HAFEEZ MD ABDUL
Dallas
Summary
Results-driven payment analyst with extensive experience in revenue cycle management and insurance analysis. Skilled in enhancing payment accuracy through effective troubleshooting of clearinghouse issues and meticulous claim processing. Proven ability to collaborate with diverse teams and manage multiple projects while adhering to compliance standards.
Overview
17
17
years of professional experience
Work History
Payment Analyst
Prestige Medical Consultants
Dallas
09.2023 - Current
- Working with various medical customized software systems
- EClinicalWorks, Tebra, CollabrateMD, PracticeEHR, Emedical practice
- Analyzing insurance reimbursement and clearing balances
- Demonstrates accuracy, thoroughness, and orderliness in performing work assignments
- Demonstrates skills at trouble shooting problems to determine solutions
- Communicates effectively with coworkers, and management
- Working with Medicare, Medicaid, Workers Compensation, and major insurance carriers
Credit Balance Specialist – hybrid
SCP Health
Dallas
07.2022 - 09.2023
- Worked with AthenaIDX (Centricity) medical software system
- Analyzed insurance reimbursement and clearing balances
Payment Analyst/Admin
Mednax National Group
Richardson
04.2012 - 10.2021
- Analyzed insurance reimbursements and ensured accurate payment posting for improved reconciliation
- Posted payments to various patient accounts, ensuring accuracy in financial records
- Collaborated with Medicare, Medicaid, Workers Compensation, and major insurance carriers to resolve payment discrepancies
- Worked with GPMS and NextGen medical systems
- Showed proficiency in troubleshooting issues to identify effective solutions
- Displayed accuracy and thoroughness in completing work assignments
- Engaged in effective communication with coworkers, team leads, and departments
Medical Office Administrator/Billing Manager
KIA Consulting Inc.
Richardson
11.2009 - 04.2012
- Oversaw daily operations for team of five doctors, ensuring efficient workflow and patient care.
- Oversaw daily operations of the clinic.
- Coordinated insurance and patient billing processes, facilitating accurate revenue cycle management.
- Posted payments, rebill secondary and tertiary insurances when needed
- Ensured timely filing of claims
- Verified insurances for active patients, scheduled patients, as well as processed claims
- Worked with Medicare, Medicaid, Workers Compensation, and major insurance carriers
- Analyzed billing discrepancies related to clearinghouse Gateway EDI.
- Resolved clearinghouse issues through detailed analysis.
- Analyzed, reimbursement involving accurate posting of payments and insurance
- Worked with EClinicalWorks and Kareo Billing software systems
- Collaborated with front office staff to improve workflow.
- Developed and maintained documentation for user account processing to streamline onboarding and access.
- Monitored and follow up all the pending, modified medical claims
Education
Diploma - Medical Front Office and Billing
CCI Training Center
Dallas, TexasCertificate - Human Resources and Leadership
Richland College
Richardson, TexasDiploma - Data Processing Technology
PSI institute
Cleveland, OhioBS - Bachelor of Biosciences
Osmania University
Hyderabad, IndiaSkills
- Claim processing
- Payment posting
- Reimbursement analysis
- Insurance analysis
- Clearinghouse troubleshooting
- EHR software
- Compliance knowledge
- Data accuracy
- Process documentation
- Problem solving
- Attention to detail
Summary Of Experience
- Professional RCM Billing and Posting reinforced with 10 years’ Experience
- Able to analyze reimbursement involving accurate posting of payments & insurance follow-ups
- Worked with GPMS/NextGen, EClinicalWorks, Tebra and Centricity medical systems
- Can effectively read and understand EOBs (post contract payments, adjustments, bill secondary)
- Initiative-taking dedicated professional, efficient, resourceful, reliable, and calm under pressure.
- Superlative communication and team-building skills/Able to meet deadlines on various projects
- Knowledge of HIPAA & OSHA Guidelines/ Knowledge of MS Word & Excel
- Ability to quickly learn, adjust to change, and use new software applications
Languages
Hindi
Professional
Urdu
Professional
Timeline
Payment Analyst
Prestige Medical Consultants
09.2023 - Current
Credit Balance Specialist – hybrid
SCP Health
07.2022 - 09.2023
Payment Analyst/Admin
Mednax National Group
04.2012 - 10.2021
Medical Office Administrator/Billing Manager
KIA Consulting Inc.
11.2009 - 04.2012
Diploma - Medical Front Office and Billing
CCI Training Center
Certificate - Human Resources and Leadership
Richland College
Diploma - Data Processing Technology
PSI institute
BS - Bachelor of Biosciences
Osmania University