Nadiea Khan
Yonkers,NY
Summary
Detail-oriented professional with extensive experience in medical billing and revenue cycle management. Strong analytical and communication skills contribute to effective problem-solving and operational enhancements, resulting in improved revenue outcomes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Care Review Processor
Molina Healthcare
Long Beach, California
09.2025 - Current
- Reviewed care plans for compliance with Molina Healthcare guidelines.
- Processed member requests for care reviews efficiently and accurately.
- Collaborated with healthcare teams to address member needs and concerns.
- Maintained detailed documentation of care review processes and outcomes.
- Utilized electronic health record systems to track member information effectively.
- Assisted in developing training materials for new team members.
- Communicated effectively with members regarding their care options and resources.
- Conducted follow-ups on pending care review requests to ensure timely processing.
- Maintained accurate records of all reviews conducted according to established guidelines.
- Processed appeals from denied claims as necessary, including gathering additional supporting documentation.
- Collaborated with other departments on complex cases involving multiple providers or services.
- Participated in training sessions regarding changes in policies and regulations impacting care review processes.
- Attended meetings with management staff to discuss best practices related to care reviews.
- Monitored performance metrics such as turnaround time and accuracy rate, and made adjustments as needed.
- Provided assistance in resolving billing issues between providers, patients and insurance companies.
Team Lead Billing Analyst
Molina Healthcare
Long Beach, California
11.2019 - 09.2025
- Led cross-functional teams to improve operational efficiency and service delivery.
- Coordinated staff training programs to enhance employee skills and knowledge.
- Managed scheduling and resource allocation for optimal workflow and productivity.
- Facilitated team meetings to discuss project updates and address challenges.
- Developed process improvement strategies to streamline operations and reduce waste.
- Oversaw compliance with healthcare regulations and organizational policies.
- Mentored junior team members to foster professional growth and development.
- Evaluated performance metrics to identify areas for operational enhancement.
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Trained new staff in relevant processes and procedures.
- Delegated daily tasks to team members to optimize group productivity.
- Delegated tasks appropriately according to individual skill sets.
- Resolved escalated customer complaints or queries promptly and efficiently.
- Monitored team progress and enforced deadlines.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
- Identified opportunities for process improvements, implementing changes when required.
Education
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Hooksett, NH04-2026
Associate of Applied Science - Medical Billing
Sanford–Brown
New York, NY11-2015
Skills
Over 5–8 years of direct experience in medical billing and revenue cycle management
Comprehensive knowledge of billing operations, accounts receivable, and insurance reimbursement processes
Credentialing background and payer contract management are highly valued
Experience with DME/healthcare billing platforms preferred
Skilled in IDX, ECW, EAGLE, and MDEverywhere billing systems
Medicare/Medicaid/Tricare
Insurance Reimbursement
Electronic Claims Processing
Claim Entry and Payment Posting
ICD-10, CPT 4, HCPCS
More than 5 years of proven leadership experience
Excellent communication and leadership
Strong analytical, organizational, and problem-solving skills
High attention to detail and accuracy
Honored on the Dean’s List at Sanford Brown Institute (2014) and Southern New Hampshire University (2024–2026)
Inducted into the National Society of Leadership & Success, March 2026
Certification
- • New York State Certified Coding Specialist (NCCT),
Accomplishments
- NCCT• Inducted into the National Society of Leadership & Success, March 2026.
Timeline
Care Review Processor
Molina Healthcare
09.2025 - Current
Team Lead Billing Analyst
Molina Healthcare
11.2019 - 09.2025
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Associate of Applied Science - Medical Billing
Sanford–Brown