概要

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

工作经历

公司标识
Team Lead - Production Team
Exponere Billings LLC
Jan 2020 - 代表 | 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

公司标识
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.

公司标识
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.

公司标识
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.

学历

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

技能

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

语言

熟练 英语