Insurance Medical Billing

Saira Banos

Cell: 009**-********

Email id: ***.***********@*****.***

Objective:

Seeking a long-term opportunity within the business community, where my professional experience, education, and abilities would be advantageous to the growth of my employer and myself.

Practical experience:

MTBC – A Unique HealthCare IT Company Nov-2006 to Oct-2011

Worked in IT Department (April-2009 - Oct2011)

As IT Co-Ordinator

Job Responsibilities:

Review validity of suggestions/changes received from different Departments for implementations.

Designing of modules for suggestions/changes projects in the form of CRF (Change Request Form) to be sent to different departments of IT for implementation.

Define check and balances of different modules according to the change after discussion with clients.

QA of different projects of IT Department before and after launch to make it an error-free launch.

Consultation with clients for feedback on any newly launched project.

Enhance existing modules according to latest requirements of user/market.

Define time lines and change in existing time lines for different projects according to priority of a project.

Development of presentations for training purpose to be sent to users after launching any change/module/project.

Worked as Billing Executive (Nov-2006 – April 2009)

Job Responsibilities:

To Perform Medical Billing for offshore doctors.

Maintaining patient’s privacy and confidentiality at all the times.

To communicate with patients regarding any missing information like the bio-data or the previous medical history.

Timely and error free medical bills entry and posting of the reimbursement received from insurances.

To bill patients for the amount of copay, co-insurance or the deductible which insurance covers under the patient’s responsibility.

Provide guidance to the patients to update their insurance policies, whenever needed.

Receiving patient calls and providing the required information.

To tele converse with insurance companies for claim follow up.

To tele converse with clients (doctors) in USA.

To keep informed of all changes in the rules & regulations of insurance companies & regularly update the Team Leader.

To Research/Analyze & prepare appeals when claims are rejected.

Follow up the claims denied by healthcare insurances by taking corrective actions as per denial codes.

Revenue Cycle Management (RCM) of the clients.

Communications with insurances and clients to manage the revenue cycle.

Manage the accounts of clients(Doctors)

Defining & developing rules according to provider’s billing instructions and insurance guidelines.

Testing of RBS rules development modules.

Provide signoff and report to immediate supervisor.

Qualification:

B.Ed. Allama Iqbal Open University Continued

Master in Science University of Arid Agriculture 2006

Bachelor of Science Punjab University 2004

Faculty of Science Govt. College for Women 2002

Computer Literacy:

MTCB Billing Software

MS Office (Ms. Excel, Word & Power Point)

Other Skills:

Excellent Communication Skills (verbal and written)

Excellent administration and numerical skills, with the ability to work independently, to deadline and with accuracy and attention to detail.

Able to prioritize own workload, understand priorities of colleagues, and clients, highly self-motivated, good task planning skills and able to cope with very busy work environment.

Personal Information:

Date of Birth: 03 December 1983

Nationality: Pakistani

Status: Married

Languages: English & Urdu

Visa Status: Family Visit Visa

References:

WILL BE FURNISHED ON REQUEST

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