Mohd Tauheed

Managed Accounts Receivable (AR) follow-ups and prior authorization processes within the US healthcare revenue cycle, ensuring timely claim resolution and maximum reimbursement. Played a key role in reducing AR aging and minimizing denials through effective payer communication, accurate documentation, and proactive issue resolution. ➢ Conducted root cause analysis of denials and implemented corrective measures to improve first-pass claim acceptance rates. ➢ Performed AR calling with US insurance payers (Medicare, Medicaid, and Commercial) to follow up on outstanding claims and secure timely payments ➢ Analyzed and resolved claim denials, including bundled denials, prior authorization denials, and medical necessity denials, ensuring accurate claim reprocessing ➢ Reviewed EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advices) to identify payment discrepancies and take corrective action ➢ Submitted appeals and reconsiderations with proper documentation to recover denied or underpaid claims ➢ Handled prior authorization requests, verified coverage and benefits, and ensured compliance with payer guidelines to prevent claim rejections.

Created detailed course content and lecture modules for postgraduate programs like MA in HRM and MBA in Leadership Excellence, aligned with EU (Level 7) and ECTS academic standards. Wrote, reviewed, and edited academic scripts to ensure clarity, originality, and global compliance. Maintained 100% accuracy during academic audits and helped raise student satisfaction scores by 35% through learner-focused content. Contributed to improved international enrolments by producing high-quality, credible educational materials. Wrote SEO-optimized academic blogs and social media posts to promote programs, improve search visibility, and increase engagement across platforms.

At JobRath, I developed structured training content and practical learning resources focused on the US healthcare revenue cycle, with emphasis on AR calling and denial management. My work simplified complex medical billing concepts and prepared jobseekers for RCM roles. ➢ Designed and delivered training content and video modules on AR calling, denial handling, and prior authorization processes for both YouTube and offline learning programs ➢ Created easy-to-understand training materials covering denial types such as bundled denials, authorization denials, and claim rejections, improving learner comprehension and practical application ➢ Developed step-by-step working techniques and real-time call flow explanations to help candidates