Remote Data Entry Specialist (Pharma)

ZEESHAN NASEEM

Pre-Engineering

Sep-****

• English

• Urdu

• Local Languages

Bachelor's Degree in Mathematics and

Physics

Oct-2018

• Medical Billing & Coding

• Claim Submission & Insurance Follow-Up

• Accounts Receivable (A/R) Management

• Denial Management & Rejection

Resolution

• Knowledge of CPT, HCPCS & ICD-10

Codes

• Compliance with HIPAA & Payer

Guidelines

• Payment Posting & Reconciliation

• Excel Reporting & Data Analysis

• Attention to Detail & Problem Solving

• Time Management & Team Collaboration

Carecloud

Dr. Chrono

Tebra

Collaborate MD

Wound Expert

Practice Fusion

Office Ally

Availity

Simple Practice

BELLMEDEx, PAKISTAN January 2024 - Present.

• Verifying patient eligibility and benefits to ensure clean claim submission.

• Preparing and submitting accurate claims to insurance companies within required timelines.

• Managing claim rejections, denials, and discrepancies; initiate appeals when needed.

• Tracking and analyzing AR aging reports to maintain healthy cash flow and reduce outstanding balances.

• Follow up with insurance payers for claim status, payment delays, or additional information requests.

• Communicating effectively with providers and insurance payers to resolve issues quickly.

• Maintaining compliance with payer policies, industry regulations, and HIPAA requirements.

MTBC, Bagh June 2022 - December 2023

• Perform timely follow-up on insurance claims to ensure accurate and prompt reimbursement.

• Analyze rejected, denied, delayed, or underpaid claims and take appropriate corrective actions.

• Communicate with insurance payers and clients to resolve billing and payment issues.

• Submit appeals, reconsideration requests, and reprocessing requests according to payer guidelines.

• Follow HIPAA regulations and organizational policies at all times.

+92-347-*******

***.**********************@*****.***

Rawalpindi, Pakistan

SKILLS

EDUCATION

LANGUAGES

SUMMARY

Experienced Revenue Cycle Management (RCM) Manager with a proven record of optimizing billing operations, reducing denials, and improving collections. Skilled in overseeing end-to-end revenue cycle processes including charge entry, payment posting, AR follow-ups, denial management, and reporting. Adept at managing teams, developing performance metrics, and ensuring compliance with payer and HIPAA regulations. Focused on BILLING PLATFORMS

PROFESSIONAL EXPERIENCE

process efficiency, staff training, and maximizing revenue through clean claims and accuratecoding. University of AJK

P.G.CPallandri AJK

Account Manager Operations

RCM Specialist (Billing & AR)

SPECIALITIES

Dermatology

Oncology

Mental Health

Psychotherapy

Family Practice

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