Summary

Having more than 14 years working experience in the field of Medical Billing and processing of all tasks relating to Medical billing such as claim processing, payments posting and Practice Management and analysis etc

Experience

Company Logo
Team Lead - Production Team
Exponere Billings LLC
Jan 2020 - Present | Lahore, Pakistan

Manage and supervise the day-to-day operations of Medical Billing Team.
Responsible for managing attrition and absenteeism in the team.
Answer questions and resolve problems regarding medical billing activities.
Critical Analysis of team members output and guides them to improve accuracy.
Assisting development team for new clients setup by verifying codes, Cost and insurances.
Training of new resources.
Verifying the clearing house Claims report from web portal and following up on rejected Claims.
Communicate with the Providers office to resolve incomplete charges or missing information required to submit a claim.
Review Insurance and patient Accounts Receivable and Provide Solution to Practice Lead on Denied Claims.
Work closely with the Accounts Receivable and Client Services teams to ensure that billing defects are resolved in a timely manner that results in prompt collections ability.
Conduct meetings with team and team members one to one to improve quality and quantity of work.
Create reports to keep company update about teams progress and performance.
Preparing Weekly, Monthly, Yearly and analysis reports

Company Logo
Medical Billing Executive/ Team Lead
AdamSoft International
Jan 2013 - Jul 2019 | Lahore, Pakistan

• Manage and supervise the day-to-day operations of Medical Billing Team.
• Responsible for managing attrition and absenteeism in the team.
• Answer questions and resolve problems regarding medical billing activities.
• Critical Analysis of team member’s output and guides them to improve accuracy.
• Assisting development team for new client’s setup by verifying codes, Cost and insurances.
• Training of new resources.
• Verifying the clearing house Claims report from web portal and following up on rejected Claims.
• Communicate with the Provider’s office to resolve incomplete charges or missing information required to submit a claim.
• Review Insurance and patient Accounts Receivable and Provide Solution to Practice Lead on Denied Claims.
• Work closely with the Accounts Receivable team to ensure that billing defects are resolved in a timely manner that results in prompt collections ability.
• Conduct meetings with team and team members one to one to improve quality and quantity of work.
• Create reports to keep company update about team’s progress and performance.
• Any other task assign by COO.

Company Logo
Medical Biller and Coordinator
AdamSoft International
Apr 2007 - Dec 2012 | Lahore, Pakistan

• Filing Medical Claims to insurance within time and with optimal accuracy.
• Posting insurance/Patients payments.
• Analyze denied/rejected claims by payer & clearing house and resubmit after correction.
• Prepare patients’ billing statements and ensure that they are sent to them in a timely manner.
• Review patients’ billing statements to ensure accuracy of information.
• Follow up on Insurance and Patient balance and provide report to A/R team.
• Re-submission of denied claims and appeal of denied claims, as required.
• Verification of work done by junior team members for quality assurance purpose.
• Assisting team lead for new client’s setup by verifying codes, cost and insurances.
• Communicating system requirements with team Lead.
• Verification of system’s enhancement regarding Medical billing.
• Any other task assign by Team Leader.

Company Logo
Medical Charge Entry Coder
AdamSoft International
Dec 2004 - Mar 2007 | Lahore, Pakistan

• Receive and review charge documents from the clients.
• Entering Demographics and Charges.
• Appending appropriate modifiers, verifying authorization and correct coding initiative (CCI) payer’s specifics.
• Verification of Insurance Coverage & Claim Submission.
• Payment posting & Reconciliation with detail received.

Education

University of the Punjab
Bachelors, , B.A‎
2004
Microsoft
Certification, MCSE‎
MCSE (Microsoft Certified Systems Engineer)
Completed
2001

Skills

Expert Accounts Administration
Expert Adaptive Leadership
Beginner Audio Transcription
Expert Claim Preparation
Expert Claims Handling
Expert Claims Resolution
Expert Claims Review
Intermediate Client Dealing
Expert Communication Skills
Expert Computer Proficient
Expert Counter Billing
Expert Data Driven Decision Making
Expert EMRs
Expert Financial Accounting
Expert Fluent in English
Expert Health Insurance Knowledge
Expert Hiring Team Building
Expert Insurance law
Expert Management Accounting
Expert Medical Billing
Expert Medical Billing Process Knowledge
Expert Medical Technology Knowledge
Expert Medical Transcription Writing
Expert Outstanding Time Management
Expert Processing Knowledge
Expert RCM
Expert Security Principles
Expert Team Learning
Expert Team Management
Expert Team Mgmt
Expert US Healthcare Billing

Languages

Expert English