Administrative Professional with 19 Years Experience
Resume:
Tabbsum Hussain
********@*****.***
Summary
Motivated and reliable administrative professional with 19 years of experience providing outstanding service, strong planner and problem solver, able to work with people or independently and exceed expectations. Able to multiple tasks, planning and offering versatile management skills. High-performing and creative, and able to relate easily to clients, staff and colleagues seeking a role for advancement.
Skills
● Patient Education
● Medical Billing Coding
● Filing
● Accounts Receivable
● Billing and collection
● Invoice statements
● Transactions processing
● Reporting
● Payment posting
● Eligibility
● Denials
● Appeals
● Reimbursement
● Records Management
● Database Administration
● Spreadsheets/Reports
● Event Management
● Supply Management
● Scheduling
Computer Skills:
● MS Word
● MS Excel
● MS Power Point
Experiences:
Office Manager
Anwar Vaseema Arastu MD Inc
04/2008 – 07/2013
La Mirada CA
● Handled multifaceted clerical tasks (e.g., data entry, filing, records management and coordinated quickly became a trusted assistant known for "can-do" attitude, flexibility and high-quality work.
● Established strong relationships to gain support and effectively achieve results
● Interact professionally with all levels of staff and maintain the highest level of confidentiality.
● Entrusted to manage the office in absence of the doctors. Provided timely, courteous
● knowledgeable response to information requests
● Earned excellent marks on performance reviews.
● Communicated with patients, faculty, insurance companies and other departments to resolve patient accounts
● Recruited, hired, and trained all staff, providing direct supervision, ongoing staff development, and continuing education to 7 employees.
● Assisted in physician credentialing, license renewal, and reappointments.
● Scheduled surgeries, managed pre-certifications, and verified insurance coverage.
● Made practice more efficient through workflow improvements, detail-oriented process changes, and increased focus on customer satisfaction.
● Checked patients in and out, prepared files, answered phones and scheduled appointments.
● Supervised the day-to-day functions of the staff that included receptionist,medical assistants, and medical records clerk.
● Post all payments cash, checks and credit card payment to customer accounts.
● Make collection calls -follow up on past-due payments and skip invoices.
● Communicate with customers and administration to ensure cash application.
● Monitor customer account details for non-payments, delayed payments and other irregularities.
● Generate invoices from the system.
● Record contact information, communications and collection efforts in the system. Work closely with others to resolve/research and apply unapplied cash.
● Oversee accounts receivable write-offs, adjustments and payment reversals.
● Clarifying charge-backs, deductions, and allowances on payment received.
● Review each report to ensure - all transactions match check, credit card deposit slips statement, organizing paperwork by date and month.
● Work with the AR manager and credit collections department to address any issue with check or credit card applications.
● Maintain A/R records; prepare statements, bills and invoices; process payments; respond to customer inquiries regarding account status; and reconcile expenses to general ledger.
● Assisted controller in creating and implementing new financial systems, procedures and policies to strengthen controls and streamline A/R processes.
● Under the direction of the A/R Manager, supervise team of associates to include staffing, training, coaching, performance management and problem resolution
● Established and maintained working relationships with vendors, insurance companies and other health care facilities/organizations.
● Billed and submitted claims weekly and handled patients bills and account statements.
● Posted and reconciled insurance and patient payments.
● Allowed to authorize Pharmacy Refill Requests.
● Managed and maintained office supplies and equipment inventory
● Responsible for reconciling and recording payments made by self-pay patients
● Processed all medical records request adhering to all HIPAA Guidelines
● Answered multi-phone lines completing all requests for scheduling patients, receiving insurance authorizations, or making any changes to the provider's schedule.
● Managed accounts receivable/ payable and Answered patient questions, inquiries and concerns regarding their accounts payroll
● Monitored all delinquent accounts and managed collection activities.
● Submitting authorizations and referrals to medical groups and insurance companies for specialists, DME, any procedures to be done in or out of the office. Patient Accountant
CMRE Financial Services
10/2015-11/2016
Brea CA
● Determined requirements by working with customers.
● Answered and fulfilled inquiries by clarifying desired information; researching, locating, and providing information.
● Maintained call center database by entering information.
● Updated job knowledge by participating in educational opportunities.
● Address customer service inquiries in a timely and accurate way. Give accurate and appropriate information to answer questions, issues, and resolve complaints.
● Set up a payment plan with patients to adjust to their monthly income to be able to pay the bill.
● Properly directed inbound calls in phone queues to improve call flow.
● Made reasonable adjustments exceptions to accommodate customer requests.
● Provided accurate and appropriate information in response to customer inquiries.
● Developed effective relationships with all call center departments through clear communication.
● Worked with upper management to ensure appropriate changes were made to improve customer satisfaction.
Technician
EB Professional Doctors Associates
Dr.Kermani Michael-ophthalmology
08/2017-10/2017
El Monte CA
Newport CA
● Assisted ophthalmologist in seeing patients in convalescent home facilities
● Completed charts for records before and after patients seen by the doctor.
● Prepared examination and treatment rooms for use of ophthalmologists.
● Performed basic and routine vision screenings examinations; and recorded data on standard format.
● Sound knowledge of ophthalmology abbreviations and terminology
● Remarkable experience in performing basic maintenance of ancillary equipment
● Self-motivated worked independently
● Proven ability to perform technical skills
● Maintained ophthalmic instruments appropriately.
