工作经历

公司标识
Senior AR Executive
Cure MD
Sep 2015 - 代表 | Lahore, Pakistan

 Handling several Clients/Providers.
 Checking eligibility and benefit verification.
 Follow up on unpaid claims within standard billing cycle timeframe through Calls.
 Research and appeal on denied claims.
 Answer all insurance telephone inquiries pertaining to assigned accounts.
 Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
 Call insurance companies regarding any discrepancy in payments if necessary
 Analyzes and resolves EDI claim rejections and denials related to coding issues/Patient information.
 Identify and bill secondary or tertiary insurances.
 Reviews health record documentation, Superbill, computer generated reports and other reporting tools to identify all services and procedures performed by Clients.
 Assigns appropriate ICD-10 diagnosis codes selecting the codes that accurately describe the condition for which the service or procedure was performed.
 Prepares paper and electronic claims for submission to the appropriate payer.
 Obtains and submits copies of medical documentation as required or requested by third party payers.
 Identifies services and procedures provided but not adequately documented in the health record. Advises Office Manager and Client of documentation deficiencies.
 Identifies trends and ongoing problems related to medical documentation and recommends possible solutions.
 Answers patient questions, identifies and resolves patient billing complaints
 Evaluates patient financial status and establishes payment plans
 Obtain referrals and pre-authorizations as required for procedures.
 Review patient bills for accuracy and completeness and obtain any missing information
 Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
 All accounts are to be reviewed for insurance or patient follow-up
 Other duties as advised by the Team Lead/Manager.

学历

University of the Punjab
学士, 贸易学士, ‎
Matriculation with Science
所占比重 50%
2016
BISE
中级/A级, , I.Com‎
所占比重 63%
2014
BISE
大学入学/0级, , Matric in Computer Science‎
所占比重 65%
2012

技能

初学者 Accessible Interface Design
初学者 British Accents
初学者 Corporate Tax Filings
初学者 CRM Analysis
初学者 Government Contract Negotiations
初学者 Handling Assignments
初学者 Health Insurance Knowledge
初学者 Invoice Discounting
初学者 Key Account Management
初学者 Korean Teaching
初学者 Marine Insurance
初学者 Microsoft Outlook
初学者 Paraplanning
初学者 Pricing Negotiations
初学者 Provident Fund Management
初学者 Sage 100 ERP
初学者 Social Welfare Management
初学者 TaxAct
初学者 TaxCut
初学者 محادثة المبيعات
初学者 Vehicle Allocation
初学者 Voucher Management
初学者 التمويل الحسابي

语言

熟练 旁遮普语
熟练 英语
熟练 乌尔都语