Ihtesham Ulhaq

• Managed end-to-end Revenue Cycle Management (RCM) for US healthcare providers, processing 200+ claims
monthly with a 95%+ first-pass claim acceptance rate.
• Performed eligibility verification and benefits checking through NPHIES, Availity, and payer portals, reducing
claim rejections by 18%.
• Processed prior authorization requests for high-cost procedures including EEG, EMG, NCV, and Botox injections
while ensuring payer compliance.
• Specialized in Neurology, Ophthalmology, and Behavioral Health billing with expertise in CPT & ICD-10 coding
for cataract surgeries, TMS therapy, and surgical procedures.
• Managed denial resolution and Accounts Receivable (AR) follow-up, recovering $50K+ in outstanding reim
bursements through effective payer communication and appeals.
• Coordinated patient care workflow as a Primary Care Coordinator for Dr. Osama Ansari MD, handling schedul
ing, patient intake, and provider communication in a fast-paced clinic environment.
• Reviewed medical documentation and validated CPT/ICD-10 codes against payer policies to improve coding
accuracy and minimize denials.
• Maintained HIPAA compliance and accurate patient records within EMR/EHR systems including Tebra, CureMD,
eClinicalWorks, and Athenahealth.
• Generated daily and weekly reports on claims status, authorizations, and revenue trends to support provider
decision-making and operational efficiency.
• Assisted in training junior staff on NPHIES submissions, claim corrections, and denial management workflows
• Provided daily reports to healthcare providers regarding claims and approvals.
• Maintained accurate patient records and billing data entry.
• Cross-checked documentation against payer policies to ensure coding compliance and reduce claim rejections
before submission.
• Identified coding discrepancies and coordinated with providers to correct documentation for clean claim submis
sion.