Revenue Cycle Medical Billing
Resume:
UrgentCare Pediatrics
BehaviouralHealth PainManagement
Diagnostic Labortory Internal Medicine
Oncology Cardiology
**** ********* **, *** *** Eagan,
MN 55121
Abu Bakar
Nasim
RCMSPECIALIST
ad1agl@r.postjobfree.com
About me
To gain a positon within the field of
Revenue cycle Management (Coding,
Benefits, AR, Billing and Eligibility)
that will challenge and allow myself
to apply my studies and experience in
Medical billing.
7+ years
Work Experience
Financial statement & ControlAnalysis
Consolidation
BusinessRiskAsseessment
Microsoft Excel
Investment appraisal
My Passions
Travelling
Food
Photography
Personal Skills
Time-Line
My Numbers
Dakota County Technical College
Associate Degree in Information Technology
Revenue Cycle Specialist
Cure MD
2019 / 2023
Education/Certificates Work Experience
Technical Skills
Communication Analytical Skill
Languages
95% 90%
English
Native
Urdu
Advanced
Punjabi
Fluent
15+
SoloPractice
04+
Labortory
06+
Hospitals
My Experiences
ProjectManagement
Specialities Exposure
Patient Acc Rep
Exponere Billing
2016/ 2019
Surgery OB/ Gynecology
Mental Health Behavioral Health
Abu Bakar
Nasim
RCMSPECIALIST
Revenue Cycle Skills
• Medical billing and coding
• UB04 & CMS-1500
• ICD-10, HCPCS and CPT coding
• Insurance claims processing
• Knowledge of medical terminology
• Customer service
• Attention to detail
• Time management
• Communication skills
• Proficient in Microsoft Office and medical billing software
• Collection
• AR Follow Up
• Rejections
• Payment Posting
• Explanation of Benefits
• Appeals Creation & Follow Up
• Eligibility & Benefits Verification
• Claims Submission
• Claim Edits
Using Epic, Athena Health, e Clinical works, Health Fusion, Advance MD, Cerner, MediTech, All Script etc
Using Epic on daily basis and working on assigned work queue, obtain medical records, authorizations, referrals and check the patient’s insurance and demographic information
Daily tasks including AR follow up on denied unpaid and underpaid claims, Rejections, Collections, EOB, Claim Edits and Secondary Billing
Eligibility and Benefits verification with all payers
Performed duties in accordance with applicable HIPAA and PHI guidelines
Proficient in Microsoft Outlook, Excel and Word
Working on Denials & Rejections with the ability to quickly analyze problems
Claims Submission via electronic and paper within time frame
Create and sending appeals to insurances through portals and by mailing with supporting documents and appeals follow up
Can identify coding issues such as Modifier, ICD-10, CPT and HCPCS
Payment recovery ratio is 90% on denied and rejected claims
Working on Inpatient/ out patient, HB, PB billing Follow up on claims through calling payers and using payer portals to resolve accounts in timely manner
Working with Government, Commercial, Third Party, W/C and other carriers
Post payments and adjustments
Resolve rejections and denials through corrections and appeals Revenue Cycle Specialist
Cure MD
2019 / 2023
Responsibilities
.
Professional Experience
Portfolio
ad1agl@r.postjobfree.com
3025 Eagandale PL, Apt 235 Eagan,
MN 55121
Portfolio
Extract the A/R Reports from EMR and also worked on assigned tasks
Working on EOB Denials and complete understanding of insurance letters
Maintained excellent attendance record, work quality and productivity
Exceeded goals through effective task prioritization and great work ethic
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor Patient Acc Rep
ExponereBilling
2016 / 2019
Responsibilities
Working on assigned tasks and spreadsheet of Denials
Using EPIC, Invision, Visiquate, Change Healthcare, Kareo, Trizetto, ECW, Athenahealth .
Working on Government, Commercial and W/C insurance carriers
Daily tasks including AR follow up, Rejections, Collections, Denials, EOB, Claim Edits, Eligibility and Benefits verification
Contact patients for COB, demographics and balance via calling and in-writing
Create and send appeals to insurances on denied and rejected claims
Calling Experience with insurance carriers and patients with excellent customer service skills
Resolves invalid or unauthorized deductions by following pending deductions procedures
Submit claims to the insurances electronically and on paper
Reduce outstanding accounts receivable by managing claims inventory
Conducts case related research (e.g., payer coverage policies, self-funded employee benefit plans, state, and federal regulations)
Assist and support AR follow up representatives with research on A/R related projects
Ability to identify and correct medical billing errors Abu Bakar
Nasim
RCMSPECIALIST
3025 Eagandale PL, Apt 235 Eagan,
MN 55121
ad1agl@r.postjobfree.com
Contact this candidate