Summary
Overview
Work History
Education
Skills
References
JOB RESPONSIBILITIES:
BILLING SPECIALITIES EXPERIENCE
Timeline
Generic

SYED SHAHMIR HUSSAIN

KARACHI

Summary

Put myself in a challenging working environment, Where I can grow myself professionally and learn further, beside cultivate my expertise and experience.

Overview

11
11
years of professional experience

Work History

Supervisor Operations

COGNIZANCE SOLUTION PVT LTD
07.2025 - Current
  • Actively engaged with clients to understand their business challenges, provide tailored solutions, and ensure satisfaction with Revenue Cycle Management services.
  • Identified and addressed client pain points through continuous feedback, proactive communication, and operational adjustments, strengthening long-term client relationships.
  • Collaborated with clients to resolve complex RCM issues, improve workflow efficiency, and align service delivery with their organizational goals.
  • Led and supervised a team of agents and team leads within the Revenue Cycle Management (RCM) process, ensuring that performance targets and quality standards were consistently met.
  • Conducted a detailed analysis of revenue cycle operations to identify inefficiencies and implement process improvements, resulting in increased collections and reduced denials.
  • Trained and mentored new agents on RCM procedures, compliance guidelines, and system tools, accelerating onboarding time, and improving overall team productivity.
  • Collaborated with cross-functional departments to optimize billing, coding, and claims workflows, directly contributing to improved cash flow and revenue generation.
  • Monitored team KPIs and provided actionable feedback to drive performance, accountability, and continuous improvement.
  • Implemented best practices in RCM to enhance reimbursement rates and reduce days in A/R, aligning operations with financial goals.

Team Lead Operation

COGNIZANCE SOLUTION PVT LTD
07.2022 - 07.2025
  • Trained and supported new hires ("freshers") in charge entry, payment posting, and RCM workflows, ensuring adherence to quality and compliance standards.
  • Ensured timely and accurate execution of charge entry and payment posting processes, minimizing billing delays and reducing claim rejections.
  • Conducted in-depth analysis of Accounts Receivable (A/R) to identify trends, resolve backlogs, and improve cash flow and collections performance.
  • Monitored aging reports and worked with the team to address high-value or aging accounts, contributing to a consistent reduction in A/R days.

SENIOR FRONT DESK PERSON

ABIC PARTNERS (DENTAL REVU)
06.2021 - 12.2022
  • Performed Verification of Benefits (VoB) to ensure accurate coverage information prior to claim submission, reducing claim denials and delays.
  • Accurately executed Charge Entry for dental services, ensuring correct mapping of procedures to patient accounts and billing systems.
  • Explored and familiarized with dental CPT and CDT codes, enhancing accuracy in coding and supporting clean claim submissions.
  • Actively learning and adapting to dental reporting protocols, improving analytical capabilities and contributing to better revenue insights.

Assistant Manager Operations

VIRGINIA PHYSICIANS’ HEALTHCARE SYSTEM
01.2022 - 07.2022
  • Worked as Assistant to the Manager in a Gastroenterology hospital, supporting operational workflows related to endoscopy and colonoscopy procedures.
  • Ensured accurate billing and coding of procedures in compliance with Local Coverage Determinations (LCD) policies, minimizing claim denials and audit risks.
  • Trained and supervised new team members on billing guidelines, coding practices, and gastro-specific procedures, enhancing team productivity and accuracy.
  • Prepared and delivered regular client reports on billing performance, claim status, and revenue trends, supporting data-driven decision-making.
  • Collaborated with clinical and billing teams to ensure complete and compliant documentation for high-value procedures.

AR Executive

PREMIER MEDICAL BILLING COMPANY (DATA Q)
11.2020 - 06.2021
  • Worked as an RCM Agent, performing daily claims entry and managing Accounts Receivable (A/R) to ensure timely billing and follow-up on outstanding claims.
  • Collaborated with team members to enhance knowledge of RCM processes, tools, and payer-specific guidelines, fostering continuous learning and growth.
  • Coordinated with internal teams to resolve claim issues, denials, and payment discrepancies, contributing to improved revenue recovery.
  • Demonstrated a proactive approach to learning, consistently seeking feedback and sharing best practices to support team performance

Account Executive

SYBRID PVT LTD
07.2018 - 11.2020

MIS EXECUTIVE

KALLSTAR PVT LTD
02.2015 - 07.2018

Education

Electrical Diploma - undefined

Aligarh Institute of Technology
01.2022

ACCP PRIME - undefined

Aptech
01.2018

Intermediate - undefined

01.2019

Matric - undefined

Science Board of Secondary Education Karachi
01.2016

Skills

  • E-Clinical Works (eCW)
  • Criterions
  • Advance MD
  • Kareo Provider EHR Billing Software
  • Dentrix Dental Software
  • Open Dental Software
  • Athena Web Software
  • Office Ally
  • Collaborate MD (CMD)
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References

Will be furnished on demand.

JOB RESPONSIBILITIES:

  • Front Office Management
  • Front office management
  • Checking eligibility and benefits
  • Updating notes with insurance verification, copay, deductible and co-insurance
  • Patient registration
  • Schedule the patients over the call as well as in software’s
  • Back Office Management
  • Entering medical claim using CPT and ICD codes
  • Daily Payment Posting, Manual and Electronic Both
  • Claim audit before claim submission via clearing house
  • Checking claim rejections on daily basis
  • Taking corrective actions based on rejection type and resubmitting within same day
  • AR Follow up call to check claim status
  • Denial management of claims based on denial reason
  • Resubmission and Appeals
  • Practice Setup
  • ERA enrollment, EFT enrollment, EDI enrollment
  • Fee Schedule Update
  • Provider Information update
  • New provider addition into billing software
  • Business Intelligence Reports
  • Daily, Weekly and Monthly Practice reports
  • Collection, AR analysis
  • Training new hires

BILLING SPECIALITIES EXPERIENCE

  • Nephrologist
  • Psychiatrist
  • Internal Medicine
  • Gastroenterology
  • General Dentist

Timeline

Supervisor Operations

COGNIZANCE SOLUTION PVT LTD
07.2025 - Current

Team Lead Operation

COGNIZANCE SOLUTION PVT LTD
07.2022 - 07.2025

Assistant Manager Operations

VIRGINIA PHYSICIANS’ HEALTHCARE SYSTEM
01.2022 - 07.2022

SENIOR FRONT DESK PERSON

ABIC PARTNERS (DENTAL REVU)
06.2021 - 12.2022

AR Executive

PREMIER MEDICAL BILLING COMPANY (DATA Q)
11.2020 - 06.2021

Account Executive

SYBRID PVT LTD
07.2018 - 11.2020

MIS EXECUTIVE

KALLSTAR PVT LTD
02.2015 - 07.2018

Electrical Diploma - undefined

Aligarh Institute of Technology

ACCP PRIME - undefined

Aptech

Intermediate - undefined

Matric - undefined

Science Board of Secondary Education Karachi
SYED SHAHMIR HUSSAIN