Customer Service Medical Billing

OBJECTIVE

Continuing my career where I can use my skills, knowledge, and training in a medical environment. I would like the opportunity to advance in my knowledge with working closer to home with a company such as yours.

SKILLS

Management

Research & Development

Billing & Revenue Cycle

Compliance

Data Entry

Medical Terminology

Front-Office Procedures

Ability to Work

Independently

Customer Service

CLEARING HOUSE EXPERIENCE

AVAILITY

EMDEON

TRIZETTO

OFFIE ALLY

Microsoft Office Applications

Patient Confidentiality (HIPAA)

Patient Records/Scheduling

Typing: 45 Words Per Minute

Accounts Receivables

Insurance Filing & Coding

(ICD-9, ICD-10, CPT, HCPC)

BILLING SOFTWARE EXPERIENCE:

Medisoft,

E Clinical Works

Labgen

EMR4Server

Office Ally Practice Mate

IMS

ACHIEVEMENTS

WORK EXPERIENCE

Managed Physicians Group of $2 Million and increased Revenue up to 3.5 Million.

Increased individual Physician practice reimbursement up to 30%.

Created Paper less work flow within office.

MOORE UNIQUE DERMATOLOGY & SPA

Houston, TX 04/2016 to Present

Revenue Cycle Specialist

Manage Complete Revenue Cycle

Analysis to Maximize Reimbursement

Supervising Scheduling Department

Eligibility & Benefits Verification

Referrals and Authorizations

EDI Rejections and Denial Management

AR Follow-up

Telephonic and Written Appeals

Running Static Reports

EOB Posting

Credentialing and EDI Contracting

ACCEL BILLING AND CODING SOLUTIONS

Manvel, TX 03/2016 to 07/2016.

Accel Billing and coding is Third Party Billing Company, which provides revenue cycle services to small Practices and groups.

Billing and Collections Specialist

Managing all expects for Revenue Cycle

Coordinating with Doctor’s office

Eligibility & Benefits Verification

Referral & Authorizations

Rejections & Denials Management

AR Follow Up

Patient Statements & Customer service

Credentialing & Contracting

EOBs Posting & Over Payment Recoveries

EFT/ERA Enrollments

MEDIPSYCH COOPERATION

Houston, TX 02/2015 to 03/2016

MediPsych is a leader in innovative care for age-related problems in nursing homes and assisted living facilities.

Collector/Project Management

Maintain Quality for Standard Operation Procedures.

Updating Staff on new Parameters.

Analysis for Revenue Cycle.

Research and Development

Denials Management and A/R Follow-up

Appealing and Overpayment Issues

Handling Credentialing related projects

EDI/EFT/ERA Enrollments

Partially Executive Assistant/Administrative duties

Partially dealing with first hand IT helpdesk issues

PYRMAIDS GLOBAL MEDICAL BILLING & COLLECTIONS- Rawalpindi, Pakistan 07/14 – 12/14

Pyramids Global is an outsource(Offshore) based company working with Physician Groups Revenue Cycle in New York and New Jersey.

Credentialing and EDI Representative

Applying NPI and PECOS application

New and Renewal Contract submissions

EDI Rejections and Denials

Setting up new insurance web portals

EFT/ERA Enrollment

Research and Development

CYBER SYSTEMS LAB

Lahore, Pakistan 06/13 – 06/14.

Remote office for ACCU Reference Medical Lab working in NJ, NY, MD, NC, PA. VA, LA, CT, TX, WV and RI.

Team Lead Medical Billing and Collections/Trainer

Maintain quality and quantity of the team work according to Clients requirement

Maximizing Reimbursement for Healthcare Providers

Manage Team performance by quality control

Fix all Rejected/Denied Claims under Insurance guidelines

Patient Accounting with provided quality customer service

Accomplishing faster, more efficient, and convenient work habits

Creating web portal accounts for Insurance Companies

Resolving Credentialing related issues

Train New Personnel

Performing Refresher Courses for experienced personnel

OMEGA MEDICAL BILLING, Faisalabad, Pakistan 04/09 – 05/13

Remote office for Omega Medical Billing and Collections, working on Professional Billing, located in Nassau Bay, TX. Have more than 40 Physicians in all leading Healthcare Faculties.

Billing & Collections Representative

Medical billing and collections (Podiatry, Urgent Care, Internal

Medicine, Wound Care, Out Patient Surgery, Infectious Disease, Urologist, Pain Management, Vascular Surgeon and Mental Health)

Patient accounting with provided quality customer care

Revenue Cycle (i.e. payment, denials, patient benefit questions)

Tracking EOBs and Payments/Overpayments

Telephonic/Written Appeals

KAD KAM ENGINEERING, Lahore, Pakistan 01/08 – 03/09

Production Supervisor

Production Control of Honda Bike Parts

CHANAB ENGINEERING, Faisalabad, Pakistan 05/06 – 12/07

Machine Operator (of the following)

Lathe machine

Milling machine

Shaper machine

Grinding machine

Drilling machine

EDUCATION

SARGODHA CATHOLIC SCHOOL – Sargodha, Pakistan

High School Graduation, 2001

GOVERNMENT TECHNICAL TRAINING INSTITUTE –

Faisalabad, Pakistan

Mechanical Machinist, 2004

STAFF TRAINING INSTITUTE – Lahore, Pakistan

Master Craftsman Mechanical Engineering, 2006

LANGUAGE

English

Punjabi

Urdu

Hindi

CERTIFICATIONS/

MEMBERSHIPS

Machinist

Master Craftsman

References will be provided on demand.

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