Shiraz Ahmed, CHFP, CRCR

Revenue Cycle Leadership | Healthcare Financial Management | Healthcare Analytics | Reimbursement Specialist | Healthcare AI | AI Tools Reviewer | AIHealthFinance.com

Houston, Texas, United States

About

Seasoned healthcare finance leader with 12+ years of experience in revenue cycle management, financial operations, and accounting across inpatient facilities, recovery centers, ERs, outpatient clinics, and hospice settings. Proven track record in leading cross-functional RCM teams, optimizing financial performance, and driving turnaround strategies through data analytics, AI integration, and automation. Skilled in M&A support, financial modeling, and compliance, with expertise in SQL, Power BI, Tableau, and Excel. Passionate about advancing sustainable growth and operational efficiency in healthcare organizations.

Experience

  • Director RCM & Patient Financials at Kemah Palms Recovery
    Dec 2023 - Present · 2 yrs 7 mos

    As Director of RCM & Patient Financials, I oversee the full spectrum of revenue cycle operations and patient financial services, ensuring financial integrity, compliance, and sustainable growth across healthcare entities. Key Responsibilities: Lead end-to-end revenue cycle operations including patient access, charge capture, coding, billing, collections, denials management, and cash posting. Develop and implement financial strategies to optimize collections, reduce AR days, and improve cash flow across inpatient, outpatient, and ancillary service lines. Oversee patient financial services, including payment plans, financial counseling, and resolution of patient accounts to enhance satisfaction and retention. Drive payer contracting, reimbursement analysis, and negotiations to ensure favorable terms with commercial payers. Design and monitor KPIs, dashboards, and financial reports to track operational efficiency and compliance with federal/state regulations. Collaborate with cross-functional leadership (clinical, compliance, finance, IT) to improve processes, reduce denials, and strengthen documentation practices. Manage multi-entity structures, intercompany transfers, and financial reconciliations across corporate healthcare operations. Implement technology solutions (EHR/RCM platforms, reporting tools, AI/automation) to streamline workflows and improve accuracy. Key Achievements: Successfully reduced AR days and improved net collection rates by implementing payer-specific strategies and denial prevention initiatives. Directed multi-million-dollar revenue streams while ensuring compliance with payer guidelines and healthcare regulations. Built financial models and reporting systems enabling executive leadership to make data-driven strategic decisions. Supported growth through acquisitions, expansions, and new service lines (adolescent recovery, outpatient programs)

  • Senior Revenue Cycle Consultant & AI Integration Lead at AKASA
    Sep 2022 - Jun 2023 · 10 mos

  • Senior Manager, RCM and Patient Financials at Arthur Lawrence (Altus Healthcare)
    Apr 2013 - Sep 2022 · 9 yrs 6 mos

    Key Responsibilities: Oversaw end-to-end revenue cycle processes, including patient billing, coding, insurance verification, and collections Monitored AR aging, denial trends, and clean claim rates, implementing strategies to improve performance Managed all financial transactions, reconciliations, and reporting using QuickBooks for multi-entity healthcare operations Supported monthly and annual close processes, financial forecasting, and variance analysis Maintained accurate revenue recognition and general ledger integrity across all departments Collaborated with leadership on budgeting, cost control, and financial planning initiatives Conducted internal audits to ensure compliance with payer rules, HIPAA, and GAAP standards Created and maintained custom financial reports and dashboards in QuickBooks and Excel Trained and supervised billing, coding, and finance teams to ensure quality and efficiency Liaised with clearinghouses, insurance payers, and external accountants for issue resolution and compliance

  • Senior Manager, RCM Operations at Sybrid Private Limited
    Sep 2008 - Mar 2013 · 4 yrs 7 mos