Summary
Overview
Work History
Education
Skills
Certification
Timeline
BusinessDevelopmentManager

NAJMA SHARIF

Missouri City,TX

Summary

Accomplished Patient Services and Revenue Cycle Management (RCM) Professional with over 10 years of experience in healthcare financial operations, specializing in payment processing, patient account management, and billing systems. Proven ability to manage payment transactions, resolve account discrepancies, verify benefits, and ensure compliance with industry regulations. Skilled in insurance coordination, staff training, and process improvements to enhance financial accuracy and operational efficiency. Recognized for strong problem-solving abilities, leadership, and patient advocacy within dynamic healthcare environments.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Lead Patients Accounts Services

RC1 RCM
01.2023 - Current
  • Oversee a team of 5-10 staff, ensuring accurate application of financial systems and compliance with organizational policies
  • Utilize Epic software to manage patient accounts and process payments, ensuring accuracy in patient demographic information and financial data across multiple systems
  • Work closely with insurers to verify explanations of benefits and coverage
  • Educate patients on financial responsibilities, including copays, deductibles, and alternative financial assistance options
  • Negotiate and establish payment plans to secure accounts while maintaining a compassionate and customer-focused approach
  • Resolve patient access issues, including registration, benefit explanation, and account discrepancies
  • Provide leadership and training to team members, fostering a collaborative environment and enhancing operational efficiency
  • Develop and implement detailed guidelines on financial assistance programs, improving patient access to care
  • Monitor team performance and identify opportunities for process improvement to enhance service delivery

Client Services Manager

TSS GROUP INC
01.2021 - 12.2023

Streamlined billing processes, reducing patient account discrepancies by 20% and increasing departmental efficiency by 15%.

• Implemented staff training programs to enhance accuracy in claims processing and account management.

• Partnered with Disability, Accounts Receivable (AR) Services, Information Technology (IT), and Human Resources (HR) teams to improve operational workflows.

• Delivered training on government regulations, billing compliance, and internal policies.

• Oversaw financial audits and compliance reviews, ensuring adherence to regulatory standards.

Financial Services Specialist, Emergency Department

MEMORIAL HERMAN SOUTHWEST HOSPITAL
01.2017 - 12.2020
  • Led financial performance improvements by coordinating patient access responsibilities in a fast-paced, high-pressure environment
  • Trained and motivated employees to exceed expectations, enhancing efficiency and optimizing turnaround times for administrative tasks requiring attention to detail and technical proficiency
  • Monitored and resolved complex account issues on critical projects, ensuring accuracy and compliance
  • Consistently exceeded goals related to collections, productivity, and patient satisfaction through strategic leadership
  • Reviewed team performance and mentored staff on company policies, procedures, and best practices, fostering a positive workplace culture and enhancing engagement and satisfaction
  • Conducted quarterly claims reviews, offering clients innovative solutions to improve practices and boost overall quality

Education

Master of Business Administration - Healthcare Management

Western Governors University
Millcreek, UT
01.2022

Bachelor of Science - Healthcare Administration

University of Houston-Clear Lake
Houston, TX
01.2018

Skills

    CORE COMPETENCIES

    Revenue Cycle Management (RCM)

    Payment Processing

    Patient Account Management

    Medical Billing and Coding

    Insurance Coordination

    Benefits Verification

    Regulatory Compliance (HIPAA, OSHA)

    Electronic Medical Records (EMR) Systems

    Healthcare Administration

    Client Services

    Financial Counseling

    Assistance Programs

    Process Optimization

    Workflow Improvement

    Team Leadership

    Staff Training

Certification

  • Certified Phlebotomy Technician (CPT), Healthcare Association
  • Certified Nursing Assistant (CNA), Home Health Aide
  • CPR, First Aid Certified First Responder and EKG Technician
  • CPR for Healthcare Providers, American Heart Association

Timeline

Lead Patients Accounts Services

RC1 RCM
01.2023 - Current

Client Services Manager

TSS GROUP INC
01.2021 - 12.2023

Financial Services Specialist, Emergency Department

MEMORIAL HERMAN SOUTHWEST HOSPITAL
01.2017 - 12.2020

Master of Business Administration - Healthcare Management

Western Governors University

Bachelor of Science - Healthcare Administration

University of Houston-Clear Lake
NAJMA SHARIF