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MUSTAQ AHMED MOHAMMED

Senior Executive

Email id @

adxqfj@r.postjobfree.com

Contact No 974-***-****,866*******

Location: Mysore, Karnataka

Summary

Precise, efficient medical billing professional with over 5 years of physician medical billing. Specialized in filing accurate claims, adjusting rejected claims, and understanding insurance contracts, appeals, and EOBs

Software’s:

. GE Centricity

. Allscripts

. OncoEMR

. Prism

. Xifin

. Imagie

WORK EXPERIENCE

SENIOR ACCOUNT EXECUTIVE

Omega Healthcare Management Services

Private Limited

Bengaluru, Karnataka, India

04/06/2018- 30/11/

2020

• Review of daily AR and Denial report for Accounts receivable and planning the workflow to follow up with the payer for payments

• obtaining Explanation of benefits from payers and posting the payment in the software • Daily review of EDI rejections and payer rejections and correction of those rejection and resubmission of claims

• Investigating for payer denial patterns and reducing the AR days to 90 days and below • Resolving Provider quires through emails

• Training and resolving the quires of colleagues

• Preparing the Appeals for Medically necessary, crossed timely filling limit, Authorization for services and Co-ordination of benefits

• Verification of patient Eligibility and coverage information

. Review of correspondence letter received from payer and maintain the TAT. Sysinformation Healthcare India Pyt Ltd.

{O5/23/2Ol5-O6l9/2Ol7)

Mysore, Karnataka, India

• Daily review of denial report from the insurance payer and correction and resubmission of claims

• Follow up with the payers for claims and sending the claims back for reprocess which are denied by the payer in error

• Preparing the Appeals for Medically necessary, crossed timely filling limit, Authorization for services and Co-ordination of benefits

• Verification of patient Eligibility and coverage information

• Obtaining retro -authorization for services which are missed to be obtained prior to service being performed

• Daily review of EDI rejections and payer rejections

. Working on collection ‘s report in month end.

Decipher Health

Records LLP (OIO3/2Ol8-

05/28/2018)

Mysore, Karnataka, India • Daily review of denial report from the insurance payer and correction and resubmission of claims

• Follow up with the payers for claims and sending the claims back for reprocess which are denied by the payer in error • Preparing the Appeals for Medically necessary, crossed timely filling limit, Authorization for services and Co-ordination of benefits • Verification of patient Eligibility and coverage information

Senior Process Associate

Jorie Health private

limited Mohali,

Punjab, India 12/2/2020 –

03/7/2022

. Verification of patient Eligibility and coverage information

. Review of daily AR and Denial report for account receivable and planning the work flow

. Review of correspondence letter received from payer and maintain the tat

. Training and resolving the quires of colleagues

Senior Process Associate

NYX MEDICAL Solution Pvt.

Chennai, India

08/02/2022- Current date

• . Daily review of denial report from the insurance payer and correction and resubmission of claims

• . Follow up with the payers for claims and sending the claims back for reprocess which are denied by the payer in error

• . Verification of patient Eligibility and coverage information

• Obtaining retro -authorization for services which are missed to be obtained prior to service being performed

EDUCATION

B.SC

Yuvaraja’s college

Start Date - End Dote

COURSES

C.B.Z (CHEMISTRY, BOTANY, ZOOLOGY)

MYSORE UNIVERSITY

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