Mohammad Javed — US Healthcare AR Specialist

Recovering revenue with precision and purpose.

26+ months in US Healthcare AR

I am a US Healthcare Accounts Receivable specialist with hands-on experience managing claims follow-up and denial management for healthcare providers across the United States. My work spans the full revenue cycle — from insurance verification and claim submission through to denial resolution, appeals management, and payment posting — with particular focus on recovering aged and denied claims efficiently. Proficient in Athenahealth, Trizetto, Waystar, Availity, and Medistream. HIPAA certified.

26+

Months Experience

Major Payers

✓

HIPAA-trained

97%

Claim Resolution Rate

MedicareUnitedHealthcareAetnaBCBSCignaAthenahealthTrizettoWaystarAvailityMedistream

Where I Have Worked

Senior Process Associate – Accounts Receivable

Knack RCM — Jaipur, Rajasthan

Oct 2025 – Present

Execute end-to-end denial resolution for US healthcare providers across Medicare, UHC, Aetna, BCBS, and Cigna. Draft evidence-based appeal letters for complex medical necessity, timely filing, and coding-related denials. Manage insurance follow-up through Athenahealth, Trizetto, Waystar, Availity, and Medistream. Conduct EOB analysis, prior authorisation management, and payment variance reconciliation.

Denial ManagementAppealsEOB AnalysisAthenahealthHIPAA

Process Associate – Accounts Receivable

Knack RCM — Jaipur, Rajasthan

Sep 2024 – Oct 2025

Managed AR follow-up and denial management across multiple US healthcare payers. Performed claim status checks, insurance verification, and payer portal follow-up. Identified root causes of recurring denials and contributed to reduction in outstanding AR aging.

AR Follow-upInsurance VerificationPayer Follow-up

Process Associate

Dr ITM Private Limited — Mohali, Punjab

Jun 2023 – Jul 2024

Handled multi-channel customer support and billing inquiries for international healthcare clients. Managed CRM documentation and case resolution within defined SLAs.

Customer SupportCRMHealthcare BPO

Work I Am Proud Of

Live Projectclaimfixer.lovable.app

ClaimFix Pro — Free Healthcare RCM Toolkit

Built a free US healthcare RCM web application after 25+ months working AR daily. Features 120 CARC/RARC denial codes (34 with interactive action trees), timely filing calculator with CFR citations for 20 payers and programs, appeal generator with hardcoded ERISA citations, NCCI-style claim scrubber, prior auth matrix, and AR work queue with TFL priority scoring.

120

denial codes

payers and programs

integrated tools

Free

no login

ReactSupabaseHealthcare RCMDenial Management

View Live Tool

What I Bring to the Table

Payers

MedicareUHCAetnaBCBSCigna

Platforms

AthenahealthTrizettoWaystarAvailityMedistream

Competencies

Denial ManagementAR Follow-upAppeal WritingEOB AnalysisTimely FilingPrior AuthorizationHIPAA CompliancePayment Posting

HIPAA Compliance Training

HIPAA Training.us

Credential ID: HIPAA-0031638

AI Fluency: Frameworks and Foundations

Anthropic

2025

Lean Six Sigma White Belt Certification

Educate 360

Issued Dec 2025 · Credential ID: djUwNTk2OS0yOTg

MohammadJaved