Medical Billing Customer Service
Resume:
PARVEZ RANA
NEW DELHI, INDIA 097********
DETAILS
New Delhi
India
**************@*****.***
SKILLS
Leadership Skills
Decision Making
Time Management
Ability to Multitask
Ability to Work in a Team
Teamwork
Fast Learner
Leadership
Ability to Work Under Pressure
Communication Skills
Coordinating
Planning
Troubleshooting (Problem
Solving)
Customer Service
Revenue Cycle Management
Operations
Accounts Receivable
Management
Current Procedural Terminology
(CPT)
Business Operations
Federal Laws
Medical Records
PROFILE
To pursue a challenging Carrier in an esteemed Organization for implementing and maintain the continuous improvement by the help my existing skills, Strong experience and Dedicated team player I have the follow through and positive attitude that will allow me to achieve company target.
EMPLOYMENT HISTORY
AR Analyst at PORTECK INDIA INFO SERVICE PVT LTD-(Noida), Noida September 2008 — November 2009
WORKING PROFILE: 1. Working on billing projects, Claims, Charge credit, Rekey the pending claims & check the claims status on call. 2. Prepared the Invoices of (DOSHI DIAGNOSTIC IMAGING GROUP) HCFA,Emedny Forms, Billing work Sr. AR Analyst at Accretive Health Services Pvt Ltd, Gurgaon November 2009 — April 2012
WORKING PROFILE: 1. Working on medical billing cases, denials or follow up the claims 2. Telephonic Interaction and troubleshooting with US Clients and Insurance companies to verify the claim's Status 3. Daily, weekly and Monthly Reporting for Rejection cases of Columbia St. Mary Hospital in United States.
Medical Billing Associate at SAVI INDIA INFOSERVICE PVT LTD, Gurgaon August 2012 — June 2013
Designation: Medical Billing Associate Duration: Aug.2012 to June 2013 WORKING PROFILE: 1. Working on Denial Management, Claims follow-up for Physician Billing. 2. Working on Patient calling, direct interaction with US clients of daily, weekly and monthly rejection reports of claims. 3. Working Third level work of AR (printing the HCFA, Medical Records, Appeal work, ACD form, Paper claim billing etc.) Sr. Medical Billing Associate at ALPHA BITA TECHNOLOGY PVT LTD, New Delhi June 2013 — November 2014
WORKING PROFILE: 1. Working on Physician Billing practices handling denials or follow up the claims. 2. Telephonic Interaction and troubleshooting with US Clients directly. 3. Working on payment posting, Charge credit, Patient calling, Rekey and Third level work of AR and direct Interaction with US Nurses and staff. SME (SUBJECT at RKA INFOTECH PVT LTD, New Delhi
December 2014 — May 2015
WORKING PROFILE: 1. Working on Physician Billing practices handling denials managements, pending with Errors, Rejections, Denial aging, or Follow up the claims, Appeal work and 99% collection record in AR collection (Pulmonary) practice. 2. Handling target works for different projects and charge credit, High dollars account direct interaction with Doctor as per given TAT with proper SLA. 3. Working Medical Transcription work for doctor and also handling patient calling for payment &collection, Quickly identified and resolved medical billing, coding and insurance discrepancies. Health Care Finance
Administration (HCFA)
Regulations
LANGUAGES
Punjabi
English
Hindi
4. Reporting to client with annually collection reports and implements new things in billing work, Responsible for cash management, supply ordering, and customer service relations, Reviewed patient bills for accuracy and Completeness, and obtained any missing information 5. Reporting to client for Revenue Cycle Management, Maintained the highest levels of accuracy and patient Confidentiality. 6. Handling Credentialing work with proper documentation with insurance companies, Followed the guidelines and be in compliance with local, state or federal laws and regulations. 7. Responsible for providers and/or practices that required special accounts receivable clean-up, selected to Participate in a high-visibility project, which resulted in refunds in the hundreds of thousands of dollars. 8. Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance, Corrected And resubmitted claims denied by insurance company, Coding of inpatient and outpatient procedures from Operative reports by using ICD 9/10 and CPT codes and applying modifiers when needed. 9. Handled provider and client appeal/reconsideration request, Maintained accurate records and resolve billing Issues. 10. Answered all patient telephone inquiries regarding their bills and insurance questions.
PLANT HEAD (General Manager) at ACCURA CARE PHARMACEUTICALS PVT LTD, HIMACHAL PRADESH
May 2015 — September 2016
WORKING PROFILE: Working as a General Manager (plant) Create revises, review & approves SOPs for dept. & other area. Review and approves validation protocols Demonstrate excellent written & verbal skills with ability to management representative
& General Manager Production, lead the TEAM to obtain WHO GMP certificate & ISO 9001 certificate. Establishment of tablet, capsules, oral liquids, Injections, Ointment & Oral Powder dept. & Q.C Dept. - FDA approval in tablets, capsules, Injections, Ointment & Q.C Dept. Coordinating business operations, monitoring and motivating staff, managing operational costs, ensuring good customer service, improving administration processes, engaging with vendors, hiring and training employees and formulating policies. SR.SUBJECT MATTER EXPERT at RKA INFOTECH PVT LTD, New Delhi February 2017 — February 2020
Designation: SR.SUBJECT MATTER EXPERT Duration: 20 FEB 2017 to 28 FEB 2020 WORKING PROFILE: (Same Responsibilities as above mentioned & updated). TEAM LEADER at RKA INFOTECH PVT LTD, New Delhi
March 2020 — February 2024
WORKING PROFILE:
• Ensured team members had the resources, tools, and training needed for success
• Resolved conflicts in a professional and timely manner
• Evaluated team performance and provided constructive feedback to help team members improve
• Handling Ar Team, Authorization work and same work responsibility as above mentioned
• Monitored team performance and performance metrics to identify areas of improvement
Assistant Manager at RKA INFOTECH PVT LTD, New Delhi March 2024 — Present
Designation: Assistant Manager Duration: 1 MAR 2024 to present WORKING PROFILE:
• Developed and monitored KPIs to ensure that goals and objectives were met on time and within budget.
• Maintaining the data for unpaid claims and share the reports for Clients and Ops manager.
• Managing the Day to day activities like (Evaluate employee performance and identify hiring and training needs).
• Supervise and motivate staff to perform their best, Communicate with clients and evaluate their needs.
• Handle Patients billing related esquires, Discuss the issues with Onshore team and Ops Manager regarding work related issues.
• Taking care Offshore Grievances for work related issues, Managing the Eligibility, Authorization Denials management, AR to make sure get it done in proper time frame.
• Providing Training material to new Employees and trained them and share the feedback accordingly.
• Managed 20 FTE and setting goals and delegating tasks to ensure that deadlines were met.
EDUCATION
10+2, PSEB, Ropar
March 2005
Bachelor of Arts, SHOBHIT UGC Approved University (Meerut), Meerut June 2015
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