Syed Awais Toheed

I am a HIPAA-Certified Medical Billing and RCM Specialist with 11+ years of experience supporting US hospitals, clinics, telemedicine providers, and DME suppliers. I specialize in full-cycle revenue cycle management, accounts receivable recovery, denial resolution, and payer follow-ups to ensure providers are paid accurately and on time.

I am detail-oriented, highly organized, and known for strong English communication and client-handling skills. I follow instructions carefully, work independently with minimal supervision, and adapt quickly to new systems and workflows. I also have a US phone number and use calling platforms such as Skype, MagicJack, Vonage, and 8x8, supported by a dedicated leased internet line for reliable client communication.

Medical Billing & RCM Experience

Over the last 11+ years, I have worked across ER, Part A, DME, Government-Aided Hospitals, Clinics, Long-Term Care, Telemedicine, and Institutional Billing, handling the complete RCM cycle, including:

Patient demographics and registration

Insurance eligibility and benefits verification (web & phone)

Appointment scheduling and patient calls

Charge posting and superbill review

Claim submission (primary & secondary)

Payment posting (EOBs, ERAs, checks)

Clearinghouse rejection management

Denial analysis and appeals

Underpaid claim recovery

Authorizations (pre & retro)

AR analysis and collections strategy

Patient billing and follow-ups

Financial, AR, and end reports

I have extensive experience following up with Medicare, Medicaid, Workers’ Comp, Semi-Government, Managed Care, and Commercial payers including Aetna, BCBS, Cigna, UHC, Oxford, and others.

Practice & Specialty Experience

Internal Medicine

Gastroenterology

Physical Therapy

Mental & Behavioral Health

Cardiology

Pediatrics

Pain Management

Plastic Surgery

Home Health & Institutional Billing

PMS / EMR Systems

Kareo, eClinicalWorks, NextGen, AdvanceMD, GE Centricity, TherapyNotes, Office Ally, Medisoft, HealthFusion, MdSynergy, Companion PM, Medical Manager, ZirMed, eMedical Practice.

Clearinghouses

GatewayEDI, Emdeon, Office Ally, Availity, Trizetto, and much more

Tools & Collaboration

Google Workspace (Gmail, Drive, Docs), Adobe PDF, Skype, TeamViewer, LogMeIn, Remote Desktop, GoToMeeting, Dropbox, Splashtop Business.

Leadership & Additional Experience

I have been actively involved in team supervision, workflow optimization, training, SLA compliance, and performance reporting for management. I also bring experience from the US trucking industry, handling load tracking, AR follow-ups, and coordination with factoring companies.

I am committed to delivering quality work, protecting revenue, and continuously upgrading my skills in this ever-evolving healthcare environment.