Muhammad Hafeez

Manager Oprations

Pyramids Global • Full-time

Aug 2025 - Present • 1 yr 2 mos

As an Operations Manager at Pyramids Global, I managed complete US healthcare accounts and end to end Revenue Cycle Management operations across multiple medical specialties. My responsibilities included overseeing daily billing workflows, managing account performance, coordinating team activities, monitoring productivity, maintaining quality standards, and ensuring smooth practice operations. I supervised the complete billing cycle, including patient registration, eligibility and benefits verification, authorization coordination, provider credentialing support, charge entry, claim submission, rejection handling, payment posting, denial management, AR follow up, appeals, and payment reconciliation. I worked with various medical billing systems, clearinghouses, and payer portals to monitor claim status, investigate billing issues, resolve payment delays, and improve reimbursement performance. I regularly reviewed AR aging reports, denial trends, collection performance, outstanding balances, and payer response patterns to identify revenue gaps and prioritize recovery efforts. I prepared daily and weekly operational reports, monitored key performance indicators, reviewed claim accuracy, and implemented workflow improvements to reduce avoidable denials and strengthen clean claim performance. My role also involved client communication, issue escalation, team guidance, workload distribution, process monitoring, and coordination with billing and coding teams to resolve complex account issues. I focused on improving collections, reducing outstanding AR, maintaining accurate reporting, optimizing revenue cycle workflows, and ensuring consistent service quality. My objective was to manage accounts efficiently, support client satisfaction, improve operational productivity, and drive sustainable revenue growth for healthcare practices.

Account Manager

MTBC International • Full-time

Jan 2024 - Jun 2025 • 1 yr 5 mos

Worked as an Account Manager and RCM Manager at MTBC International, handling end-to-end Revenue Cycle Management (RCM) operations for U.S. healthcare practices. Experienced in medical billing software, insurance portals, claims management, AR follow-up, reporting, and client communication. Key Responsibilities: - Full-cycle RCM, including claims submission, payment posting, denial management, and AR follow-up. - Worked with AdvancedMD, CareCloud, Tebra, and eClinicalWorks (eCW). - Used insurance portals including Availity, UnitedHealthcare (UHC), Cigna, Medicare, Medicaid, Blue Cross Blue Shield (BCBS), and other commercial payers. - Verified insurance eligibility and benefits across multiple U.S. states and insurance plans. - Contacted insurance companies and patients to resolve claim issues and outstanding balances. - Managed accounts receivable (AR), aging reports, claim status tracking, and follow-up activities. - Prepared AR reports and monitored outstanding claims to improve collections. - Maintained professional client communication, addressed billing concerns, and provided regular updates on account performance. - Coordinated billing operations to improve reimbursement, reduce denials, and maintain an efficient revenue cycle. My priorities are accurate billing, timely AR follow-up, improved collections, transparent reporting, and strong client relationships.