Nasruddin Momin, MHA

**** ******* **.

Sugar Land, TX 77479

Tel: 713-***-****

email:acda5y@r.postjobfree.com

Objective

To acquire Medical billing position within a fast-paced professional medical environment, offering me

the opportunities to apply my skills, knowledge and nine years of experience for the growth of your

facility.

Billing Experience with Specialties

*Family Practice *Internal Medicine *Neurology *Pain Management

*Urgent Care clinic *Psychiatry *Sleep Evaluation *Physical Therapy

*Chiropractic *Endocrinology

*Cardiology: EKG, EKG Stress, Holter monitor, ECHO, Myocardial Studies and procedures, ECP,

Doppler.

*Radiology: X-rays, US, CT and CTA scan, MRI and MRA

Operational Knowledge

EMR & PM: eClinical Works, Kareo, MD-2, Cmeds

Clearing House: Gateway EDI, Practice Insight, Availity, Navinet

Provider Portal: Cigna Post-N-Track, Medsolutions, American Imaging Management, Medicare

Easy Print, TMHP, UHC, Aetna, BCBS, Cigna, etc), Word, Excel, etc.

Billing Knowledge

Billing and Coding:

*Charge Entries (ICD-9, CPT codes, HCPCS codes, Modifiers, Referral number, Pre-certification and

Authorization number).

*Scrub claims for demographic, insurance and coding errors and submit claims electronically to clearing

house and by HCFA 1500 to primary, secondary and tertiary insurance with EOBs.

*Download clearing house reports for rejected claims and correct rejected claims and resubmit corrected

claims. Contact clearing house for batch rejections and unresolved errors. Contact Practice

Management Vendor for software update requirement and unresolved issues.

*Knowledge of CPT, HCPCS, ICD-9, Modifiers, HCFA 1500, and Medical Terminology.

Insurance claims:

*Detail knowledge of EOB (explanation of benefits) and denials codes from insurance.

*Contact insurances for payment status of claims filed electronically (20 days limit) and paper (35 days)

through phone and provider portal.

*Dispute claims denied in error and have it send for reprocess for payments.

Aging Report:

*Generate Aging reports weekly and follow up on claims from old date of service to current and larger

balances to lower balances.

*Correct claims denied by insurance and resubmit them electronically or by paper or fax with supporting

documentations.

*Appeal claims denied in error by phone and written request with supporting documentations. Request

interest from insurance for unpaid clean claims not paid within Texas Insurance Law time limit.

*Contact referring physicians and patient for claims denied by insurance for pending information.

Patient Account:

*Send out patient statements electronically and by paper on regular intervals (Bi-weekly or Monthly).

*Work on rejected statements received from clearing house and return mails.

*Assist patients in understanding account balances (copay, coinsurance, deductibles, coordination of

benefits by primary, secondary and tertiary insurances).

*Collect payments over phone and in office. Assists patients in paying large and old balance through

payment plan agreements.

*Generate patient Aging reports and contact patients through collections letters and phone.

Payment Posting:

*Post electronic payments (ERA: Electronic remittance advice) and paper EOBs (Explanation of

Benefits) from insurance.

*Post patient payments (credit card, money order, checks and cash).

*Reconcile, balance and prepare end of the day batch deposits.

Financial Reports:

*Generate Practice Analysis reports, Monthly, Quarterly and yearly financial reports,

*Insurance and Patient Aging reports, CPT frequency report, E & M visits reports, etc.

Others:

*Insurance verification and benefits, obtain referrals and authorizations, Credentialing knowledge,

Employee training, Data Entry, and Front office Managing.

Payers Knoweledge

*Government (Medicare, Medicaid, Managed Care, Tricare, CHAMPVA)

*Commercials

*Workers Compensation

Work Experience

2013 – Present Houston Thyroid and Endocrine Specialists

2011 – Present Providence Wellness Clinic

Ivory Family Wellness Clinic

2004 – 2012 Jacinto Medical Group, PA.

(specialties: Internal Medicine, Neurology, Family Practice, Radiology, Physical

Therapy, Sleep center).

2009 – 2012 Tecnex Systems, Inc.

Billing Department Supervisor

Billing clients: Dr Ruth Atlas MD (Neurologist), Rose Imaging specialists, East

Texas Cardiology.

Rose Imaging Specialists, PA provides service at following locations: Five

Memorial Hermann Imaging Centers, Four TOPS Breast locations, TOPS

Surgical Center, GHPMA, Sightline and Huntsville Imaging Center.

2003 – 2004 Internship at Texas Department of Health under direct supervision of

Dr. Aftab Ghesani, Director of Operation.

2000 – 2001 Administrative Assistant at Agakhan Education Services, India.

1999 – 2001 Physician Assistant at Dr. M.M.Maredia clininc.

1998 – 1999 Internship as a Physician at B.Y.L.Nair Hospital, Bombay.

1994 – 1997 Member of National Service Scheme (NSS), India.

Education

2001 – 2003 Masters Health Administration (MHA),Central Michigan University- GPA: 3.72

1993 – 1998 Bachelor of Medicine and Surgery (MBBS) at Pune University- Grade: A

1991 – 1993 Higher Secondary Education, Bombay University- Grade A

1989 – 1991 Secondary Education, Bombay University- Grade A with Distinction

References

Dr. Jogi Medhavi

Houston Thyroid and Endocrine Specialist

Office: 713-***-****

Cell: 713-***-****

Dr. Ester Huber

Providence Wellness

Office: (281) 920- 0344

Cell: 832-***-****

Dr Aftab Ghesani

Director of Wound Center, Memorial Hermann Southwest

Office: 281-***-****

Cell: 281-***-****

Magiee Khan

Jacinto Medical Group, PA

Billing Manager

Office: 281-***-****

Chintan Shukla

IT Manager

Jacinto Medical Group, PA

Office: 281-***-****

Cell: 832-***-****

Fauaz Yousufuddin

Research Coordinator

Jacinto Medical Group, PA

Office: 281-***-****

Cell: 832-***-****

Rajiv Chauhan

Business Development Manager

Tecnex systems LLC

Office: 409-***-****

Khuram Raza

IT Supervisor

Tecnex Systems LLC

Office: 281-***-****

Contact this candidate