AFSHAN ATIF
Houston,TX
Overview
1
1
Certification
7
7
years of professional experience
Work History
CORPORATE MEDICAL BILLING EXECUTIVE
HILL PARK GENERAL HOSPITAL
KARACHI, PAKISTAN
01.2015 - 03.2019
- Everyday rounds floor to floor and read patients files to know about patients health data, histories, physician diagnoses, prolonged letters
- Reviewed account information to confirm patients and insurance information is accurate and complete.
- Verified patient status and eligibility by communicating with insurance companies.
- Checked patient eligibility and verified benefits.
- Coordinated payment discussions with patients and families to ensure clarity on financial responsibilities.
- Generate corporate and private patients billing using billing software.
- Call/email to insurance company about patients' pre-authorization.
- Prepare, review and transmit claims using billing software, including electronic and paper claim processing.
- Coordinating with insurance company through email or phone to discuss patients' status or claims.
- Facilitated clear communication between patients, providers, and payers, addressing inquiries and resolving issues related to billing matters.
- Followed up on unpaid claims within standard billing cycle to ensure timely resolution.
- Maintain the protocols and documentation of each performed task.
- Maintained list of admitted and discharged patients.
- Updated the Excel Sheet for providers payments.
- Reviewed all accounts for insurance and patient follow-up.
- Posted patients' payments by recording cash, checks and credit card transaction.
- Make sure all the dues or requirements are fulfilled before the patients discharge.
- Directed strategic initiatives to enhance patient care at a leading community hospital.
Quality Assurance Manager
ASHFAQ MEMORIAL HOSPITAL
KARACHI, PAKISTAN
03.2012 - 11.2014
- Advises management in appropriate resolution of hospital quality care issues.
- Reviewed and analyzed patient feedback to enhance service delivery.
- Conducted daily rounds in hospital to oversee patient admissions and address concerns. corporate/private patient admission, hospital infrastructure, required repairs and maintenance works, auxiliary services and resolving patient-related issues.
- Provide feedback to management to enhance a better a better and cordial working environment.
- Managing daily billing/invoice of admitted patients, including advances and pending bills.
Education
MASTER OF ARTS - INTERNATIONAL RELATION
KARACHI UNIVERSITY
KARACHI, PAKISTAN05-2013
BACHELOR OF ART - SOCIOLOGY
KARACHI UNIVERSITY
KARACHI, PAKISTAN05-2010
PRE - ENGINEERING -
AL NOOR DEGREE COLLAGE
KARACHI, PAKISTAN08-2007
Skills
- Claims processing
- Billing and Reimbursement
- Revenue Cycle and Regulatory Compliance
- Insurance Eligibility and Payer Requirements
- Assign accurate codes for diagnosis and procedures (ICD-10-CM, CPT, and HCPCS)
- Knowledge and application of coding guidelines
- Clinical Documentation
- Electronic Health Records
- Communication and Professionalism
Certification
- CERTIFIED BILLING AND CODING SPECIALIST (NHA)
Timeline
CORPORATE MEDICAL BILLING EXECUTIVE
HILL PARK GENERAL HOSPITAL
01.2015 - 03.2019
Quality Assurance Manager
ASHFAQ MEMORIAL HOSPITAL
03.2012 - 11.2014
MASTER OF ARTS - INTERNATIONAL RELATION
KARACHI UNIVERSITY
BACHELOR OF ART - SOCIOLOGY
KARACHI UNIVERSITY
PRE - ENGINEERING -
AL NOOR DEGREE COLLAGE