خلاصہ

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

تجربہ

کمپنی کا لوگو
Team Lead - Production Team
Exponere Billings LLC
جنوری ۲۰۲۰ - موجودہ | 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

کمپنی کا لوگو
Medical Billing Executive/ Team Lead
AdamSoft International
جنوری ۲۰۱۳ - جولائی ۲۰۱۹ | 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.

کمپنی کا لوگو
Medical Biller and Coordinator
AdamSoft International
اپریل ۲۰۰۷ - دسمبر ۲۰۱۲ | 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.

کمپنی کا لوگو
Medical Charge Entry Coder
AdamSoft International
دسمبر ۲۰۰۴ - مارچ ۲۰۰۷ | 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.

تعلیم

University of the Punjab
بیچلرز, , B.A‎
2004
Microsoft
سرٹیفیکیشن, MCSE‎
MCSE (Microsoft Certified Systems Engineer)
مکمل
2001

پیشہ ورانہ مہارتیں

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

زبانیں

ماہر انگریزی

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