Accounts Receivable Credentialing Specialist

MIRZA SHOEB

ULLAH BAIG

Address:

**-*-***,******

Shahi,Hyderabad.

Phone: +91-970*******

Email: ************@*****.***

Career Objective

Interested to work in an institution wherein I can exploit my knowledge to the maximum and also use my inter personal and communication skill, ability to establish and maintain healthy relationship with all levels of staff, management.

Skill Highlights

• Proactive

• Strong decision maker

• Ability to withstand pressure

• Team Player

• Innovative

• Service-focused

Experience

Experience

Credentialing specialist - 07/2021 to Till Date

Unislink Pvt Ltd,Hyderabad.

Collect all required documents for credentialing

completing Payers form to get enrolled

Maintain client grid as Par / Non par

Follow up on emails with payers

Sending Participation Requests to the payers

Accounts Receivable Caller - 03/2018 to 02/2021

R29 Solutions Pvt Ltd, Hyderabad.

• Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.

• Perform Pre- Call Analysis and check status by calling the payer by using IVR or Web portal services

• To prioritize the pending claims for calling from the aging basket.

• Should be able to convince the claims company (payers) for payment of their outstanding claims.

• To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.

• To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.

• Escalate difficult collection situations to management in a timely manner.

• Review provider claims that have not been paid by insurance companies. Education

MBA (Finance and Marketing) - 2015

Osmania University, Hyderabad

Bachelors of Commerce - 2013

Osmania University, Hyderabad

Computer Skills

• Operating System : Windows 7, 8, 10

• Microsoft Office Suite

• Advance computer handling skills

Hobbies

• Fropper

• Acquiring new skills

Personal Profile

• Date of Birth : 26 Jan 1993

• Gender : Male

• Marital Status : Single

• Nationality : Indian

• Languages : English, Hindi, Urdu

Declaration

I am very much interested in securing a position in your organization. I am keen in Associating myself with a growing organization like yours and to put in all my effort and hard work to help in growth of organization. Place: Hyderabad

Date MIRZA SHOEB ULLAH BAIG

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