Abdullah Rashid
AR Specialist Medical Billing
Lahore
Summary
Revenue Cycle Management and Medical Billing professional with 3+ years of experience in healthcare outsourcing, Accounts Receivable, insurance claims, denial resolution, appeals, payment posting, insurance eligibility and benefits verification. Experienced in end-to-end claim lifecycle management, payer follow-up, reimbursement recovery, patient financial responsibility, ICD-10/CPT-supported billing workflows, EHR data integrity and HIPAA-compliant handling of healthcare information. Hands-on experience with CMS Independent Dispute Resolution, out-of-network claim negotiations, payer coordination and AR reporting.
Overview
2
2
Languages
1
1
Certification
4
4
years of professional experience
Work History
AR Specialist Medical Billing
F&A Global
03.2025 - Current
- Manage end to end Accounts Receivable and medical billing workflows, including claim submission, payer follow up, denial management and payment posting.
- Monitor insurance claim status and reimbursement disputes, maintaining complete documentation and case tracking through final resolution.
- Manage CMS Independent Dispute Resolution (IDR) cases in accordance with CMS requirements and support Out-of-Network (OON) claim negotiations.
- Prepare and follow up on state level TDI dispute cases and coordinate with insurance payers to support timely claim recovery.
- Perform denial root cause analysis, identify recurring billing and reimbursement issues, and coordinate with providers for corrective resolution.
- Maintain accurate Electronic Health Records and billing documentation while following HIPAA privacy and data-integrity requirements.
- Prepare AR and reimbursement reports covering aging trends, collection activity and financial performance.
Accounts Receivable Specialist
TBC Solutions
06.2024 - 02.2025
- Managed full cycle insurance claim submissions and proactive payer follow-up, with focus on reducing the 90+ day AR balance.
- Reviewed denied and rejected claims, prepared appeals, and followed up on outstanding reimbursement to support claim recovery.
- Validated and organized EHR information for accurate billing and HIPAA compliant record handling.
- Applied ICD10 and CPT knowledge to support accurate capture and billing of clinical procedures.
Payment Posting VOB Specialist
QB Business Solutions
11.2022 - 05.2024
- Performed insurance eligibility and benefits verification through payer portals, including In-Network and Out-of-Network coverage.
- Verified patient financial responsibility and coverage details to support accurate billing and account handling.
- Posted high-volume insurance and patient payments in CollaborateMD, maintaining accurate reconciliation and documentation.
- Supported billing accuracy by reviewing benefit information, payer responses and payment records.
Education
BS - Accounting and Taxation
Hailey College of Commerce, University of the Punjab
01-2025
Skills
Insurance Claims Processing
Eligibility & Benefits Verification (VOB)
Accounts Receivable & Aging AR
Claim Submission & Payer Follow-up
Denied/Rejected Claims
Appeals & Resubmissions
Payment Posting & Reconciliation
Patient Financial Responsibility
Claims Documentation
ICD-10 & CPT
EHR Systems
HIPAA Compliance
CMS IDR
Out-of-Network Negotiations
Payer Relations
Financial & AR Reporting
Root-Cause Analysis
Cross-functional Coordination
CollaborateMD (CMD)
eClinicalWorks (eCW)
CareCloud
EHR Systems
Payer Portals
ICD-10
CPT
Certification
Revenue Cycle Excellence – recognized for reducing aged AR and improving collection efficiency., CMS / Federal IDR experience – hands-on management of out-of-network dispute-resolution workflows., HIPAA Compliance – expert working knowledge of healthcare privacy, medical-record handling and data security.
Timeline
AR Specialist Medical Billing
F&A Global
03.2025 - Current
Accounts Receivable Specialist
TBC Solutions
06.2024 - 02.2025
Payment Posting VOB Specialist
QB Business Solutions
11.2022 - 05.2024
BS - Accounting and Taxation
Hailey College of Commerce, University of the Punjab