirpur
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