Revenue Cycle Medical Billing
Resume:
UMAR FAROOQ
RCM SPECIALIST
*********@*****.***
*** ****** ** ******, ** 08053
Time-Line Education/ Certificates Work Experience
Patient Acc Rep
Messegemuse
Revenue Cycle Specialist
Bitknoxtech
2020 /
Present
GC University Lahore, Pakistan
M.S Computer Science, 2006 - 2008
About me Personal Skills My Numbers
To gain a position 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.
Specialties Exposure
Urgent Care Pediatrics
Behavioral Health Pain Management
Radiology Internal Medicine
Oncology Cardiology
Surgery OB/Gynecology
Neurology Orthopedic
95% 90%
Communication Analytical Skill
Technical Skills
Financial statement & Control Analysis
Consolidation
Business Risk Assessment
Microsoft Excel
Investment appraisal
5+ years
Work Experience
01
Urgent
Care
My Experiences
02
Solo Practice
03
Hospitals
My Passions
Travelling
Food
Photography
Project Management
Languages
English
Native
Urdu
Advanced
Punjabi
Fluent
UMAR FAROOQ
RCM SPECIALIST
*********@*****.***
118 Hasley LN Marton, NJ 08053
Revenue Cycle Skills
• Claim Edits
Portfolio
Professional Experience
Revenue Cycle Specialist
Bitknoxtech / New Jersey (Remote)
2020 / present
Responsibilities
.
Utilized various healthcare software systems including Epic, Athena Health, eClinicalWorks, Health Fusion, Advance MD, Cerner, MediTech, and All Script for daily tasks.
Used Epic on a daily basis to manage assigned work queues, obtain medical records, authorizations, referrals, and verify patient insurance and demographic information.
Conducted Accounts Receivable (AR) follow-up on denied, unpaid, and underpaid claims, rejections, collections, Explanation of Benefits (EOB), claim edits, and secondary billing.
Verified eligibility and benefits with all payers and ensured compliance with applicable HIPAA guidelines.
Demonstrated proficiency in Microsoft Outlook, Excel, and Word.
Analyzed and resolved coding issues such as modifiers, ICD-10, CPT, and HCPCS.
Achieved a payment recovery ratio of 90% on denied and rejected claims.
Conducted follow-up on inpatient/outpatient, hospital-based, and physician-based billing by contacting payers and using payer portals to resolve accounts promptly.
Created and submitted appeals to insurance companies through portals and mailing, including supporting documentation.
Effectively followed up on appeals.
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 carrier’s
Post payments and adjustments
Resolve rejections and denials through corrections and appeal
• 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
UMAR FAROOQ
RCM SPECIALIST
*********@*****.***
118 Hasley LN Marton, NJ 08053
Extracted A/R reports from EMR systems and completed assigned tasks.
Demonstrated a deep understanding of insurance denial letters. Portfolio
Maintained an excellent attendance record, consistently delivered high-quality work, and exhibited strong productivity.
Exceeded goals through effective task prioritization and a strong work ethic.
Actively listened to customers, addressed concerns promptly, and escalated major issues to supervisors. Patient Acc Rep
Messegemuse / Washington (Remote)
2018 / 2020
Responsibilities
Managed assigned tasks and maintained a spreadsheet of denials.
Utilized healthcare software systems such as EPIC, Office Practicum, PCC, Invasion, Visiquate, Change Healthcare, Kareo, Trizetto, ECW, and Athenahealth.
Worked with Government, Commercial, and Workers' Compensation (W/C) insurance carriers.
Conducted daily tasks including AR follow-up, rejections, collections, denials, EOB processing, claim edits, and eligibility and benefits verification.
Contacted patients for coordination of benefits (COB), demographic updates, and balance inquiries through both phone and written communication.
Created and submitted appeals to insurance companies for denied and rejected claims.
Demonstrated strong customer service skills in interactions with insurance carriers and patients.
Resolved invalid or unauthorized deductions by following pending deduction procedures.
Submitted claims to insurance electronically and in paper form.
Managed claims inventory to reduce outstanding accounts receivable.
Conducted case-related research, including payer coverage policies, self-funded employee benefit plans, and state and federal regulations.
Assisted and supported AR follow-up representatives with research on A/R-related projects.
Identified and corrected medical billing errors. UMAR FAROOQ
RCM SPECIALIST
*********@*****.***
118 Hasley LN Marton, NJ 08053
Software Engineer
Visionet Systems Inc. Cranbury (NJ)
2014 / 2018
Experienced in administration, installation, monitoring the release management tools.
Created SCM process, policies, procedures, and Release notes to follow Development and allow SQA teams to Release or deploy the highest quality product for the enterprise.
Defining SCM process, plans, policies & control board.
Documented Release Plans, checklists, Patch Notifications, and shipment work products.
Developed Project Repository structure in Configuration Management system like SVN, VSS for managing source code and project documentation effectively.
Experienced in developing custom build automation solutions in scripting languages including Windows batch languages & Shell.
Excellent skill set in defining baseline process of source code & configuration items including installing, configuring and administration of CM tools.
Worked closely with all project stakeholders including development, QA & Support teams to define product build requirements and constraints, continuous delivery for testing & release management.
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