ISRAR DANISH
Los Angeles,CA
Summary
An organized and detailed oriented Healthcare professional with over 12 years of experience in Healthcare Industry. Managing and leading team across multiple sectors of health insurance. I am eager to learn, I enjoy overcoming challenges, and I have a genuine interest in Business Management and making organizations successful. Self-starter, energetic and ambitious with admirable ability to prioritize, time management, leadership, decision making skills but familiarity of working with senior administrations and understanding to be pleasant and courteous always. Capable of approaching diplomatically to pressure and problems with innovative, creative and calm loom to meet tight deadlines. Outstanding ability to communicate, negotiate and interact with clients, brokers, companies, providers, and patients relate and customer. Consistent erudition to increase efficiencies and productivity while minimizing errors and inaccuracies. Advanced knowledge of Microsoft packages.
Overview
15
15
years of professional experience
Work History
Back Office Manager
St-Luke Medical Clinic
04.2024 - 07.2024
- Patient Records Management: Maintain and update patient files and medical records accurately.
- Scheduling: Coordinate appointments, manage the clinic’s calendar, and ensure efficient patient flow.
- Billing and Coding: Handle medical billing, insurance claims, and coding for procedures.
- Data Entry: Input patient information into the clinic's electronic health records (EHR) system.
- Communication: Facilitate communication between patients, medical staff, and insurance companies.
- Inventory Management: Oversee the ordering and stocking of medical supplies.
Marketing Supervisor
SMokeTokes
10.2023 - 04.2024
- Every day involves the essential task of engaging with customers both over the phone and in person, ensuring their needs are met effectively
- This includes handling inquiries, providing assistance, and addressing any concerns they may have
- Additionally, I manage email correspondence, meticulously checking invoices for new products and placing orders with various prominent suppliers
- Once the products arrive, I take charge of uploading them onto our Shopify platform, meticulously reviewing each listing to ensure accuracy and quality
- It's a dynamic routine that requires attention to detail and excellent communication skills.
Med. Administration & Med Coding/Billing Operations Manager
Aljazeera Hospital - Riyadh
03.2012 - 01.2023
- Leading of a team of 12 members & In charge of Admission & Discharge office, Pre-Authorization, Medical Coding & Billing Office, Making sure services given are recorded, billed and revenue is collected
- Team Leadership: Manage and guide a team of medical coders and billing specialists.
- Regulatory Compliance: Ensure all coding and billing activities comply with healthcare regulations and standards.
- Process Optimization: Develop and implement efficient workflows to maximize accuracy and efficiency in billing operations.
- Financial Management: Oversee the financial aspects of patient billing, including charge capture, claims submission, and reimbursement.
- Quality Assurance: Conduct regular audits to maintain accuracy and resolve discrepancies in billing.
- Patient Interaction: Address patient inquiries and disputes regarding billing and insurance claims.
- Reporting: Generate financial and operational reports to monitor performance and identify improvement areas.
- Generate new Business ideas, business developments and Insuring of high Quality care service
- Regularly review policies and procedures for accuracy and compliance and ensure appropriate changes made accordingly & evaluate accurately inclusion and Exclusion coverage
- Focal contact with insurance companies for their queries, complaints, event scheduling & campaigns
- Daily Operations Management: Ensure smooth operation of all software systems used in the hospital, including scheduling, patient records, billing, and inventory management.
- System Monitoring: Continuously monitor the performance and functionality of software systems to ensure they are operating efficiently and effectively.
- Data Management: Maintain accurate and up-to-date patient data, ensuring it is securely stored and easily accessible for medical staff.
- Integration: Ensure seamless integration of various software systems to facilitate efficient data flow between departments.
- Training: Train hospital staff on the effective use of Medisoft and other systems, ensuring they can perform their duties efficiently.
Medical Insurance Billing Officer
Rabia Hospital - Riyadh
01.2010 - 01.2012
- Leading and supervising the front desk and approvals team
- Receiving and meticulous reviewing/evaluating the prior approval requests as per members' policy's terms and conditions
- Inpatient billings and out patients billings
- Admissions and discharge responsibility
- Patient Communication: Provide clear and detailed invoices to patients and assist with any billing inquiries.
- Charge Capture: Ensure all services provided during a patient's hospital stay are accurately documented and billed.
- Coding: Assign appropriate diagnostic and procedure codes for billing purposes.
- Claims Submission: Prepare and submit insurance claims for reimbursement.
- Patient Invoicing: Generate and send invoices to patients for any out-of-pocket expenses.
- Maintained strict adherence to industry regulations, minimizing risk exposure for the organization.
- Established effective relationships with key stakeholders both internally and externally for increased collaboration opportunities with deferent Medical Providers And Health insurance companies.
Education
Certificate - Medical Insurance Coding
Los Angeles Pierce College
Long Beach, CA07.2024
Bachelor of Science - Chemistry, Botany , Zoology
B.Sc - Pre- Medical
University Of Malakand01.2010
Skills
- Medical Terminology
- Medical Billing
- Insurance Verification
- Medical Claim submission
- Medical Sales Marketing
- Advertising and marketing
- Media Relations
- Building client relationships
- Staff Training and Development
- Healthcare management
- Patient Scheduling
- Claims Processing
- Multilingual Proficiency - English - Urdu - Arabic _ Pushto - Hindi - Malay
Industry
Health Care
Extracurricular Activities
Health care Policy in America, Alison, 03/2023, 04/2023, Riyadh, Certificate of Achievement Naphies Integration, Online, 05/2021, 05/2021, Riyadh, Certificate of Achievement Introducing Personal Line Insurance, Chartered Insurance Institute, 03/2023, 04/2023, Riyadh, Certificate of Achievement 3rd Anniversary Aljazeera Cardiac Center, Aljazeera Cardiac Center, 12/2017, 12/2017, Riyadh, Certificate Of Appreciation Road Map To VBHC, Council Of Cooperative Health Insurance, 04/2019, 04/2019, Riyadh, Certificate Of Attendance Module East Health Conference & Exhibition, HIMSS(20)-HEALTH, 11/2020, 12/2020, Riyadh, Certificate Of Attendance
Hobbies and Interests
- Cricket
- Football
- Traveling
- Read News paper
Timeline
Back Office Manager
St-Luke Medical Clinic
04.2024 - 07.2024
Marketing Supervisor
SMokeTokes
10.2023 - 04.2024
Med. Administration & Med Coding/Billing Operations Manager
Aljazeera Hospital - Riyadh
03.2012 - 01.2023
Medical Insurance Billing Officer
Rabia Hospital - Riyadh
01.2010 - 01.2012
Certificate - Medical Insurance Coding
Los Angeles Pierce College
Bachelor of Science - Chemistry, Botany , Zoology
B.Sc - Pre- Medical
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