MOHAMMED VASEEM B
SME
Chennai,TN
Summary
Result-oriented SME Lead with 9 years of progressive experience in the US Healthcare RCM industry Specially in Ambulance Billing. Proven expertise in AR follow-up, Denial Management, Quality Assurance, Billing & Coding, and end-to-end RCM operations. Adept at managing high-performing teams, leading QA initiatives, training staff, and optimizing revenue cycles through process improvements.
Overview
9
9
years of professional experience
4
4
Languages
Work History
SME Lead
MedExpert (a GCC of EMSMC)
08.2024 - Current
- Performed comprehensive QA audits across AR follow-up, billing, coding, and payment posting processes to ensure accuracy, compliance, and optimized revenue outcomes.
- Mentored and trained teams to maintain strict adherence to HIPAA, client policies, and ambulance billing regulations, ensuring compliance, and operational excellence.
- Conduct audits, develop scorecards, and deliver insights to leadership for performance improvement.
- Revised and updated Standard Operating Procedures (SOPs) and Billing Resource Manuals to ensure compliance with current ambulance billing regulations and industry standards.
- Lead client calibration sessions, and implement corrective measures from feedback.
SME Lead
Technosoft
08.2018 - 02.2020
- Oversaw QA operations, audit execution, and process optimization initiatives across claims and denials.
- Implemented audit checklists, tracked KPIs, and provided coaching to agents based on findings.
- Coordinated with management to close performance gaps through actionable insights.
- Led cross-functional teams to develop and implement best practices, significantly enhancing operational efficiency and knowledge sharing.
- Conducted comprehensive training sessions for new team members, fostering a culture of continuous learning and improvement across the organization.
- Collaborated with stakeholders to identify and analyze process gaps, driving initiatives that improved compliance and operational effectiveness.
- Spearheaded the development of training materials and resources, resulting in streamlined onboarding processes and increased staff competency.
Senior Executive – AR
MedAbyss
02.2020 - 07.2022
- Managed denial handling and appeals, increasing claim resolution rate by 25%.
- Posted payments and reduced processing errors by 20% through efficient adjustment strategies.
- Verified patient eligibility and streamlined claims submission, boosting revenue by 15%.
Senior AR Caller
Global Healthcare Resource
11.2017 - 11.2018
- Led full-cycle RCM processes for denied claims and ensured prompt payment collection.
- Managed patient billing, payment posting, and appeals through multiple channels.
AR Caller
Omega Healthcare
11.2016 - 11.2017
- Followed up with insurance payers, minimized denials, and maintained account aging below 120 days.
- Tracked and analyzed error data, contributing to billing process improvements.
Telephone Operator
VS Hospitals
01.2014 - 01.2015
- Handled inbound and outbound calls, ensuring effective patient communication.
- Managed incoming calls efficiently, ensuring timely routing to appropriate departments and maintaining high service standards.
- Assisted patients and families with inquiries, providing essential information to enhance their hospital experience.
- Operated multi-line phone systems, prioritizing urgent calls and ensuring prompt responses to critical situations.
- Documented calls and messages accurately, maintaining thorough records for effective communication across shifts.
Education
Bachelor of Science (B.Sc) -
Sree Muthukumaraswamy College
Chennai01.2015
Skills
In-depth Knowledge of TNT’s, BLS, ALS, ALS2, SCT & Lift Assistance Procedures EMS & Ambulance Billing Expertise
Familiar with Ambualnce billing ICD codes Software Proficiency: Touchstone, Sequelmed, Waystar (Zirmed), Trizetto, Azalea, WoundExpert (Net Health), Redoc, EMSafe, Change Healthcare, Citrix (RNB), Zoll Process Optimization & SOP Development Team Leadership, Coaching & Staff Training Client Collaboration & Process Calibration Payment Posting, Appeals & Reconciliation Quality Audits, HIPAA & Regulatory Compliance Accounts Receivable Follow-up & Denial Management Revenue Cycle Management (RCM)
Interests
Hobbies: Web Savvy
Timeline
SME Lead
MedExpert (a GCC of EMSMC)
08.2024 - Current
Senior Executive – AR
MedAbyss
02.2020 - 07.2022
SME Lead
Technosoft
08.2018 - 02.2020
Senior AR Caller
Global Healthcare Resource
11.2017 - 11.2018
AR Caller
Omega Healthcare
11.2016 - 11.2017
Telephone Operator
VS Hospitals
01.2014 - 01.2015
Bachelor of Science (B.Sc) -
Sree Muthukumaraswamy College