Medical Billing Revenue Cycle
Resume:
SKILLS
Revenue cycle management
Healthcare regulations
Operations Management
Payer policies and guidelines
Denial management
Process optimization
Root cause analysis
Critical thinking
Decision-making
Troubleshooting
Workflow management
Quality assurance
Client service & satisfaction
Relationship management
Regulatory Compliance
Financial Acumen
EDUCATION
2001
Degree
Delhi University Dyal Singh College (First Year Completed)
PERSONAL DOSSIER
Gender: Female
Nationality: Indian
Languages Known: English & Hindi
LICENSE
First Aid & CPR/AED level C
Alberta Security License
PROFESSIONAL SUMMARY
Results-driven Admin experience with over 10 years and proven track record in overseeing and optimizing operations within the US Medical Billing sector. Demonstrated success in managing cross-functional teams to deliver high-quality services, reduce billing errors, and improve overall revenue cycle performance. Strong analytical skills and strategic mindset contribute to successful problem-solving and process improvement initiatives.
WORK HISTORY
June 2024 till present
Store Associate, Dollarama
Provide quality customer service.
Operate a cash register.
Assist in receiving and stocking merchandise. To ensure merchandise presentation standards are followed.
Maintain store cleanliness.
July 2018 – May 2024
Admin (US Medical Billing), CGM Aria Health Services
Supervising 28 medical billing personnel and training employees in day-to-day billing duties
Completing operational requirements, co-ordinate between different departments by scheduling and assigning administrative projects and expediting work result
Maintain contact lists and up-to-date employee records
Ensure basic book keeping and data entry duties with accuracy
Assist customers with scheduling appointments for different departments
Maintain supplies inventory by checking stock, placing and ordering supplies if needed.
Organize travel and book reservation arrangements for employees
Insurance claims reconciliation from insurance aging report and unpaid explanation of benefits
Assisting clients with an explanation of benefits, billing questions and establishing payment plans
Independently managing onsite clients and regular interaction on daily, weekly, monthly and quarterly basis
Utilizing web portals for maximum information for each Carrier/Payer which includes but not limited to upcoming changes updates
Processed all the claims and monitor payments for services, collected and posted payments and made a bank deposit on a regular basis
Taking escalations for resolving critical issues, ensuring CTQ Delivery & Business Continuity
December 2009 - June 2011
Assistant Billing Executive, MD Everywhere India Pvt. Ltd
Responsible in reducing Pre-bill and E.D.I backlogs
Organized and coordinated conferences and monthly meetings.
Screened calls and emails and initiated actions to respond or direct messages for managers.
Updated spreadsheets and created presentations to support executives and boost team productivity.
Helped in achieving significant growth in revenue in the physician revenue cycle industry
July 2006 - August 2009
Senior Executive Customer Support, Info Edge India Ltd
Analyzed tickets raised by the customers and, either resolve, or assign to appropriate team for resolution in a timely manner
Worked for Jeevansathi.com as Senior Customer Care Executive
Handled inbound service queries through Calls, FAQ, Live chat & upselling of services
Testing functionality on different browsers
Won many Contests and Certificates (Captain of Productivity, Monthly Contest Certificate and
Built strong relationships with field operations team to support business development opportunities and improve service.
Conducted surveys to determine customer opinion of products and services.
Provided customers with updates and periodic statements on service developments and changes in trends.
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SHAILY AHMED
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