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Medical Billing Manager

Location:
Central Secretariat, Delhi, India
Salary:
9lac
Posted:
August 04, 2019

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Resume:

CARRICULLAM VITAE

,

PARVEZ RANA

Email : ac9zmi@r.postjobfree.com

Contact. : 097********

Career objective :

To pursue a challenging Carrier in an esteemed Organization for implementing and maintain the continuous improvement by the help my existing skills, Strong experience in Medical billing around 8 years as Dedicated team player, I have the follow- through and positive attitude that will allow me to achieve company targets. ACADEMIC QUALIFICATION:

1. Complete 10+2 from P.S.E.B . in 2005

2. Complete Graduation (B.A) from Shobhit University (Meerut) in 2015 WORKING EXPERIENCE :

PORTECK INDIA SERVICE PVT LTD-(Noida)

Designation: AR Analyst

Duration: Sep.2008 to Nov.2009

WORKING PROFILE:

1. Working on billing projects, Claims, Charge credit, Rekey the pending claims & check the claims status on call. 2. Prepared the Invoices of (DOSHI DIAGNOSTIC IMAGING GROUP) HCFA & EMEDENY FORMS. ACCRETIVE HEALTH PVT. LTD.-(Gurgaon)

Designation: Sr.AR Analyst

Duration: Nov.2009 to Apr.2012

WORKING PROFILE:

1. Working on medical billing cases, denials or follow up the claims 2. Telephonic Interaction and troubleshooting with US Clients and Insurance companies to verify the claim’s status 3. Daily, weekly and Monthly Reporting for Rejection cases of Columbia St. Mary Hospital in United State SAVI INDIA INFOSERVICE PVT LTD- (Gurgaon)

Designation: Medical Billing Associate

Duration : Aug.2012 to 1 June 2013

WORKING PROFILE:

1. Working on Denial Management, Claims follow-up for Physician Billing. 2. Working on Patient calling, direct interaction with US clients of daily, weekly and monthly rejection reports of claims. 3. Working Third level work of AR (printing the HCFA, Medical Records, Appeal work, ACD form, Paper claim billing etc.) ALPHA BITA TECHNOLOGY PVT LTD- (DELHI)

Designation: Sr. Medical Billing Associate

Duration: 17 June 2013 to 30 NOV 2014

WORKING PROFILE:

1. Working on Physician Billing practices handling denials or follow up the claims. 2. Telephonic Interaction and troubleshooting with US Clients directly. 3. Working on payment posting, Charge credit, Patient calling, Rekey and Third level work of AR and direct interaction with US nurses and staff.

RKA INFOTECH PVT LTD(DELHI)

Designation: SME (SUBJECT MATTER EXPERT)

Duration: 1 DEC 2014 to 4 MAY 2015

WORKING PROFILE:

1. Working on Physician Billing practices handling denials managements, pending with Errors, Rejections, Denial aging, or follow up the claims, Appeal work and 99% collection record in AR collection (Pulmonary) practice. 2. Handling target works for different projects and charge credit, High dollars account direct interaction with Doctor as per given TAT with proper SLA.

3. Working Medical Transcription work for doctor and also handling patient calling for payment &collection, quickly identified and resolved medical billing, coding and insurance discrepancies. 4. Reporting to client with annually collection reports and implements new things in billing work, Responsible for cash management, supply ordering, and customer service relations, Reviewed patient bills for accuracy and completeness, and obtained any missing information. 5. Reporting to client for Revenue Cycle Management, Maintained the highest levels of accuracy and patient confidentiality.

6. Handling Credentialing work with proper documentation with insurance companies, Handling target works for different projects and charge credit, High dollars account direct interaction with Doctor as per given TAT with proper SLA, Followed the guidelines and be in compliance with local, state or federal laws and regulations. 7. Responsible for providers and/or practices that required special accounts receivable clean-up, selected to participate in a high-visibility project, which resulted in refunds in the hundreds of thousands of dollars. 8. Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance, Corrected and resubmitted claims denied by insurance company, Coding of inpatient and outpatient procedures from operative reports by using ICD 9/10 and CPT codes and applying modifiers when needed. 9. Handled provider and client appeal/reconsideration request, Maintained accurate records and resolve billing issues.

10. Answered all patient telephone inquiries regarding their bills and insurance questions. ACCURA CARE PHARMACEUTICALS PVT LTD (Himachal)

Designation: PLANT HEAD (General Manager)

Duration: 11 MAY 2015 to 15 SEP 2016

WORKING PROFILE: working as a General manager(plant) Create revises, review & approves SOPs for dept. & other area. Review and approves validation protocols Demonstrate excellent written & verbal skills with ability to communicate clearly & effectively with colleagues. Also demonstrate ability to work with multi disciplinary teams. As a management representative & General Manager Production, lead the TEAM to obtain WHO GMP certificate & ISO 9001 certificate. Establishment of tablet, capsules, oral liquids, Injections, Ointment & Oral Powder dept. & Q.C Dept. - FDA approval in tablets, capsules, Injections, Ointment & Q.C Dept. RKA INFOTECH PVT LTD(DELHI)

Designation: Sr. SME (SUBJECT MATTER EXPERT)

Duration: 20 FEB 2017 TO TILL DATE (Rejoined)

WORKING PROFILE: ( Same Responsibilities as above mentioned & updated ) PERSONAL PROFILE :

Father's Name : Lt. Sh. Balwinder Singh Rana.

Passport No : Z3575375

Marital Status : Single.

Nationality : Indian.

Sex : Male.

Languages Known : English, Hindi & Punjabi.

Hobbies : Listening Music & Playing Chess

DECLARATION:

I here by declare that all the above statement are true & correct to the best of my knowledge and believes. Date :

Place: (PARVEZ RANA)



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