Shafique Ur R.

I am a detail-oriented Medical Billing and Revenue Cycle Management (RCM) Specialist with over 7 years of experience in U.S. healthcare billing, accounts receivable (AR), and denial management. I specialize in CMS-1500 claim processing, insurance follow-ups, payment posting, and end-to-end revenue cycle optimization for healthcare providers and transport service organizations. My experience includes working with U.S.-based remote teams where I handled full-cycle billing operations including insurance verification, prior and retro authorization submission, claim creation and submission, EOB/ERA review, denial resolution, and appeals processing. I have a strong track record of reducing AR aging, improving collection rates, and ensuring clean claim submissions that comply with payer rules and HIPAA regulations. In addition to physician practice billing, I also have hands-on experience in ambulance and land transport billing, including CPT coding, mileage-based claims, authorization handling, and payer coordination for timely reimbursement. I am proficient in working with commercial insurance plans, Medicare, Medicaid, and managed care organizations, and I am experienced in resolving underpayments, correcting billing discrepancies, and managing complex reimbursement cases. Core Expertise: Medical Billing (CMS-1500 & UB-04) Revenue Cycle Management (RCM) Accounts Receivable (AR) Management Denial Management & Appeals Insurance Verification & Authorization EOB / ERA Review & Payment Posting Ambulance & Transport Billing (A0428, A0425) A/R Aging Follow-ups & Collections CPT, ICD-10, HCPCS Coding HIPAA Compliance Experience Highlights: 7+ years in U.S. healthcare billing & RCM Reduced AR aging and improved collection efficiency by up to 25% Managed end-to-end billing cycle across physician, home health, and hospice accounts Handled high-volume claims across commercial, Medicare, and managed care payers Experienced with denial resolution, appeals, and payer communications Strong background in ambulance and transport billing workflows Tools & Software: eClinicalWorks, Epic, NextGen, Tebra, Practice Fusion, Waystar, Availity, Office Ally, Change Healthcare, TriZetto, Kinnser, MatrixCare, Netsmart, DrChrono, and more. Professional Background: Accounts Receivable Specialist – Medi-Call Virtual Assistant (Remote, USA) Billing & AR Specialist – The Auctus Group (Remote, USA) AR & Payment Posting Specialist – SimiTree (Remote, USA) Team Lead Operations – Nobility MBS Medical Billing Associate – Nobility MBS Availability: Open to remote, long-term, and contract-based opportunities in: Medical Billing | Revenue Cycle Management | AR Management | Denial & Appeals | Ambulance Billing