To obtain a challenging, demanding position in an organization where accomplishments are rewarded with responsibility and advancement and where I can make good use of my creative and decision-making abilities for the establishment of Future Plan: a goal-oriented professional and to aid management to help in plan and to run the organization effectively.Â
Specialties:
Believes in Initiative, Innovation, and Creativity.
Having 10 years of Medical Billing experience and 5 years of office administration.
Sound knowledge of USA and UAE medical billing operations.Â
Leadership, management, employee management and having client Communication skills.
Strong interpersonal and communication skills.
Aptitude for quick learning ability and highly developed sense of professional ethics.Â
Managing the Accounts Receivable function and day-to-day operational issues ensuring that all department goals, deadlines, and quality control expectations are met
Hands on experience on multiple medical billing softwares like AdvancedMD, Kareo Billing, NextGen Office, PrognoCIS, CollaborateMD, PracticeSuite, ECW, Isalus Billing, Medisoft, Practice Fusion, Centricity, Criterions (TCMS)
Plan, develop, organize, implement, evaluate and direct the accounts receivable functions
Analyze and observe AR functions and processes to ensure maximum workflow and productivity
Provide and conduct subject matter training sessions and monitor team performance accordingly
Communicate best practices with peers and implement corrective actions to improve AR workflow processes
Assure established procedures for processing A/R, charge entry, payment posting and denials management etc., are followed by all team members
Maintains an accurate aging report and to resolve outstanding A/R deficiencies in timely fashion
Communicate with providers via phone, email and through fax also relationship management with insurance companies and patients as well
Perform and/or coordinate month-end close processes and to assure daily and weekly reports along with custom reporting
Stay up to date of regulatory changes as they affect the business and A/R Billing practices
Coordinate and/or assist with HR/Finance and Admin in order to hire new staff based on the requirements
Trains newly hired Collectors and collaborate with team members to ensure that current knowledge is shared, as necessary
Adheres to all HIPAA guidelines
Performs other duties as may be assigned
Remotely handling of operations (Islamabad and Karachi) and to provide a bridge between management and teams
Primary responsibility including team management, running of operations & other utilization of resources
Oversee multiple related services; daily task assignments, sign offs, claim re-submissions, payment postings, follow-ups, reimbursement and escalations management etc.,
Worked on two different UAE based medical billing projects, 1. Al-Zahra Re-submission Project, 2. GHI Re-submission Project
Hands on experience of different Medical Billing Software like Sage Accpac, Le-Health, Apex-Plus, E-Claim, Mantaq, HIS and Oracle Finance etc.,
Have extensive knowledge of submission and re-submissions of claims, denial management (technical and medical denials), authorization protocols, general exclusions etc.,
Worked on DHPO and Greenrain clearing houses and have sound knowledge of DHA and HAAD policies
Structured & Implemented the UAE Operational processes for re-submission projects
Identification of Critical to Quality (CTQs) and Critical to Customer (CTCs) Attributes
Tele-converse with client on a regular basis to ensure the smooth running of operations and resolution of related issues
To perform different analytics and audits in order to maximize the revenue v/s re-submissions
Ensure to fulfill all Reconciliation activities initiated by client
Planned, organized and directed a wide range of training activities for the management and team
Designed & implemented complete Reporting structure. (Operational, Management and Client Reports)
Directly co-ordinate with other support department including Admin, Support & HR and MIS etc
Conduct interviews, hire new staff, and provide employee orientation
Implementation of HIPAA compliance
Responsible for overseeing accounts receivable, charge entry and payment posting functions
Perform follow-up work on commercial, HMO, Medicare, Medicaid, worker coms and auto insurance to insure compliance and resolution of problems
Examine the appropriateness of the eligibility and authorization requirements for inpatient and outpatient visits
Perform daily operational audits as well other special projects
Conduct regular meetings with billing executives to review medical billing processes and new updates
Root-cause analysis of different issues / problems and suggest solutions
Communicates with all payers for eligibility and authorization validation
Performs other duties as requested
I was promoted to Auditor Operations from Billing Executive
Follow-up on all practices, AR claims and exceptions for timely solutions
Primarily responsible for performing internal audit for assigned practices for submission of error free claims to insurances
Ensuring the audit findings and recommendations made during the course of the audit are promptly communicated to management
Quality checking & analysis of medical claims and conducting an exit review of all the work done on daily basis
I did work as Billing Executive for 10 months and have sound knowledge of the standards of medical billing such as demographic entry, charge entry and payment posting from EOB/ERA and able to work effectively in any of mentioned domain
I worked on the project of CM-Pak (ZONG) in Northern areas of AJK and Gilgit of Pakistan
I have to manage administrative and secretarial duties including special projects, effective office work flow, correspondence/documentations and record keeping
Management of procurement, transport, travel arrangements, fleet, assets, office, arrangements of meetings, functions and seminars etc are the key responsibilities of my job
Management of the project expenses and preparation of financial documents as required maintaining the petty cash balances
I performed my duties as Assistant to Deputy Director
I have to manage the procurement of internet and general equipment and also taking part in the management of marketing/advertising material
I have to coordinate in collection and evaluation of quotations/tenders, issue supply orders and process payments with finance
Correspondence, filling/paper work and direct communications with the vendors and clients regarding procurement of equipment and for marketing/advertising material
I also worked as Jr. Store Assistant in store department for 09 months
To keep update the stock items in store department by using inventory software and daily stock registers