Furkan Khan

Led end-to-end medical billing and accounts receivable operations for assigned payer portfolios, ensuring accurate charge entry, clean claims submission, and timely reimbursements under RCM standards. Investigated and resolved denials, underpayments, and billing discrepancies by coordinating with payers/TPAs and internal coding and clinical teams to improve first-pass resolution. Performed HIPAA- and guideline-aligned quality audits to reduce rejections and compliance risk, prepared AR aging/collections/TAT reports for management, verified eligibility and prior authorizations, and posted payments/adjustments accurately. Acted as an escalation point for high-value and aged claims, collaborating cross-functionally to streamline workflows, shorten claim turnaround time, and mentor junior billing staff on claims processing, denial management, and AR follow-ups.

Handled insurance eligibility verification and retrieved claims data from payer portals to reduce denial rates through accurate pre-authorization and benefits verification. Researched and resolved account discrepancies, billing disputes, and credit history issues while maintaining strong collection performance and improving AR turnaround time. Produced weekly/monthly AR aging reports and financial statements using Excel, and collaborated with collections, billing, and clinical teams to investigate billing errors in line with payer guidelines and HIPAA requirements. Prepared dispute batches and client briefs/invoices, maintaining accurate records of payment statuses, credit notes, and account histories in MIS.

Managed operational workflows and client communications by ensuring timely resolution of logistics queries and maintaining high service delivery standards. Designed and maintained Excel-based MIS reports and dashboards with data-driven insights for senior management decisions, administered and maintained company databases to ensure data consistency and integrity, and built weekly performance reports with trend analysis to identify inefficiencies and recommend improvements that streamlined reporting timelines.