Bahzad Moeeni

• Oversee and lead a team of 90+ RCM specialists in managing end-to-end revenue cycle processes
• Successfully led a team in the transition to a new process, ensuring a smooth integration and minimal disruption to operations.
• Knowledge of revenue cycle operations, such as processing, payments, reimbursements, and denials.
• Aided in creating client-focused strategies that translated into effective implementation plans for IT teams to streamline operations.
• Devised and executed techniques to boost precision in billing, lower rejection, and augment revenue generation.
• Analyze business metrics and key performance indicators (KPIs) to identify areas for improvement and implement targeted interventions
• Collaborate with cross-functional teams, including billing, coding, and compliance, to ensure seamless revenue cycle operations.
• Conduct regular training sessions to keep the team abreast of industry regulations, current trends, and best practices.
• Experience in operating model design, revenue optimization, cost reduction, and opportunity insights development; financial modeling and business case development; alignment of business processes with business strategy; and IT/vendors.
• Responsible for making movement of resources on a need basis. Project management and resource planning as per project scope.
• Regular interaction with clients, stakeholders via emails or calls, and play a key role between clients and the company.

• Mentored team members to foster a positive and productive work environment.
• Analyze the Open Item (AR reports) and work on the claims, giving high priority to the high dollar value claims
• To submit physician claims on CMS-1500 and hospital claims on UB-04.
• Responsible for preparing daily, weekly, and monthly team production reports.
• Provided on-the-job training to the new team members.
• Handled the team's quality check at times.
• Plan attrition for the individual projects and ensure there is no fallback in terms of non-availability of resources.

• Conducting regular audits and analyses to identify revenue leakage and process inefficiencies.
• Utilized RCM software to track and manage claims, ensuring accuracy and compliance with billing regulations.
• Implemented and maintained effective communication channels with internal departments to streamline revenue cycle workflows.

• Verify patient eligibility for benefits by checking Medicare, Medicaid, or private insurance coverage.
• Identify potential issues with claims and communicate effectively with providers to resolve discrepancies.
• Process claims according to established protocols and regulations within designated timeframes.
• Review medical records, including patient demographics, diagnoses, procedures, and services rendered, to determine accurate coding and billing.

• Review and monitor outstanding accounts receivable balances.
• Follow up with insurance companies and patients regarding unpaid claims and outstanding balances.
• Investigate and resolve denials, underpayments, and billing issues.
• Process appeals and reconsiderations for denied or underpaid claims.
• Maintain accurate and up-to-date billing records and documents.
• Generate aging reports and analyze accounts receivable aging to identify delinquencies and trends.
• Maintain accurate and up-to-date billing records and documents.
• Collaborate with the billing and coding team to ensure accurate claim submissions.
• Provide regular updates and reports to management on AR status and performance metrics.
  

• Reviewed outstanding accounts receivable balances.
• Followed up with insurance companies and patients regarding unpaid claims and outstanding balances.
• Researched and resolved presentation shortcomings, any financial discrepancies or billing problems.
• Processed appeals for denied claims and reconsiderations for underpaid claims.
• Maintained accurate and updated billing records and documents.

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