Rao Rizwan S.

Medical Billing and RCM Specialist | AR | Denial Management | Dental

Medical and dental billing specialist with 7 years of hands on experience in full cycle revenue cycle management including payment posting, AR recovery, denial management, provider credentialing, and insurance eligibility verification. Skilled in ICD-10 and CPT coding, claim appeals, EDI and ERA setup across Medicare, Medicaid, and all major commercial payers. Proficient in OpenDental and eClinicalWorks. HIPAA Certified. CORE COMPETENCIES - Revenue Cycle Management and Compliance - Payment Posting and EOB Review - AR Recovery and Denial Management - Provider Credentialing and Payer Enrollment - Insurance Eligibility and Benefits Verification - ICD-10, CPT, CDT, LCD and NCD Guidelines - Team Leadership and Staff Training SPECIALTIES - Podiatry, Internal Medicine, Family Medicine, Dermatology - Chiropractic, Home Health, Orthopedics, Pediatrics - Urology, Telehealth, Nephrology, Physical Therapy - Dental Billing across all specialties EXPERIENCE Supervisor | Prime Practice Management 2024 to 2025 - Oversaw billing operations and supervised billing team - Managed claims lifecycle, denial resolution, and credentialing - Generated KPI reports and ensured payer compliance Team Lead | Physician Revenue Group 2022 to 2024 - Led coding audits, denial management, and appeal preparation - Managed credentialing, enrollment, and eligibility verification Billing Executive | Express Healthcare Solutions 2018 to 2022 - Handled eligibility verification, claims submission, and payment posting - Resolved complex denials and recovered outstanding AR balances Available immediately. Remote. US Eastern hours overlap.