Mohammed N.

Key Skills

Software

No software listed

Top Subject Matter

US Healthcare Revenue Cycle Management (Medical Billing & AR)

HIPAA compliance

denial/discrepancy review

Top Data Types

Text

Document

Top Task Types

Classification

Freelancer Overview

Quality Auditor in Contract Review, Compliance, and Legal Research. Brings 9+ years of professional experience across complex professional workflows, research, and quality-focused execution. Core strengths include Internal and Proprietary Tooling. Education includes High School Diploma, Mumbai (2009) and Bachelor of Commerce, Mumbai University (2022). AI-training focus includes data types such as Text, Medical, and DICOM and labeling workflows including Evaluation, Rating, and Classification.

Labeling Experience

Quality Auditor (May 2025 – Present) at Onpoint Healthcare Partners India Pvt. Ltd.

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Performed quality audits on medical billing and AR processes with a strong emphasis on HIPAA and client compliance. Produced root cause analysis and corrective feedback to enhance operational efficiency and reduce errors. Acted as a quality reviewer to validate adherence to defined billing and AR standards within the US healthcare revenue cycle workflow.• Conducted detailed quality audits on medical billing and AR processes.• Delivered root cause analysis (RCA) and actionable feedback to teams.• Ensured compliance with HIPAA and client quality standards.• Collaborated with stakeholders to streamline workflows and improve turnaround time.

2025 - Present

Subject Matter Expert (July 2023 – April 2025) at Onpoint Healthcare Partners India Pvt. Ltd.

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Served as a Subject Matter Expert supporting operations by training staff and resolving billing/AR issues using quality audit findings. Conducted compliance-focused review of medical billing and accounts receivable workflows to ensure adherence to client and HIPAA requirements. Provided structured feedback and root-cause insights to improve team accuracy and turnaround time.• Trained team members on correct claim/billing and AR handling practices.• Supported issue resolution through investigation and documented guidance.• Applied quality findings to coach process improvements across operations.• Collaborated with US-based clients to align workflow standards and reduce errors.

2023 - 2025

Denial Management Executive (Apr 2022 – Jul 2023) at ViewGol Healthcare Technologies Solution Pvt. Ltd.

Classification

Worked as a Denial Management Executive handling hospital claim processing workflows to identify and resolve reimbursement discrepancies. Focused on reviewing claim documentation (including UB-04 forms) and ensuring claims were processed with correct details for reimbursement outcomes. Supported dispute resolution by detecting discrepancies and guiding corrective actions for successful adjudication.• Processed and documented hospital claims for reimbursement using UB-04 claim format.• Identified discrepancies in claims and supported resolution activities.• Managed hospital claims handling to improve reimbursement outcomes.• Performed review-oriented tasks on medical billing documents for accuracy.

2022 - 2023

Denial Management Executive (Jan 2020 – Mar 2022) at Gebbs Healthcare Solutions

Classification

Specialized in hospital claims denial management with a primary focus on UB-04 forms and reimbursement documentation review. Undertook discrepancy identification tasks to support corrected claim submissions and improved denial outcomes. Contributed to denial handling by ensuring claim details were checked for accuracy prior to processing outcomes.• Handled UB-04 form based hospital claims management.• Identified claim discrepancies for follow-up and correction.• Supported denial management workflows through document verification.• Maintained accuracy in reimbursement-related claim processing.

2020 - 2022

Denial Management Executive (Oct 2018 – Nov 2019) at Infinix Healthcare

Classification

Worked as a Denial Management Executive focused on hospital claims processing and discrepancy handling. Conducted review-oriented tasks on claims documentation as part of denial management activities. Supported accurate claim workflows by ensuring relevant claim details were checked for correctness prior to processing outcomes.• Participated in hospital claim denial management workflows.• Reviewed claim information to find and flag discrepancies.• Assisted with follow-up actions related to claim correctness.• Supported processing accuracy for reimbursement outcomes.

2018 - 2019

Education

Work History