Summary
Overview
Work History
Education
Skills
Languages
Certification
Timeline
Generic

Salim Shah

Pakistan

Summary

Dynamic Senior Manager of Operations at BellMedex with a proven track record in operational strategy and process optimization. Expert in budget management and risk mitigation, driving efficiency and cost reduction. Adept at leading cross-functional teams and fostering strong stakeholder relationships to achieve organizational goals.

Overview

10
10
years of professional experience
4
4
Certifications

Work History

Senior Manager Operation

BellMedex
04.2023 - 10.2024
  • Develop and implement operational strategies aligned with the organization’s overall business goals.
  • Translate company vision into actionable operational plans and performance metrics.
  • Identify opportunities for efficiency, cost reduction, and process optimization.
  • Oversee day-to-day operations to ensure efficiency, productivity, and quality standards are met.
  • Monitor key performance indicators (KPIs) and operational metrics to assess performance and drive continuous improvement.
  • Ensure smooth coordination between departments such as production, logistics, procurement, finance, and HR.
  • Review, streamline, and automate business processes to increase efficiency and reduce costs.
  • Implement best practices in operational workflows, supply chain management, and service delivery.
  • Prepare, manage, and monitor operational budgets to ensure cost-effectiveness.
  • Lead and motivate cross-functional teams to achieve operational goals and high performance.
  • Identify and mitigate operational risks to ensure business continuity.
  • Ensure compliance with organizational policies, legal regulations, and industry standards.
  • Build and maintain strong relationships with internal and external stakeholders (e.g., clients, vendors, regulators).
  • Develop dashboards and reporting mechanisms to track operational efficiency and strategic outcomes.
  • Lead operational transformation and change management initiatives.
  • Introduce new technologies and systems to enhance productivity and service delivery.

Manager Audit Operation

BellMedex
04.2022 - 04.2023
  • Develop annual and engagement-specific audit plans aligned with organizational objectives and risk assessments.
  • Identify key risk areas and design audit programs to test internal controls, compliance, and operational efficiency.
  • Coordinate with department heads and senior management to ensure audit scope aligns with business priorities.
  • Prepare and present comprehensive audit reports highlighting key findings, root causes, and actionable recommendations.
  • Communicate audit results and risk exposures to senior management, the Audit Committee, or external stakeholders.
  • Track and monitor management action plans for timely remediation of audit findings.
  • Lead, mentor, and train audit staff to strengthen technical, analytical, and communication skills.
  • Recommend process and policy enhancements to improve operational effectiveness.
  • Liaise with external auditors, regulators, and other assurance providers to ensure audit alignment and reduce duplication of efforts.

Director Of Operations

Care Cloud
01.2021 - 04.2022
  • Oversees the operations of multiple medical billing services, which may encompass medical coding, charge entry, claims submissions, payment posting, follow-up, and/or reimbursement management.
  • Ensures that the activities of the billing operations teams within the group are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal law.
  • Tele converse with the providers on regular basics to ensure the smooth running of operations and resolution of billing related issues.
  • Responsible for a staff of all operations department services as principal liaison with managers and administrators of assigned client components on day-to-day issues within specified areas of billing operations.
  • Assists in the development and implementation of operating policies and procedures, in accordance with Federal and State regulations.
  • Evaluates performance and makes recommendations for personnel actions.
  • Oversees the supervision of personnel, which includes work allocation.
  • Motivates employees to achieve peak productivity and performance.
  • Reviews and interprets operational data to assess need for procedural revisions and enhancements, participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
  • Provides advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures.
  • Provides, oversees, and/or coordinates the provision of training for new and existing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
  • Participate and provide updates regarding operations in daily NJ meetings.
  • Ensure compliance with information security responsibilities specific to your job role.
  • Protect assets from unauthorized access, disclosure, modification, destruction or interference.
  • Performs miscellaneous job-related duties as assigned and report to Senior MO/supervisor.

Lead Account Manager

Care Cloud
03.2017 - 12.2020
  • Ensure quality, timeliness and accuracy in the entire billing process.
  • Communication with New Jersey Management regarding practice issues.
  • Making Calls to the providers' offices on day to day activities (when required) to resolve medical claims related issues of complex nature.
  • Monitoring & resolution of client complaints.
  • Checking Daily work (FTP/Scanning/other received from the providers’ offices).
  • Checking/sending/replying SSC Messages/Emails from Providers’ offices, NJ, and other depts.
  • MTBC Soft Authentications.
  • MTBC Soft Reports, (ERA, Financials, Aging, Submission, Missing Claims, Rejections, Blank Status, Calls, Unpaid Claims, Negative Balance, Call authorization, DWC and Missing DOS).
  • Daily Update Meeting with Team to keep them updated of all the changes in the rules and regulations of insurance carriers, billing guidelines and to coordinate with Account Managers for Daily Issues/practice concerns.
  • Random Checking of Billing/Follow-up.
  • Daily Sign Off (including all the variables of their daily tasks including Exceptions, scanning, and communication).
  • Ensure compliance with information security responsibilities specific to your job role.

Operational Account Manager

Care Cloud
08.2014 - 02.2017
  • Independently manage all activities of the medical billing cycle of assigned clients.
  • Efficient Revenue Cycle Management (RCM) of the assigned clients to establish and maintain positive, long-term relationships with clients.
  • Timely and error free medical bills entry and posting of the reimbursements received from insurances.
  • Ensuring client satisfaction by an effective and regular follow-up on accounts receivables.
  • Swift and accurate remedial actions on claims denied by healthcare insurances.
  • Independent and timely communicate with insurances to ensure steady stream of clients’ cash flow.
  • Independent and regular communication with client and his office staff including prompt response to their queries and concerns.
  • Account manager is not supposed to take Client Relations team’s assistance.
  • Understanding of relevant Key Performance Indicators (KPIs) and working towards positive results for the assigned clients against all KPIs.
  • Striving for optimum utilization of company resources on the assigned clients and suggesting areas of improvement.
  • Keeping the immediate supervisor aware of all important issues of assigned clients.
  • Implement and act in accordance with company information security and privacy policies.
  • Ensure compliance with information security responsibilities specific to your job role.
  • Protect assets from unauthorized access, disclosure, modification, destruction or interference.

Education

Bachelor of Science - Computer and Information Sciences

Mirpur University of Sciences And Technology
Pakistan
08-2014

Skills

  • Operational strategy
  • Performance metrics
  • Process optimization
  • Risk mitigation
  • Budget management
  • Supply chain management
  • Data analysis
  • Effective communication
  • Change management
  • Project management
  • Compliance auditing
  • Strategic planning
  • Business performance management
  • Operations planning
  • Resource allocation
  • Reporting oversight
  • Organizational development
  • Reporting management
  • Data analytics
  • Computer skills
  • Revenue growth
  • Communication skills
  • Team building
  • Performance evaluation
  • Cost reduction
  • Team development
  • Performance evaluations

Languages

English
Professional

Certification

Cisco Certified Network Associate Industrial

Timeline

Senior Manager Operation

BellMedex
04.2023 - 10.2024

Manager Audit Operation

BellMedex
04.2022 - 04.2023

Director Of Operations

Care Cloud
01.2021 - 04.2022

Lead Account Manager

Care Cloud
03.2017 - 12.2020

Operational Account Manager

Care Cloud
08.2014 - 02.2017

Bachelor of Science - Computer and Information Sciences

Mirpur University of Sciences And Technology
Salim Shah