Manager Insurance
Resume:
Nasruddin Momin, MHA
Sugar Land, TX 77479
Tel: 713-***-****
email:********@*******.***
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-***-****
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