Revenue Cycle Medical Billing
Resume:
UrgentCare Pediatrics
BehavioralHealth PainManagement
Diagnostic Labortory Internal Medicine
Oncology Cardiology
***** ******* ******* ************,
PA 19154 United States
Ahmad
Khalid
RCMSPECIALIST
*****.*********@*****.***
About me
To gain a positon within the field of
Revenue cycle Management (Coding,
Benefits, AR, Billing and Eligibility)
that will challenge and allow myself
to apply my studies and experience in
Medical billing.
8 years
Work Experience
Financial statement & ControlAnalysis
Consolidation
BusinessRiskAsseessment
Microsoft Excel
Investment appraisal
My Passions
Travelling
Food
Photography
Personal Skills
Time-Line
My Numbers
Bucks County Community College,
Newtown, PA
Associate Degree in Business Administration,
2020
Revenue Cycle Specialist
Fastech RCM
2018 / 2025
Education/Certificates Work Experience
Alexandria,VA > Patient’s AccRep (1.1 Year)
Philadelphia, PA > RCM Specialist (7.2 Years)
Technical Skills
Communication Analytical Skill
Languages
95% 98%
English
Native
Urdu
Advanced
Punjabi
Fluent
12+
SoloPractice
04+
Labortory
04+
Hospitals
My Experiences
ProjectManagement
Specialities Exposure
Patient Acc Rep
Exponere Billing
2017/ 2018
Surgery OB/ Gynecology
Mental Health Orthopedics
Radiology Infusion
Simplifying Healthcare Billing, Maximizing Efficiency. Ahmad
Khalid
RCMSPECIALIST
*****.*********@*****.***
Revenue Cycle Skills
• Medical billing and coding
• UB04 & CMS-1500
• ICD-10, HCPCS and CPT coding
• Insurance claims processing
• Knowledge of medical terminology
• Customer service
• Attention to detail
• Time management
• Communication skills
• Proficient in Microsoft Office and medical billing software
• Collection
• AR Follow Up
• Denials Management
• Rejections
• Payment Posting
• Explanation of Benefits
• Appeals Creation & Follow Up
• Eligibility & Benefits Verification
• Claims Submission
• Claim Edits
• Payer Portals
• Credit Balance
• Medical Records
Professional Experience
Portfolio
12534 Knights Terrace Philadelphia,
PA 19154 United States
Revenue Cycle Specialist
Fastech RCM
2018 / 2025
Responsibilities
Using Epic, Athena Health, e Clinical works, Health Fusion, Advance MD, Cerner, MediTech, All Script etc
Using Epic on daily basis and working on assigned work queue, obtain medical records, authorizations, referrals and check the patient’s insurance and demographic information
Daily tasks including AR follow up on denied unpaid and underpaid claims, Rejections, Collections, EOB, Claim Edits and Secondary Billing
Makes appropriate number of calls based on assigned payer.
Handles and resolves incoming correspondence within 5 days of receipt and updates system
Eligibility and Benefits verification with all payers
Performed duties in accordance with applicable HIPAA and PHI guidelines
Proficient in Microsoft Outlook, Excel and Word
Working on Denials & Rejections with the ability to quickly analyze problems
Claims Submission via electronic and paper within time frame
Create and sending appeals to insurances through portals and by mailing with supporting documents and appeals follow up
Consistently meeting production and quality assurance standards
Can identify coding issues such as Modifier, ICD-10, CPT and HCPCS
Payment recovery ratio is 95% on denied and rejected claims Portfolio
*****.*********@*****.***
Working on Inpatient/ out patient, HB, PB billing Follow up on claims through calling payers and using payer portals to resolve accounts in timely manner
Working with Government, Commercial, Third Party, W/C and other carriers
Post payments and adjustments
Resolve rejections and denials through corrections and appeals
Working on Reversals, Refunds and Recoupments
Working on Credit Balances and adjustments
Extract the A/R Reports from EMR and also worked on assigned tasks
Working on EOB Denials and complete understanding of insurance letters
Maintained excellent attendance record, work quality and productivity
Exceeded goals through effective task prioritization and great work ethic
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor Ahmad
Khalid
RCMSPECIALIST
12534 Knights Terrace Philadelphia,
PA 19154 United States
Revenue Cycle Specialist
Fastech RCM
2018 / 2024
Responsibilities
.
Patient Acc Rep
Exponere Billing
2017 / 2018
Responsibilities
Working on assigned tasks and spreadsheet of Denials
Using EPIC, Invision, Visiquate, Change Healthcare and many payer portals
Working on Government, Commercial and W/C insurance carriers
Working on Reversals, Refunds and Recoupments
Working on Credit Balances
Daily tasks including AR follow up, Rejections, Collections, Denials, EOB, Claim Edits, Eligibility and Benefits verification
Contact patients for COB, demographics and balance via calling and in-writing
Create and send appeals to insurances on denied and rejected claims
Calling Experience with insurance carriers and patients with excellent customer service skills
Resolves invalid or unauthorized deductions by following pending deductions procedures
Submit claims to the insurances electronically and on paper
Reduce outstanding accounts receivable by managing claims inventory
Conducts case related research (e.g., payer coverage policies, self-funded employee benefit plans, state, and federal regulations)
Assist and support AR follow up representatives with research on A/R related projects
Ability to identify and correct medical billing errors
Contact this candidate