Experienced Patient Financial Services with a demonstrated history
Resume:
MD. Masudur Rahman Khan
(Overall 16 years of Experience)
*********@*****.***
CAREER SUMMARY
Experienced Patient Financial Services with a demonstrated history of working in the hospital and healthcare industry. Skilled in Healthcare RCM, Patient financial services, Strategic Planning, Medical and insurance Billing and U. S. based Health information system knowledge. Strong Revenue Cycle professional with Administration and Management.
More than 7 years of GCC experience with the renowned Healthcare brand. Worked as Government Employee in UAE.
JOB DETAILS
Mafraq Hospital – Abu Dhabi (2009 to 2016)
Insurance and Financial Service Officer – 2014 to 2016
Ensure patient payment liability is resolved post patient stabilization. Perform insurance verification process on all third party payers, obtains initial and subsequent pre-authorization for services and surgeries.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
Ensure all insurance, demographic and eligibility information in obtained and entered into the system in an accurate manner.
Helping patients with their insurance by getting treatment plans and cost estimates prepared complying by the facility pricing structure and the rules for the different insurance and patient categories including self-payer with implementation.
Utilizes the summary of patient reimbursement and liability form and obtains appropriate approvals as required complying by the rules and the contractual terms and agreement with the insurance companies.
Following-up the claims submitted for approval to the insurance companies and responding to verbal and written inquiries in a timely manner.
Check and review the approved procedure codes for inpatient and outpatient from the insurance company with the facility coders and service points.
Maintaining and updating documents and insurance records such as eligibility, medical reports, treatment plan, claim amounts etc.
Communicating with different insurance, sponsors and the patients for the purpose of account verification and details of payment.
Contact with all GOP signed patients, companies and different vendors for the payment and documents financial counselling process and forward to billing office.
Handling international patients including coordination, follow-up and understanding of international health insurance business programs.
Mafraq Hospital- Abu Dhabi
Assistant Claims Officer – 2009 to 2013
Responsible for double checking the claims with the following requirements needed for submission and resubmission.
Auditing and reporting of processed claims as per statement of accounts submitted by the payer before reporting to finance and accounts.
Filing the documents as per needed.
Case management and double checking for the assign codes of particular diagnosis, procedures and medicines using the ICD-10-CM, CPT-4 and HCPCS guidelines.
Mother & Child Hospital Medical College, Chittagong, Bangladesh (2006 to 2007)
College Secretary
Manage daily schedules of Principal appointments
First point contact with the students and a variety of internal and external clients and colleagues.
Arranging meeting & appointments of Doctors
Handle College Office correspondence of internal & external affairs.
Responsible for storekeeping, systematic filing of data & records of the college
Travel & Hotel managements of concern Doctors who are from home and abroad
Attends College meetings when required and takes minutes.
Support all the activities for the concern departments of the medical college & Hospital
Support all the activities of college student’s affairs.
Maintaining daily college office work such as safety record, Maintenance record of test equipment/instrument of laboratory, and store related works.
Performs administrative duties for the office of the Associate Professors; maintains files and records, manages equipment, maintains supplies and stationery, performs photocopying and faxing, monitors office accounts for fax and telephone calls, processes purchasing requisitions and local expense claims for book and lab equipment purchases.
Tender and work order process
Performs other related duties incidental to the work described herein.
Nasir Bin Abdullah & Sons (National Panasonic Co. Qatar) (2002 – 2003)
Customer Service & Accounts Assistant
Monitoring and support customer service affairs of the company
Provide the customers service as per company roles & regulations
Supervised electrical site and site responsibilities, Co-ordinate with client, Consultant Authority
Monitoring customers complain and try to solve it as per requirements
Daily accounts maintain and deposit it to the bank.
Maintaining daily office work such as safety record, Maintenance record of test equipment/instrument, electronics goods and store related works.
Science & Technology University-- Rangamati, Bangladesh (2000 – 2002)
Secretary to the Vice Chancellor
Manage the Vice Chancellors office: handles telephone calls, receives visitors, screens/distributes incoming/outgoing mail and responds to requests.
Handles arrangements for the Vice Chancellor, keeps Chancellor's daily calendar, schedules appointments and meetings and arranges travel.
Arrange interviews with applicants to the various graduate programs.
Attends University meetings when required and takes minutes.
Assists with administrative coordination of special tasks in the University, such as faculty recruitment and selection; monitors course and program development, hosts distinguished visitors and assists them with logistical requests, coordinates faculty development projects.
Coordinates and provides administrative support for the preparation of end of semester exams for the Colloquy courses taught within the University and Coordinates with administration of these exams and the proctoring of the exam sessions on campuses.
Arranges the itineraries of visiting faculty and provides the logistical support for the on-site weekend workshops for graduate students.
Performs administrative duties for the office of the Associate Dean; maintains files and records, manages equipment, maintains supplies and stationery, performs photocopying and faxing, monitors office accounts for fax and telephone calls, processes purchasing requisitions and local expense claims for book and lab equipment purchases.
Prepares correspondence, presentations, spreadsheets, reports, itineraries and agendas; contributes to special projects when required.
Arranges for consultants and visitors, sets up their itineraries and assists them with logistical requests.
Jiban Bima Corporation (Govt. Life Insurance Company) (1997 – 2000)
Development Officer
Worked closely with actuarial, underwriting, and management officials to address health concerns of target demographics in Bangladesh to develop comprehensive life & medical insurance coverage policies and informational material.
Act as primary point of contact/liaison between diverse departments to ensure management objectives are being met and financial resources are controlled as per policy.
Oversee claims and escalation process to make sure performance targets are reasonably attainable and that subordinate officers are adhering to corporate policies.
EDUCATION
National University, Bangladesh – Bachelor’s Degree
TRAINING & OTHER QUALIFICATION
Completed CCA course (UAE)
Fire & safety management (Al Mafraq Hospital)
Introduction to health insurance (Al Mafraq Hospital)
We Care workshop (Al Mafraq Hospital)
University grand commission program (UGC Bangladesh)
Good computer literacy in MS Office, Internet Browsing and Cerner Applications
SKILL & STRENGTH
Quick Learner, Communicative & friendly
Readiness to work with a stress worthy environment
Immensely observant and adaptive to new technology
Ability to manage thing alone and with group
Enthusiastic, Self-motivated, capable of taking own decisions and hard worker.
Language Proficiency in English, Arabic, Hindi, Urdu and Native Bengali.
PERSONAL INFORMATION
Marital Status : Single
Current Location: Bangladesh
Driving Licence: UAE
REFERENCE
www.linkedin.com/in/ayesha-almemari-md-frcp
www.linkedin.com/in/shereen-ahmed
www.linkedin.com/in/seema-pillai
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