Ali Ahmad

Contact- Ali Ahmad www.linkedin.com/in/aliahmad- (LinkedIn) Team Lead || Chronic Care Management || RCM Expert || HIPAA Certified || Excel Specialist || Proficient Data Analyzer Lahore, Punjab, Pakistan Top Skills Summary Invoice Verification Medical Billing Project Management Dedicated and results-driven Revenue Cycle Management professional with over 3 years of experience in Medical Billing, Coding, Data Entry, A/R Resolution, and Patient Statement management. Proven expertise in verifying member benefits and eligibility, mitigating revenue losses, and ensuring streamlined financial operations. Proficient in handling various medical specialties across multiple states and possessing in-depth knowledge of major medical insurance companies. Skilled in Chronic Care Management (CCM) eligibility. Adept at managing all phases of the medical cycle, including patient registration, charge capture, claims submission, ICD/CPT coding, payment posting, AR followup, and denial management. Experienced in working with a range of EHR software systems. Professional Experience: Medical Billing Specialist - Physician Revenue Group - AUG, 2020 Verified member benefits and eligibility to prevent revenue losses and enhance financial accuracy. Conducted daily member eligibility checks, pre-appointment verifications, and real-time assessments during patient visits. Managed Chronic Care Management (CCM) and eligibility processes. Collaborated with major medical insurance companies, including Medicare, Medicaid, BCBS, Aetna, Cigna, Humana, and UHC, ensuring compliant billing practices. Successfully handled multiple specialties across various states, demonstrating adaptability and expertise. Revenue Cycle Manager Page 1 of 3 Led end-to-end revenue cycle management processes, overseeing patient registration, eligibility verification, charge capture, claims submission, ICD/CPT coding, payment posting, AR follow-up, and denial management. Strategically identified and addressed billing discrepancies, resulting in a significant reduction in denied claims and improved revenue recovery. Collaborated with cross-functional teams to enhance operational efficiency, optimize revenue streams, and provide exceptional patient care. Skills: Revenue Cycle Management Medical Billing and Coding Patient Registration Eligibility Verification Charge Capture Payment Posting Claims Submission ICD/CPT Coding Accounts Receivable (AR) Follow-up Denial Management Chronic Care Management (CCM) Major Medical Insurance Knowledge EHR Software Proficiency (AdvanceMD, eClinicalWorks, AthenaNet, Practicefusion, Nextgen, Connex, Kareo, NextGen, Epic, TalkEHR, CureMD) Data Entry Problem-Solving Team Collaboration Experience Passionate Care Management LLC 3 years 1 month Team Lead (CCM) December 2022 - Present (9 months) Page 2 of 3 Practice Lead (CCM) January 2022 - August 2023 (1 year 8 months) Senior Billing Executive (CCM) January 2021 - August 2023 (2 years 8 months) Billing Executive (CCM) August 2020 - August 2023 (3 years 1 month) Education University of the Punjab Bachelor's degree, Art/Art Studies, General · (July 2018 - March 2020) Page 3 of 3