● Performed other technical skills as directed by the ophthalmologist. Medirevv
Payment Posting
08/2018-10/2020
Promoted- Eligibility Representative
Anaheim CA,
Payment Posting
● Prints out all insurance EOBs from websites and electronic files that were unable to post electronically (edits) to the system and prepares these documents to be manually posted.
● The IDX system posted payments manually and electronically.
● Payments posted electronically worked on edits the system created and/or was not posted correctly.
● Prioritizes daily work and assesses backlog situations, making adjustments as needed.
● Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed
● Researches patient inquiry to verify correct account for applying payment
● Posts insurance and patient payments including contracted and non-contracted insurance carriers
● Posts appropriate adjustments when required according to contract
● Runs a Transaction Analysis edit posting of payments and/or adjustments
● Corrects any errors until matched balance
● Prints account screen if any overpayment received; forwards to refund specialist for processing
● Maintain timely postings in accordance with productivity standards
● Abides by all policies, procedures, and protocols set forth in the department
● Maintains open lines of communication with Supervisor, Department Manager and other departmental personnel.
Eligibility Specialist
● Worked IDX advance system
● Verified Eligibility through insurance’s portals
● Worked all edits in the claim to push the claim through
● Ability to read explanation of benefits (EOB) and assigned patient liability including secondary insurance
● Knowledge of Accounts Receivable
● Strong knowledge of medical terminology
● Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
● Excellent attention to detail Work claims and claim denials to ensure maximum reimbursement for services provided
● Works directly with insurance companies to get claims processed and paid
● Make outbound phone calls to resolve denial issues
● Extensive knowledge of ICD-9,ICD-10 CPT billing and coding
● Responsible for all aspects of account follow up and collections, including processing appeals
● Reviews explanation of benefits (EOBs) to ensure proper reimbursement of claims.
● Knowledge of commercial, Medicare, Medicaid, HMO/PPO, Tricare insurance operating Procedures.
LA Care Health Plan- Contract
Medical Payment Service System (MPSS)
Consultant
10/2020-01/2021
● Managed the open enrollment process for all employees ensuring timely communication
● enrollment accuracy and adherence to company policies and deadlines
● provided guidance to employees on benefits options, including health insurance retirement plans, and other voluntary benefits.
● Collaborated with insurance providers and HR team to resolve issues and improve the open enrollment experience for employees
● analyzed and reported on enrollment trends and participation rates to support decisions making and improving benefits offerings.
● Strategic Planning & Execution
● Business Analysis & Problem Solving
● Project Management
● Data Analysis & Reporting
● Team Leadership & Development
Client Relationship Management
● Conducted comprehensive business analysis to identify opportunities for improvement in
[specific area].
● Collaborated with cross-functional teams to develop and implement strategic solutions that enhanced operational efficiency.
● Managed consulting projects simultaneously, ensuring timely delivery and adherence to client specifications.
● Developed and presented detailed reports and recommendations to facilitating informed decision-making.
● Trained and mentored junior consultants, enhancing team performance and knowledge sharing.
● Check Run
Super Care Health
Care Coach
Collection Specialist
4/2021- 1/2024
City Of Industry CA
● Handling inbound and outbound calls for patients with respiratory issues.
● Telehealth services patient communication, education, and support.
● Answer inbound calls from patients with respiratory conditions, addressing their inquiries and concerns.
● Make outbound calls to follow up with patients regarding their treatment plans, medication adherence.
● Collect relevant patient information, including symptoms, medication history, and recent health changes.
● Update patient records accurately during calls to ensure continuity of care.
● Provide patients with information about respiratory conditions, treatments, and lifestyle modifications.
● Offer support and guidance on using respiratory devices (e.g., inhalers, nebulizers, ventilator
● Coordination with Healthcare Providers
● Collaborate with physicians, nurses, and specialists to relay important patient information and coordinate care.
● Identify urgent situations and escalate them to medical professionals when necessary.
● Provide reassurance and support to patients experiencing anxiety or distress related to their respiratory health.
● Strong verbal communication skills to convey information clearly and empathetically.
● Active listening skills to understand patient concerns fully.
● Basic understanding of respiratory health issues and treatment options, along with knowledge of medical terminology.
● Ability to manage multiple calls and maintain accurate records.
● Strong time management skills to prioritize tasks effectively.
● Familiarity with healthcare software systems for patient management and record-keeping.
● A caring demeanor to support patients emotionally, especially those dealing with chronic respiratory conditions.
Collection Specialist
● Contact clients by phone, email, or mail to collect overdue payments.
● Negotiate payment plans and settlement agreements with debtors.
● Maintain a professional and respectful demeanor while discussing sensitive financial matters.
● Monitor and manage accounts receivable to identify overdue accounts.
● Update account information and maintain accurate records of interactions and payments.
● Utilize collection software and databases to track payment status and manage accounts.
● Provide excellent customer service by addressing inquiries related to billing and payment processes.
● Resolve disputes and issues related to outstanding debts, including payment discrepancies.
● Prepare regular reports on collection activities, outstanding debts, and recovery rates.
● Analyze collection trends and provide insights to management for improving collection strategies.
● Work closely with other departments, such as sales and customer service, to address issues related to accounts.
● Strong verbal and written communication skills to effectively interact with clients and colleagues.
● Skilled in negotiating payment terms and resolving conflicts amicably.
● Ability to persuade and influence clients to fulfill their payment obligations.
● High level of accuracy in managing financial records and documentation.
● Ability to identify discrepancies and investigate issues thoroughly. Education:
Certification:
Medical Administrative
Patient Accountant
Cypress College
AA/Associates
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