Manager Medical Billing
Resume:
Irfan razaq
Address:
Flat # *, Al-Nahdi Building,
Liwara 1, Near Bori Mosque, Boston
Ajman, UAE.
Tel No : +971-**-*******
Email : ***********@*******.***
Objective:
To build a career with an organization that offers bright prospects of growth and development.
Profile
A manager with a wide range Knowledge and experience of management. Able to work on own initiative and as part of a team. Proven leadership skills involving managing, developing and motivating teams to achieve their objectives. First-class analytical, design and problem solving skills.
Major Achievements
“Team of the Month” February 2008
“Team of the Month” August 2006
Reduced 70% aging in 30 days in 90+ aging slot.
Accounts Receivable Manager
( Medical Coder )
“Experience”
Worked with Horizon Medical World as an Accounts Manager from June 11, 2013 till April 01, 2014.
1.Manager is responsible for staff including BEs, TLs, Billing Managers.
2.Manage the operational and fiscal activities of the department to include: staffing levels, budgets, and financial goals
3.Oversee multiple related services, which encompassed medical billing, charge entry, claims submissions, payment posting, follow-up, and/or reimbursement management.
4.Evaluate department processes, ICD-9, ICD-10 codes. Recommend and coordinate needed changes based on process analysis.
5.Tele-converse with providers on a regular basis to ensure the smooth running of operations, and resolution of billing related issues.
6.Participate and provide updates regarding operations in daily managerial meetings.
7.Ensure that the activities of the billing operations teams within the group were conducted in a manner that was consistent with overall department protocol, and was in compliance with Federal law
8.Assist in the development and implementation of operating policies and procedures, in accordance with Federal and State regulations
9.Oversee the supervision of personnel, which included work allocation, Attendance and problem resolution.
10.Evaluate department processes. Recommend and coordinate needed changes based on process analysis.
11.Conduct interviews, hire new staff, and provide employee orientation
12.Motivate employees to achieve peak productivity and performance. Reviewed and interpreted operational data to assess need for procedural revisions and enhancements; participated in the design and implementation of specific systems to enhance revenue and operating efficiency.
Provide advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures.
Worked with Tecnex, LLC as Medical Coder from Nov 01, 2011 to August 01, 2012.
1. To Research / Analyze and prepare coding manuals for different practices.
2. To Tele-converse with Insurance Companies for claims follow up.
3. To Tele-converse with Clients (doctors) in USA.
4. To supervise all the billing activity of teams and report to the shift
supervisor on daily basis.
5. Weekly/Monthly meetings with Supervisors and Managers to resolve the
Coding issues.
6. Daily meeting with the team members for Medical Billing updates.
7. Guiding the team members in resolving claim level problems.
8. Resolving provider issues with insurance companies by telephonic
conversations & E-mails.
Experience
( Project Manager)
Worked with Ebio-Metronics as Project Manager from August 01, 2009 till Nov, 2011.
Duties/Responsibilities Performed:
13.Project Manager is responsible for staff including BEs, TLs, Billing Managers.
14.Manage the operational and fiscal activities of the department to include: staffing levels, budgets, and financial goals
15.Oversee multiple related services, which encompassed medical billing, charge entry, claims submissions, payment posting, follow-up, and/or reimbursement management.
16.Evaluate department processes. Recommend and coordinate needed changes based on process analysis/
17.Tele-converse with providers on a regular basis to ensure the smooth running of operations, and resolution of billing related issues.
18.Participate and provide updates regarding operations in daily managerial meetings.
19.Ensure that the activities of the billing operations teams within the group were conducted in a manner that was consistent with overall department protocol, and was in compliance with Federal law
20.Assist in the development and implementation of operating policies and procedures, in accordance with Federal and State regulations
21.Oversee the supervision of personnel, which included work allocation, Attendance and problem resolution.
22.Evaluate department processes. Recommend and coordinate needed changes based on process analysis.
23.Conduct interviews, hire new staff, and provide employee orientation
24.Motivate employees to achieve peak productivity and performance. Reviewed and interpreted operational data to assess need for procedural revisions and enhancements; participated in the design and implementation of specific systems to enhance revenue and operating efficiency.
25.Provide advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures.
Experience
( EDI Process Analyst )
Worked with MTBC as EDI Process Analyst from June 01, 2007 to August 01, 2008.
1. To Research / Analyze and prepare appeals when claims are rejected.
2. To Tele-converse with Insurance Companies for claim follow up.
3. To Tele-converse with Clients (doctors) in USA.
4. Enrollment of Doctors with Insurance companies.
5. To supervise all the billing activity of a team and report to the shift
supervisor on daily basis.
6. Weekly/Monthly meetings with Supervisors and Managers to resolve the
provider issues.
7. Daily meeting with the team members for work distribution and Medical
Billing updates.
8. Guiding the team members in resolving claim level problems.
9. To do the medical billing for the off-shore Doctors.
10. Data entry, Accounts Receivable, Payments posting, Denials etc
11. Resolving provider issues with insurance companies by telephonic
conversations & E-mails.
Experience
(Team leader)
Worked with MTBC as Team Leader from December 01, 2006 to June 01, 2007.
Duties/Responsibilities Performed:
1.To ensure Quality, Timeliness & Accuracy in the entire Billing Process.
2.To provide On-the-Job Training and give lectures on time-to-time medical billing terminologies.
3.Keeping informed of all changes in the Rules & Regulations of Insurance Carriers and regularly update the teams.
4.Weekly / Monthly Meeting with Supervisor & Manager Operation, in order to resolve the Provider Issues.
5.Root-Cause Analysis of different Issues / Problems of Practices.
6.Tele-Conversing with Insurance Companies for Claim Follow up.
Experience (Billing Executive)
Worked with MTBC as Billing Executive from December 01, 2004 to December 01, 2006.
Duties/Responsibilities Performed:
1.To ensure the accuracy of the medical billing process for clients satisfaction.
2.To carry out medical billing for off-shore medical providers.
3.To communicate with the clients over the internet and to assist them with their day to day tasks of maintaining patient records.
4.To keep the clients and the management informed about the changes and updates in the process of Medical Insurances.
Education:
Degree Institution
Bachelors Punjab university
FCS Federal Board
Matric Federal Board
Certification/
Computer Skills
Certification in Quantity Surveying ( NLC, Pakistan )
MS Office
MS Word / MS Excel / Power Point
Computer Graphics ( Adobe Photoshop, MS Paint, etc)
Internet browsing & Searching
Advance IT courses certified
Windows/Software’s installations
Personal Information’s:
Father Name : Muhammad Razaq Khan
Date of Birth : 16th Oct, 1983
Nationality : Pakistani
Visa Status : Tourist
Passport No : AE9867553
Reference:
Reference will be furnished upon request.
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