Esar Hashmi

Medical Billing manager.

iRCM Inc • Full-time

Jan 2022 - Nov 2025 • 3 yrs 10 mos

Medical Billing Manager with 6 years of healthcare billing experience, including extensive experience managing complete Revenue Cycle Management (RCM) operations for healthcare providers and medical practices. Managed the full billing cycle from insurance eligibility verification to claim submission, payment posting, denial management, appeals, A/R follow-up, and reporting. Verified patient eligibility, PCP information, copays, deductibles, coinsurance, authorizations, and benefit limitations to prevent claim denials. Reviewed ICD-10, CPT, and HCPCS coding, created and submitted accurate claims within payer timely-filing requirements, and monitored clearinghouse rejections for immediate resolution. Managed ERA and manual payment posting, reviewed EOBs, reconciled payments, and maintained accurate patient accounts. Investigated denied and rejected claims, identified root causes, corrected billing issues, submitted corrected claims, and prepared appeals with supporting documentation. Oversaw primary and secondary insurance A/R, prioritized aging and high-value accounts, conducted regular payer follow-up, and worked to reduce outstanding balances and improve collections. Prepared daily, weekly, and monthly reports covering A/R aging, claims, payments, denials, and collection performance. Also supported provider credentialing and payer enrollment, including resolving enrollment-related issues that could affect reimbursement. Worked closely with providers, billing staff, insurance companies, and clearinghouses to resolve billing, coding, credentialing, and payment issues. Key Achievements Improved claim accuracy and reduced preventable denials. Strengthened A/R follow-up and collection processes. Improved communication between providers and billing teams. Developed consistent daily, weekly, and monthly reporting. Resolved claim rejections, denials, and payer issues promptly. Supported credentialing and enrollment processes to prevent payment delays.

Medical Billing Team Lead

ClaimCare • Full-time

Feb 2018 - Jan 2022 • 3 yrs 11 mos

Medical Billing Team Lead | Feb 2018 – Jan 2022 Medical Billing Team Lead with 4 years of experience managing daily medical billing operations and supporting healthcare providers with efficient Revenue Cycle Management (RCM). Led billing teams, assigned daily tasks, monitored productivity, and ensured claims were processed accurately and within payer deadlines. Managed the complete billing workflow, including insurance eligibility verification, charge entry, coding review, claim creation and submission, payment posting, denial management, appeals, and A/R follow-up. Verified patient insurance coverage, including PCP information, copays, deductibles, coinsurance, authorization requirements, and benefit limitations to help prevent claim denials. Monitored rejected and denied claims, identified root causes, corrected billing issues, and coordinated timely resubmissions. Managed ERA and manual payment posting, reviewed EOBs, applied payments and adjustments accurately, and maintained clean patient accounts. Managed primary and secondary insurance A/R, prioritized aging and high-value accounts, and conducted regular insurance follow-up to improve collections. Prepared daily, weekly, and monthly billing reports covering claims, payments, denials, aging, and team performance. Trained and supported billing staff on claim processing, payer requirements, denial resolution, payment posting, and A/R management. Worked closely with providers and practice managers to resolve billing, coding, insurance, and documentation issues. Also supported credentialing and payer enrollment activities when needed. Key Achievements Improved billing team productivity and workflow efficiency. Helped reduce preventable claim denials and rejections. Strengthened A/R follow-up and collection processes. Improved communication between providers, billing teams, and insurance companies. Trained team members to improve billing accuracy and productivity.