概要

A result oriented professional with over 10 years of experience in Revenue Cycle Management Operations.
Proven track record of developing procedures, service standards, operational policies, planning and implementing effective control measures to improve the service standards.
Expertise in designing and implementing training programs for bringing keen customer focus, high energy level and team spirit in the employees.
Excellent written, communication, inter personal, liaison and problem solving skills with the ability to work in multi cultural environment.
Passion for leading and building a team, conducting counseling, training and development sessions.
Strong ability to communicate ideas effectively through written and verbal material.
Skilled at learning new concepts quickly, working well under pressure, completing tasks on time and highly effective with time management.
Ability to multi-task and work aggressive time frames with minimal supervision.
Strong decision making skills and the ability to document issues, solutions and strategies effectively.
Extensive computer training, including knowledge of multiple networking environments and business software.
Proficient in Windows, Excel, Word, PowerPoint, Outlook, Adobe Acrobat and most major medical software's.

Specialties: Clinical Documentation Improvement, Coding, ICD-10, Compliance, Revenue Cycle Management, administration, auditing, billing, charts, cms, cpt, documentation, financial, focus, ICD-9, legal, letters, Medisoft, performance analysis, policy analysis, programming, quality control, reports, supervisory skills, teaching, treasury, workflow analysis.

工作经历

公司标识
Manager Quality Assurance
MD Vision CSD LLC
Apr 2016 - 代表 | Lahore, Pakistan

1. Identifying faulty practices and identifying corrective actions
2. Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
3. Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
4. Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
5. Trains, instructs, and/or provides technical support to medical providers and Medical Coding Analysts as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.
6. Staying abreast with changing coding guidelines and government regulations
7. Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and data management systems to coordinate these with UNM methodology, to ensure that client billing operations meet the joint requirements of both the local facility and UPA.
8. Interacts with providers and management to review and/or implement codes and to update charge documents.
9. Reviewed coding and billing systems and recommended proper training to employees
10. Ensures strict confidentiality of financial records.
11. Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
12. Performs miscellaneous job-related duties as assigned.

公司标识
Manager Operations
Physician's Revenue Group
Sep 2015 - Apr 2016 | Lahore, Pakistan

1. Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
2. Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
3. Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports.
4. Audits current procedures to monitor and improve efficiency of billing and collections operations.
5. Participates in the development and implementation of operating policies and procedures.
6.Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
7. Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
8. Performs physician credentialing actions.
9. Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
10. Maintains library of information/tools related to documentation guidelines and coding.
11Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
12. Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
13. Coordinates team member time off in a manner that does not negatively impact necessary daily functions.

公司标识
Manager Accounts receivables.
Omega Medical Billing
Feb 2011 - Aug 2015 | Faisalabad, Pakistan

Responsibilities & Results:
Improved revenue for most recent provider over 25% with same patient load
Experienced billing for Family Medicine, Ophthalmology, Dermatology, and
Mental Health specialties
Ensure claims are entered and submitted with 48 hours of receipt
Accurately apply payments to patient accounts
Post and reconcile insurance and patient payments. Research and resolve
incorrect payments, EOB
rejections, and other issues with outstanding accounts
Insure accuracy of insurance claims. Verify correct ICD-9 and CPT codes for a
variety of specialties
Set up new patient accounts
Assign ICD-9 to physicians diagnosis and insure correct level of service and
various other CPT codes
Set-up practice management software for submission of electronic claims to
clearinghouse. Work with clearinghouse to resolve file compatibility issues
Retrieve Electronic Remittance Advice (ERA's)
Send secondary claims upon processing of primary insurance.
Monthly processing of Patient statements. Answer and resolve patient billing
inquires
Follow up on Insurance and patient aging. Re-submit insurance claims as
necessary. Knowledgeable
in timely filing restrictions
Insure office practices are in compliance with HIPAA regulations.

公司标识
Assistant Chief Manager Accounts
sadaqat textile limited.
Feb 2009 - Jan 2011 | Faisalabad, Pakistan

Executed accounts receivable reporting enhancements and reconciliation
procedures in order to integrate Quick
Managed accounting operations, accounting close, account reporting and
reconciliations.
Performed debit, credit and total accounts on computer spreadsheets/databases,
using specialized accounting software.
Received, recorded, and banked cash, checks, and vouchers as well as reconciled
records of bank transactions.
Reviewed previous accountants book entries to ensure accuracy of the G/L.
Reviewed collection reports with the general manager to determine the status of
collections and the amounts of outstanding balances.
Performed complex general accounting functions, including preparation of journal
entries, account analysis and balance sheet reconciliations.

学历

Riphah International University
证书, IELTS‎
English Language
Completed
2010
ACCA Pakistan
学士, , ACCA (Associate Chartered Certified Accountant)‎
Finance
2009
ACCA Pakistan
学士, , Certifed Accounting Technician (CAT)‎
Finance
2007

技能

初学者 Audit Assignment Handling
熟练 Capital Budgeting
熟练 Clain Management
熟练 Corporate Tax Filings
熟练 Financial Service Management
熟练 Handling Assignments
熟练 Individual Contributor
熟练 Invoice Discounting
中级 Japanese & Korean Language Proficiency
熟练 Life Insurance Knowlege
熟练 Managing Large Teams =
中级 Managing Midsize Teams - 5 to 20 People
中级 Merchant Card Processing
熟练 Oracle E-Business Suite
熟练 Paraplanning
中级 Payroll Processing
熟练 Planning and Budgeting
中级 Provident Fund Management
中级 Risk Compliance Management
熟练 Social Welfare Management
中级 Stitching Skills
熟练 Stock Control
熟练 Strategic Finance
中级 Tax Preparation Skills
中级 مبيعات القناة
中级 Voucher Management
熟练 Working Capital Management
熟练 التمويل الحسابي
熟练 تقوية العلاقات مع العملاء
熟练 تسوية المدفوعات

语言

熟练 英语
熟练 乌尔都语
熟练 旁遮普语

Syed Ali 联系人

Hasan Waheed
MD Vision