Overview
Work History
Education
Skills
Certification
Languages
Timeline
Hi, I’m

FARVEZ MOHAMED

RCM SPECIALIST
Chennai,TN
FARVEZ MOHAMED

Overview

4
years of professional experience
1
Certification

Work History

MedExpert

Account Receivable Specialist - E2 Ambulance Billing (End-to-End)
09.2024 - Current

Job overview

  • Review and resolve issues reported by clients and internal teams, ensuring 98% resolution rate within SLA targets.
  • Analyze and address root causes of denials including incorrect coding and missing information.
  • Prepare and submit appeals through payer portals, reducing denial turnaround time by 20%.
  • Collaborate with billing, coding, and provider relations teams to optimize operational processes and prevent future issues.
  • Monitor issue trends and recommend process changes, improving client satisfaction by 15%.
  • Prepared and submitted appeals packets (medical records, primary EOBs, supporting narratives), reducing average denial turnaround by 20%

R1RCM

Analyst, Sutter Health - Hospital Billing (End-to-End)
07.2023 - 09.2024

Job overview

  • Managed full claim lifecycle in Epic and nThrive-submission, tracking, denial analysis and appeals-for an average of 35 claims/day
  • Performed detailed root-cause analysis to resolve denials due to coding errors, missing documentation, authorization lapses and timely-filing expirations
  • Conducted pre-call claim reviews and initiated follow-up with payer representatives via phone and web portals, achieving a 95% denial resolution rate within SLA
  • Handled critical and priority accounts escalations, collaborating cross-functionally with coding, billing and provider relations teams to expedite adjudication
  • Monitored claim and appeal statuses on Health Plan and IPA portals; generated weekly performance dashboards to identify trends and recommend process improvements

HEXAWARE TECHNOLOGIES

Executive, Background Verification (US)
03.2022 - 04.2023

Job overview

  • Conducted end-to-end US background screenings for healthcare staffing candidates, verifying employment history, education credentials via phone outreach and criminal records through state correction department portals
  • Liaised with clients to obtain required documentation, reducing average turnaround time by 25%
  • Performed QA audits on 50+ background reports per month, ensuring 99% compliance with internal policies and FCRA regulations
  • Developed and delivered training materials for 5 new hires on verification workflows, portal navigation and quality standards, boosting team throughput by 30%
  • Generated weekly status reports and root-cause analyses to highlight recurring data gaps and drive process enhancements

Education

The New College

BA from sociology (Organisational behaviour)
01.2022

The Muslim Higher Secondary School

HSC from Commerce with Business Maths
01.2019

The Muslim Higher Secondary School

SSLC
01.2017

Skills

  • Issue Resolution & Problem Solving
  • SLA & SLC Management
  • Claims & Denials Management
  • Process Improvement & Optimization
  • Epic
  • NThrive
  • Emsmart
  • Insurance Payer Portals
  • Microsoft Office

Certification

  • Digital Marketing Pro-Course, MyCaptain, 2023
  • Consistently exceeded SLA targets, maintaining 95%+ on-time resolution.
  • Recognized by leadership for process improvement suggestions that reduced recurring denials by 10%.

Languages

English
Advanced (C1)
Hindi
Advanced (C1)
Tamil
Bilingual or Proficient (C2)

Timeline

Account Receivable Specialist - E2 Ambulance Billing (End-to-End)

MedExpert
09.2024 - Current

Analyst, Sutter Health - Hospital Billing (End-to-End)

R1RCM
07.2023 - 09.2024

Executive, Background Verification (US)

HEXAWARE TECHNOLOGIES
03.2022 - 04.2023

The New College

BA from sociology (Organisational behaviour)

The Muslim Higher Secondary School

HSC from Commerce with Business Maths

The Muslim Higher Secondary School

SSLC

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FARVEZ MOHAMEDRCM SPECIALIST