Attia Akhtar
Queens Village,NY
Summary
Experienced medical billing professional with 10+ years of experience and 5+ years with supervisory responsibilities. Strong in healthcare revenue cycle management, coding compliance, and claims processing. Known for fostering team collaboration and achieving results. Reliable and adaptable, skilled in problem-solving, communication, and leadership.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Senior Hospital Care Investigator
Queens Hospital Center
07.2019 - Current
- Provides supervision, training, and mentorship to assigned team of Hospital Care Investigators responsible for Medicaid unit billing including delegating assignments, monitoring workload, establishing deadlines, and reviewing standards & expectations with unit staff
- Evaluates employee performance via productivity reports and provide ongoing feedback
- Monitors accounts receivable reports for claim EDITs, denials & follow up
- Daily review of EPIC work queues, dashboard alerts & monitoring of team's activities
- Manages monthly billing process to complete billings and returns to meet company revenue recognition policies
- Devises new methods to improve billing workflows
- Conducts unit meetings to disseminate information and obtain feedback necessary for completion of duties
- Enhances accuracy of claims submissions through thorough reviews and staff training
- Participates in H+H Revenue Cycle Services meetings
- Collaborates with providers and staff to ensure accurate coding for billing purposes
- Maintains up-to-date knowledge of departmental, city, state & federal rules and regulations as well as any changes impacting medical billing practices to ensure ongoing compliance within the organization
- Successfully maintains a high level of team morale and engagement, fostering a positive work environment that encourages collaboration and dedication to providing top-notch medical billing services
Hospital Care Investigator
Metropolitan Hospital Center
10.2007 - 07.2019
- Monitored accounts receivable and resubmitted bills to CMS, DOH (SSI) HMO's & other commercial carriers as needed
- Conducted investigations related to the patient eligibility using Omnipro, Unity, Epaces, HMO online access and also by interviewing patients for medical assistance
- Demonstrated knowledge of all health insurance contracts when submitting claims and of health care and billing regulatory requirements
- Resolved disputes concerning bills submitted for payment, responded to inquiries from patients, CMS, HMO's, and third-party payers as well as resolved CCI edits
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Contacted external agencies, organizations, insurance carriers, and employers to obtain necessary information about potential source of revenue
- Served as liaison between patients, insurance companies, and internal departments during the billing cycle
- Investigated and resolved patient billing and payment issues by locating errors and promptly refiling rejected and denial claims
- Called various managed care companies to obtain authorization for the hospital stay
- Obtained authorization online/calling for nuclear medicine (NM) procedures
- Cross trained for Admitting department & Express Care
- Followed up on collections to ensure maximization of revenue
- Submitted Medicaid applications through NYSOH/AIM & marketplace
- Overseen & managed audits through HMS
- Collaborated and assisted other staff members and supervisors to ensure information required for accurate billing received
- Followed HIPPA guidelines when reviewing medical charts to obtain pertinent patient information for billing purposes through maintaining confidentiality of hospital records
Education
Master of Science - Applied Psychology
University of Punjab
Pakistan 03.1996
Skills
- PeopleSoft
- EPIC
- Microsoft Office
- Medical Billing
- CPT Knowledge
- Insurance Claims
- Accounts Receivable
Certification
- Certified HCI, Health & Hospitals - November, 2009
- Certified Senior HCI, Health & Hospitals - June 2019
Languages
Urdu
Native or Bilingual
Hindi
Native or Bilingual
Punjabi
Native or Bilingual
Timeline
Senior Hospital Care Investigator
Queens Hospital Center
07.2019 - Current
Hospital Care Investigator
Metropolitan Hospital Center
10.2007 - 07.2019
- Certified HCI, Health & Hospitals - November, 2009
- Certified Senior HCI, Health & Hospitals - June 2019
Master of Science - Applied Psychology
University of Punjab
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