Customer Service Support

Tahira Farhat Ali

MEDICAL BILLER/CUSTOMER SERVICE

Phone: 773-***-**** Email: **************@*****.***

PROFESSIONAL SUMMARY

I am people oriented, motivated, hard working goal oriented and an excellent team player. I have a multifarious personality and would like to do different things simultaneously. I meet the deadlines of tasks and an excellent time management skills.

WORK EXPERIENCE

Medical Biller/Customer Service NTL Laboratories

December, 2021 – December 2024

Verified patient eligibility for commercial and governmental payers

Updated Billing rejections/Corrected Diagnostic codes/followed up on unpaid claims and other discrepancies for claim

Payment Posting and Reconciliation in customized Laboratory software

Customer services for incoming calls

Provided Customer Support to patients as well as Clients & Insurance Associates

Familiarity with Availity, Ecare, Passport One Source & Change Healthcare

Familiarity with different medical software for e.g. Xifin, LIMS, LIS & Simply Bill

Accounts Receivable First Community Medical Center

April, 2021 - June, 2021

Followed up with different insurance companies for all outstanding claims/balances

Hands on experience with insurance processing, billing and related administrative work

Payment Posting and Reconciliation Experience

Familiarity with Availity, Ecare, Passport One Source

Direct Bill- Claims Integrity/Customer Services iRhythym

June, 2019 - November, 2020

Verified patient eligibility for commercial and governmental payers

Outreach to patients/Doctor’s facility/ Hospitals/ Insurances to obtain correct insurance info

Maintained accurate and complete documentation of work in iRhythm’s customer support system

Updated/Correcting Diagnostic Codes and other discrepancies for claim submission

Resolved open tickets issues and closing tickets in Zio, Sales Force and Way Star

Managed Care Biller Legacy HealthCare

July, 2017 - August, 2018

Billing/Claim processing of Managed Care, Commercial and Coinsurances

Familiarity with Emdeon/Change, PCC, Medi Portal, Availity, Ability & Ecare

Followed up with different insurance companies for all outstanding balances

Trouble shooting EOBs/Continuous follow up/resubmitting claims for two Nursing homes and creating spreadsheets on a regular basis

Provided Customer Support thru Calls & Emails

Coordination with Branch Office Managers and facility person

Medical Biller Dynamic Healthcare Ltd.

April, 2015 - May, 2017

Billing/follow ups/ Claim Status updating with all Managed Care, Medicare & Coinsurances

Generated accounts receivables in Procom/HDSI & Point Click Care software

Verified eligibility and coverage for Skilled Nursing Facilities

Trained junior staff member for managed care Billing & follow ups

Familiarity with Ability, Passport One Source, & Availity

Provided Customer Support thru Calls & Emails

Knowledge of Medi screens for residents with Medicaid coverage

Medical Biller Courage to Connect Therapeutic Center

June, 2014 - January, 2015

Verified eligibility and coverage for clients & Update patients file records, schedule appointments

Hands on experience with insurance processing, billing and related administrative work

Generated accounts receivables in Mc Practice MD, & Expedite follow up with insurance carriers

Trained new interns for all administrative and insurance related work

Administrative Assistant Catholic Charities

February, 2007 - December, 2009

Created, designed, and implemented new filing system for over 9,000 clients

Assisted with reception area by providing telephone support for inbound phone calls

Organized and scheduled appointments, and performed administrative duties as assigned

Administrative Assistant/Accounts Receivable Flexan Corporation

February, 2005 - January, 2007

Responsible for depositing and balancing daily cash deposits and all journal entries

Reviewed credit issues, credit applications, and flow receipt of client receivables

Assisted in Accounts Receivable and Accounts Payable

EDUCATION:

Diploma in Medical Insurance Billing & Coding) - Everest College, Skokie IL

GED - Rosemont, IL

Government College for Women (B.A., Humanities) - Overseas

Skills

CPR Certified OSHA & HIPAA Training Human Disease Terminology & Treatment Medical/Legal/Insurance Terminology Knowledge of Pathological Conditions Knowledge of Medicare Knowledge of Anatomy & Physiology Patient Registration/Insurance/Charges Entry EOB Processing/Payment Posting/Adjustments Experience with EHR

Medtrak System ICD9/ICD-10/HCPCS Coding Type 65 WPM/ Shorthand 40 WPM Microsoft Office: Word, Excel, PowerPoint

Software

Medtrak System Xifin LIMS LIS Simply Bill Emdeon/Change PCC Medi Portal Availity Ability & Ecare Procom/HDSI & Point Click Care software Mc Practice MD

References are available upon request

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