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Customer Service Medical

Location:
San Francisco, CA
Posted:
July 06, 2015

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Resume:

MOHAMMED ALI

***** ******** ** *** ***

HOUSTON, TX 77079

832-***-****

acql3c@r.postjobfree.com

OVERVIEW

A highly motivated A/R, Insurance and Customer Service professional with a verifiable record of accomplishment spanning two year. Highly creative, recognized as a results-oriented and solution-focused individual. Areas of strength include:

UB-04 and CMS-1500 Billing

Electronic Claims Filing

Medicare and Medicaid Follow up

Process Denials and Appeals

Certified CPR

Payment Posting

Certified CPR

ICD-9, ICD 10, HCPCS, CPT

EDUCATION

High School Diploma

2012

Karachi, Pakistan

Medical Billing and Coding Diploma 2014

Everest Institute, Houston, TX

Associates in Health and Medical Science 2013-PRESENT

Houston Community College, Houston, TX

COMPUTER/SOFTWARE SKILLS

Windows Literate

WordPerfect, Microsoft Word, Microsoft Excel

EPIC, Med Assests, McKesson, Star19, Sceris, Mocha, Image Now, Citrix, HIS, HIM, Meditech 6.0, Gold client(CAIS), Allscripts, Epremises Paragon Billing, Claims Administration

SSI Billing

PROFESSIONAL EXPERIENCES

Insurance LDU Claims Specialist

05/2014-PRESENT

Parrishshaw, Houston, TX

Insurance billing and follow ups for all hospitals in contract.

Fully responsible of reducing backlog of Accounts Receivable.

Insurance verification, billing, follow up, appeals.

Medicare and Medicaid verification and billing through hospital software/systems

Minor coding issues

EOB Diagnostics.

Medical Insurance, Billing & Coding Extern site (Allergy and Asthma Care) 12/2013 to02/2014

Greet patients, help them sign in

Verify insurance before patients can been seen

Entering claims in system and doing follow ups.

JND Financials- Houston 03/2013-11/2013 Business Office Co-Coordinator of Elite Medical Practice Solutions (EMPS) Department

Filling claims, doing follow ups and working on aging reports.

Verified insurance

Processed Claims; Posted EOBS

Navigate electronic medical records

Co Coordinating with the physician’s office and backup Billing office abroad and keeping everything ready for them.

Tackling Insurance problems such as verifying pre-certification and pre-authorization of patients.

Extensive data entry of patient demographics and posting charges

Maintained filing statistics, audited filing sequence, and account receivables

REFERENCES

Promptly furnished upon request.

Usama Khan-Medical billing Specialist

Classmate Everest institute

acql3c@r.postjobfree.com

713-***-****

Ayesha Black-Claims Analyst Parrishshaw

Classmate/Coworker

acql3c@r.postjobfree.com

832-***-****

Sukkaina Gillani-JND Financials

Coworker

832-***-****



Contact this candidate