Syed S

Sr. Accounts Executive -II

Mar 2025 - Present • 1 yr 7 mos

Medical Billing & RCM Specialist with 5+ years of experience supporting U.S. healthcare providers with revenue cycle management. Experienced in claims submission and follow-up, denial management, AR follow-up, payment posting and reconciliation, EOB/ERA review, insurance verification, provider enrollment and credentialing support, and billing documentation. Also experienced in IDR/No Surprises Act processes, including eligibility review, dispute submission, offer submission, determination tracking, documentation, and reimbursement analysis. Experienced with multiple healthcare billing and EHR systems, including eCW, CareCloud, CollaborateMD, ModMed, Websoft, AdvanceMD, Tabera, and Vetex.

Medical BIlling Executive

Jun 2023 - Mar 2025 • 1 yr 9 mos

anaged medical billing and revenue cycle management (RCM) tasks for U.S. healthcare providers. Prepared and submitted insurance claims and monitored claim status through payer portals. Followed up on unpaid, denied, and rejected claims to support timely reimbursement. Reviewed EOBs and ERAs to identify payment discrepancies, denials, adjustments, and patient responsibility. Posted insurance and patient payments and maintained accurate account balances. Worked on accounts receivable (AR) follow-up and investigated outstanding balances. Verified patient insurance eligibility and benefits when required. Reviewed billing information, CPT/HCPCS codes, modifiers, diagnosis codes, and claim details for accuracy. Communicated with insurance companies and worked through payer portals to resolve claim and payment issues. Maintained accurate billing records and updated account information in the system. Used CollaborateMD for billing, claim management, account review, and RCM-related tasks. Maintained confidentiality and handled patient and insurance information according to HIPAA requirements

Accounts Manager Operations.

Jul 2021 - May 2023 • 1 yr 10 mos

Managed insurance accounts receivable and worked on outstanding healthcare claims. Performed daily AR follow-up on aging accounts to identify and resolve unpaid balances. Investigated claim denials, rejections, and delayed payments and determined appropriate follow-up actions. Contacted insurance payers and reviewed payer portals to obtain claim status and payment information. Analyzed EOBs and ERAs to determine denial reasons, payment discrepancies, and remaining balances. Followed up on underpaid and incorrectly processed claims and requested appropriate corrections. Prepared and submitted corrected claims and supporting documentation when required. Maintained detailed account notes documenting claim status, payer responses, and follow-up actions. Prioritized accounts based on aging, balance, denial status, and payment potential. Assisted with payment posting, account reconciliation, and resolution of outstanding balances. Regularly reviewed AR reports to identify pending and unresolved accounts.