Azharkhan Patel
RCM Professional
Hyderabad
Summary
RCM Professional managing denial management, AR follow-up, medical billing, and insurance verification to support accurate reimbursement across commercial and government payers. Reviews claims, resolves billing discrepancies, and coordinates payer follow-up to reduce payment delays and improve claim accuracy. Applies ICD-10-CM, CPT, HCPCS, HIPAA, and payer portal workflows across daily revenue cycle operations.
Overview
3
3
Languages
14
14
years of professional experience
Work History
RCM Professional
Advantum Health Pvt Ltd
Hyderabad
04.2024 - Current
- Promoted to RCM Professional in recognition of strong performance, accuracy, and consistent contributions.
- Managed revenue cycle activities including denial management, AR follow-up, medical billing, aging analysis, and insurance verification to enhance reimbursement processes.
- Reviewed and validated insurance claims, identified billing discrepancies, and coordinated issue resolution to ensure timely reimbursement and increase claim accuracy.
- Submitted accurate and timely claims to commercial insurance providers and government payers, contributing to reduced denials and minimized payment delays.
- Apply knowledge of healthcare billing processes, payer requirements, and HIPAA-compliant practices throughout RCM operations.
Client Specialist
Access Healthcare Services Pvt Ltd
Pune
07.2021 - 04.2024
- Managed delinquent accounts and coordinated collection activities to recover outstanding balances and enhance cash flow.
- Conducted AR follow-up and reviewed account status to resolve outstanding issues at payer and account levels.
- Trained and mentored Accounts Receivable team members on billing processes, operational best practices, and compliance requirements.
- Supported improved operational accuracy and efficiency through team guidance, process adherence, and knowledge sharing.
- Collaborated with cross-functional teams and management to enhance communication and support organizational objectives.
Quality Analyst
Teleperformance
Indore
10.2020 - 07.2021
- Conducted quality audits of AR caller interactions, ensuring adherence to client guidelines, HIPAA regulations, and standard operating procedures, enhancing overall compliance.
- Performed quality audits of AR caller interactions to ensure compliance with client guidelines, HIPAA regulations, and standard operating procedures.
- Evaluated insurance follow-up calls and documentation accuracy, providing constructive feedback to improve productivity and process adherence.
- Monitored denial management and AR workflows, including claim status updates, payment posting accuracy, and timely issue resolution.
- Identified process gaps and communicated corrective feedback to support quality and compliance objectives, driving improvements in operational standards.
Accounts Receivable – Caller
Green Bills Technologies Pvt Ltd
Nashik
07.2019 - 09.2020
- Reviewed claims submitted to insurance companies, confirming payment dates and details to ensure timely reimbursement.
- Managed denials, rejections, and no-response work queues, documenting issues and performing follow-up to expedite resolution.
- Reviewed claims submitted to insurance companies and followed up to confirm payment dates, payment details, and claim status.
- Compiled daily management reports with claim status and account updates to inform decision-making and prioritize follow-up actions.
Self-Employed Pharmacist
H P Pharma
Nashik
12.2014 - 06.2019
- Managed medication and product inventory levels, ensuring consistent availability and supporting seamless pharmacy operations.
- Delivered customer service and expert guidance on medication use and product selection, enhancing patient satisfaction and informed decision-making.
- Monitored and replenished inventory of pharmaceutical products, maintaining availability to meet patient needs effectively.
Pharmacist
New Rays Chemist
Vasai
02.2013 - 03.2014
- Processed and dispensed prescriptions with precision, ensuring compliance with regulatory and safety standards.
- Provided medication-related guidance, supporting optimal patient outcomes and maintaining accurate dispensing practices.
- Managed pharmaceutical inventory, coordinating timely restocking of essential medications and supplies to prevent shortages.
Education
Bachelor of Pharmacy - B.Pharm
Pune University
Pune04-2012
Diploma - Pharmacy (D.Pharm)
Maharashtra State Board of Technical Education
Pune07-2007
Skills
- Revenue Cycle Management (RCM)
- Accounts Receivable (AR)
- Medical Billing
- Claims Processing
- Payment Posting
- Denial Management
Timeline
RCM Professional
Advantum Health Pvt Ltd
04.2024 - Current
Client Specialist
Access Healthcare Services Pvt Ltd
07.2021 - 04.2024
Quality Analyst
Teleperformance
10.2020 - 07.2021
Accounts Receivable – Caller
Green Bills Technologies Pvt Ltd
07.2019 - 09.2020
Self-Employed Pharmacist
H P Pharma
12.2014 - 06.2019
Pharmacist
New Rays Chemist
02.2013 - 03.2014
Diploma - Pharmacy (D.Pharm)
Maharashtra State Board of Technical Education
Bachelor of Pharmacy - B.Pharm
Pune University