SHAFAQUATH JAWAD

Personal Email: adt5md@r.postjobfree.com

An Overview

7.5 years of experience in Medical Billing Operations.

Excellent Knowledge in AR- Analysis, Cash posting, Demographics & charge entry.

Experienced in the Man power Management, Effective utilization of Resources, and process Management.

Experienced in handling direct clients “End to End” Processes.

Expertise in managing big teams (Day/Night) altogether.

Expertise in creating process documents and mapping the process to improve the quality and for betterment of the project

An exceptional leader who is able to develop and motivate others to achieve targets, I can demonstrate a strong ability to manage projects from conception through to successful completion.

A proactive individual with a logical approach to challenges, I perform effectively even within a highly pressurised working environment.

Areas of Expertise

Operations & Process management

Interacting with the Client regularly for the process requirement.

Managing and delivering the Client Requirement in time.

Presenting the information to Client in an organised output.

Ensuring the Operation is in control.

Maintaining positive environment in the team and having strong hold on getting the work done from day/night team members.

Always encouraging, never let the team members down.

Quality Control & Trainer

Setting out quality standards for various operational areas & ensuring adherence to quality standards and designing modifications for overall improvement in quality and service standards.

Maintaining Quality in AR and fixing the routine problems.

Provide Training to fresher’s on basic Revenue Cycle Management (RCM).

Provide Training on calling scenarios and making them understand the process.

Provide clarification to AR.

Solving issues raised by subordinates and update them on recent updates from insurance

Setting up priority calls & handling issue calls.

Sending detailed list of AR working to Client on Daily/Weekly & Monthly base.

Preparing report and sending them to clients on routine denials and issues related to non-payable procedures.

Solving issues within the team and streamlining the project, documenting the same.

Responsible for client Reporting with 100% accuracy

Professional Experience

STARMARKSOFTWARE (P) LTD. From Oct 2016 - July 2018

STARMARKSOFTWARE Pvt. Ltd., is a Service Delivery Centre providing healthcare back office services that are part of Revenue Cycle Management (RCM). It provides various aspects of RCM such as Physician and Institutional Coding, Charge Entry & Validation, Payment Posting, Denial Management, Receivables Follow Up, Credentialing and Patient Collection among others.

STARMARKSOFTWARE Pvt ltd-Title: Sr Account Receivables (Physician Billing)

Guiding the team and other sub-ordinates in solving their queries related to the process.

Maintaining positive environment in the team and having strong hold on getting the work done from day/night team. Always encouraging and getting the work done from them as per the client’s requirement.

Analysing the aging reports, prioritizing the claims that need to be worked with appropriate action and assign the same to the team to work on timely base.

Reporting to the Manager on daily base on prod/quality and client’s performance.

Involved in Charge Entry, Coding and payment posting of medical bills and EOB’s.

Provide Training to fresher’s on basic Revenue Cycle Management (RCM).

Provide Training on calling scenarios and making them understand the process.

Solving issues within the team and streamlining the project, documenting the same.

Responsible for client reporting with 100% accuracy.

Decipher Health Records LLC From July 2018 – September 2019

Decipher Health Records LLC -Title: SME (DME Process)

Co-ordinating with a team of 50-60 members in terms of Production, Quality and finding the trends in AR within the process and working according to that.

Guiding the team and other sub-ordinates in solving their queries related to the process.

Reviewing exceptions from team and the resolutions from Dr’s Office.

Generating Reports Daily/Weekly/Monthly and Misc reports and giving my insights to it so that client understands the payment flow. Find out the problems and root cause them.

Maintaining positive environment in the team and having strong hold on getting the work done from day/night team. Always encouraging and getting the work done from them as per the client’s requirement.

Analysing the aging reports, prioritizing the claims that need to be worked with appropriate action and assign the same to the team to work on timely base.

Reporting to the Manager on daily base on prod/quality and client’s performance.

Involved in Charge Entry, Coding and payment posting of medical bills and EOB’s.

Co-coordinating with clients, Liaisons on daily productivity and work related issues through conference calls & e-mails and getting their feedbacks and responding accordingly.

Involved in Month end closing for all the clients we handle and run all the month end financial reports like (Account Aging / Ins Aging / Patient Aging / Day sheet Summary / Payment Summary / Refunds / Credits / Charge Summary) to client on Monthly basis.

Maintaining Quality in AR and fixing the routine problems.

Provide Training to fresher’s on basic Revenue Cycle Management (RCM).

Provide Training on calling scenarios and making them understand the process.

Solving issues within the team and streamlining the project, documenting the same.

Responsible for client reporting with 100% accuracy.

Generating daily AR report for allocation.

AvenueMed Healthcare Solution Pvt Ltd - September 2019 to Current

AvenueMed Healthcare Solution Pvt Ltd -Title: Team Leader (DME/Urgent care/Mental health Process)

Co-ordinating with a team of 12 members in terms of Production, Quality and finding the trends in AR within the process and working according to that.

Guiding the team and other sub-ordinates in solving their queries related to the process.

Reviewing exceptions from team and the resolutions from Dr’s Office.

Reporting to the Manager on daily base on prod/quality and client’s performance.

Responsible for client reporting with 100% accuracy.

Generating daily AR report for allocation.

Job Summary:

Coordinating with the billing company to ensure the work is on TAT and efficiently taken care.

Taking care of the requests from the providers, like giving coding clarifications and helping them on billing guidelines Etc…

Preparing Monthly reports like KPI Reports, maintaining production report of the all the users, conducting weekly and Monthly calls.

Education

Completed SSLC in St Paul’s High School, Mysore.

Completed 2nd P U C in Maharaja's PU College, Mysore.

Completed tutorial on MS Office, Windows and can work easily on word, excel and power point.

B.Com From KSOU.

Software used

Practice Velocity

Centricity

Brightree

Bloominmind

ECW

Vital Collect

Office Ally

Kareo

DECLARATION

I hereby declare that all the details furnished above are true to my knowledge and if I am given an opportunity in your esteemed Organization. I will discharge all my duties to my superior in a sincere way.

Place: Mysore

Date: (Shafaquath Jawad)

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