Experienced medical billing expert known for their energy and ambition. Dedicated to achieving objectives on time and exceeding expectations. Collaborative team player who consistently delivers outstanding outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
AR/Billing Manager
SK Medical Billing
Lahore, Pakistan
03.2018 - 07.2024
Negotiated contracts with payers to maximize reimbursement rates for services rendered.
Start up and providing consultations to new practices
Expertise in Home Care, PAS, and NEMT services.
Coordinated efforts between departments regarding patient follow up activities associated with denials or rejections.
Assisted in developing policies and procedures related to medical billing operations.
Provided technical assistance regarding coding questions or other inquiries from internal teams.
Oversaw daily activities related to the processing of electronic claims submissions.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Resolved billing issues by applying knowledge and completing in-depth research.
Provided expert advice on billing optimization strategies, leading to a reduction in outstanding accounts receivables.
Facilitated monthly training sessions for billing department staff on new billing procedures and technologies.
Sr. AR Executive
MD Vision (Sovereign Health System)
Lahore, Pakistan
07.2017 - 03.2018
Manage, organize, and monitor progress of tasks assigned.
To analyze clearing house, ERA, and EOB rejections and provide viable solutions, where possible.
Analyzed trends in denials, rejections, underpayments to improve reimbursement rates.
Monitored aging reports to identify unpaid or overdue accounts receivable balances.
Resolved complex billing issues in a timely manner.
Reviewed claims for coding accuracy.
Completed and submitted appeals for denied claims.
Applied HIPAA privacy and security regulations while handling patient information.
Expert-level knowledge of full Revenue Cycle Management.
Team Lead Accounts Receivable Specialist
Transcure
Lahore, Pakistan
12.2016 - 07.2017
Identify and resolve patients' billing problems and discrepancies.
Ensure that appropriate follow-up duties are effectively carried out.
Capable of managing accounts receivable with multiple third-party managed care contracts.
EDI, ERA, and EFT enrollments.
All States Medicare and Medicaid Enrollments.
Payment Processor, Financial Transactions
Follow-ups on claims and fixed denials/rejections.
Referrals and Authorizations requests.
Team Lead Accounts Receivable Specialist
CureMD
Lahore, Pakistan
08.2014 - 12.2016
Monitored team performance against targets, taking corrective action where necessary.
Denials management on claims.
Fixation of rejected claims.
Charge and demographic entry.
EOB/ERAs postings
Education
Master in Commerce - Commerce
Bahhauddin University
Multan
06-2015
Bachelor in Commerce - Commerce
Punjab University
Lahore
07-2011
Skills
Staff Training
Collections Management
HIPAA knowledge
Resolve problematic claims
Start up and set up of new practices
Medical Coding
Control on Revenue Cycle Management
Analyzing and Investigating
Affiliations
Professional attitude
Interest in self development
Event planning
Clubs/ Organizations/ Societies
Certification
HIPAA Certified
Fraud, Waste, and Abuse
EHR/Practice Management Software
ECW, Practice Fusion, CureMD, Practice Suite, EMA, Kareo, Advance MD, Gherimed, office Ally, Point Clickcare and many others.
Medical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INCMedical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INC