Azeem Biller

Lead Medical Billing & Administrative Coordinator

City Health Specialists

Feb 2022 - Sep 2025 • 3 yrs 7 mos

Medical Billing & Revenue Cycle Specialist Managed the full-cycle medical billing process for a multi-provider practice, ensuring a seamless flow from initial scheduling to final financial reporting. Proven track record in reducing A/R days and maximizing reimbursements through precise coding and diligent follow-up. The Billing Lifecycle & Managed Services Strategic Patient Scheduling: Orchestrated provider calendars to optimize patient volume while ensuring all necessary demographic and insurance data was captured at the point of contact to prevent downstream claim rejections. Insurance Verification & Pre-Authorization: Performed comprehensive eligibility checks and secured prior authorizations for specialty procedures, ensuring 100% coverage alignment before services were rendered. Medical Coding & Claim Scrubbing: Translated clinical documentation into accurate ICD-10-CM, CPT, and HCPCS codes. Utilized automated scrubbing tools to identify NCCI edits and coding conflicts prior to submission. Electronic Claim Submission: Managed daily batch transmissions via clearinghouses (e.g., Availity, Waystar), monitoring transmission reports to resolve "front-end" rejections immediately. Payment Posting & Adjudication: Processed Electronic Remittance Advice (ERA) and manual EOBs. Reconciled insurance payments, applied contractual adjustments, and managed patient responsibility billing. Denial Management & Appeals: Analyzed denial trends to perform root-cause corrections. Drafted formal redetermination letters and clinical appeals to overturn wrongful denials, maintaining a 95% clean claim rate. A/R Recovery: Proactively managed the Aging Accounts Receivable report, prioritizing high-dollar claims over 60 days to ensure consistent cash flow. End-Cycle Financial Reporting: Generated monthly productivity reports, including Net Collection Rates, Days in A/R, and Adjustment Summaries to provide leadership with actionable financial insights.