SUMAIRA BASHIR

Perform AR calling and denial management for US healthcare claims across commercial insurance, Medicare, and Medicaid

Independently manage assigned AR work queues with minimal to no supervision

Analyze and resolve insurance denials related to coding errors, authorization issues, eligibility, medical necessity, and timely filing

Prepare and submit appeals with proper clinical and billing documentation

Ensure compliance with Revenue Cycle Management (RCM) processes to improve cash flow and reduce AR days

Work extensively on AdvancedMD and Waystar billing platforms for claim submission, rejections, and follow-ups

Utilize EMR systems including EPIC, AdvancedMD, eClinicalWorks (ECW), and Practice Fusion

Review and validate CPT, ICD-10, and HCPCS codes to ensure billing accuracy and regulatory compliance

Handle Telehealth RPM and CCM billing workflows, ensuring correct documentation and reimbursement

Maintain accurate notes and follow-up records while meeting productivity and quality benchmarks

• Effective examination and diagnosis of oral cancer patients, TMJ disorders, Salivary Gland Disorders, OSMF, Leukoplakia, Lichen planus, BRONJ, Leukemia, Oral Cysts and Tumors, Blood related oral manifestations, Scleroderma, Pulp and Periodontal diseases and Emergency dental procedures & Trauma cases
• Performed COVID-19 Screening duties.

• Examining patients, diagnosis, restorations, RCT of Anterior and posterior
• Educated patients about proactive dental care and plaque control
• Diagnosis of oral diseases, like oral cancers
• Performed restorative procedures; composite, Gic and amalgam restorations, RCT of posteriors and anterior, prosthetic treatments
• Worked with pediatric patients to address dental needs
• Performed routine dental examinations and checkups
• Treated patients with utmost care and respect