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Muhamad Ahmed Ayub

Block*, Flat #**, sector i8/1, Islamabad

Phone: +92-304-*******

Email: ad0x96@r.postjobfree.com

Highly motivated and hardworking Professional possessing years of experience. Strong multitasking abilities of business operations in fast-paced environment demanding strong organizational, and interpersonal skills. A strategic problem-solver and adaptable who understands the big picture, envisions solutions and executes with ease across all organizational levels. Aspire to gain a challenging position in high profile organization that offers a genuine opportunity for progression. Experienced in handling a variety of different cases. Strengths and Capabilities

Excellent verbal and written communication skills.

Versatile and flexible with Team and Time management skills.

Excellent analytical and problem solving skills, decision making skills.

Excellent computer and IT skills: MS office suite, Internet applications PROFESSIONAL EXPERIENCES

Claim Care SMC Pvt Ltd (Islamabad)

Claim Care offer complete revenue cycle management services. Take care of client Staffing, HR, Credentialing, Enrollment, Coding, Claims entry, Rejections, Denials, Appeals, Patient calls, Technical Support Services and more. Customized plan that fits practice’s need. Claim Care goal is to provide the best services and move practices

(and practitioners) towards financial stability and profitability. Credentialing Specialist (Feb 2022– Present)

Efficiently perform all aspects of credentialing verification, including initial credentialing and re- credentialing

Respond to all practitioner, client health plan and internal inquiries in a timely manner

Monitor expiring licensure, board and professional certifications and other expirable documents with practitioners within the prescribed timeframe

Maintain practitioner paper and electronic data files for CAQH to submit practitioner data as required to credential individual practitioners

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Collaborate with participating clients, department manager and/or external agencies to facilitate and ensure smooth hand-off during the credentialing process

Provider contracts negotiation.

Responsible for all demographics updates and EFT setups. All Stars medical billing compay (Rawalpindi)

Client-centric company with more than 12 years of knowledge in providing top-quality Revenue Cycle Management

(RCM) and medical billing services. All Stars medical billing compay provides a comprehensive suite of healthcare IT solutions and services with a committed and world-class team of experts at the helm. Medical Billing Specialist (Jan 2021 – Feb 2022)

Prepare and submit medical claims to insurance companies.

Preparing, reviewing, and transmitting clean claims using billing software, including electronic and paper claim processing.

Following up on unpaid claims within standard billing cycle timeframe.

To ensure that claims are processing by clearing house, insurances and TPA’s in the timely manners and patient statements generated regularly.

Calling insurance companies regarding any discrepancy in payments/denials if necessary

Reviewing and appealing unpaid and denied claims by written and/or verbal requests.

Prepare daily and monthly reports to analyze and resolve on-going practice issues.

To improve First Time Pass Rate, reduce DAR and increase Payment to Charge Ratios. EDUCATION

AIOU (2022)

Bachelors in Arts

Allama Iqbal Model Science Collage (2020)

FSC. Ics

Mirpur board (2018)

Matric (Science)

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