Raja Saif ali

Medical Billing Executive

CareCloud

Feb 2020 - May 2024 • 4 yrs 3 mos

As a Medical Billing Executive with 4 years of experience at CareCloud (formerly MTBC), I specialized in optimizing revenue cycle performance for high-volume healthcare practices. My core responsibilities and achievements included: Revenue Cycle Management: Managed end-to-end billing workflows, ensuring accurate and timely submission of claims to maximize reimbursement. Denial Management: Performed root-cause analysis on denied claims, implementing corrective actions that successfully reduced denial rates by 20%. A/R Optimization: Diligently followed up on outstanding claims, successfully reducing average Accounts Receivable (A/R) days from 58 to 40. Process Improvement: Utilized advanced billing software to streamline operational workflows, resulting in a 25% increase in overall claim processing speed. Compliance & Accuracy: Maintained strict adherence to HIPAA regulations and payer-specific guidelines to ensure data integrity and minimize audit risks. Payer Relations: Served as a liaison between healthcare providers and insurance payers, negotiating effectively to resolve complex billing disputes.