TAMJID AHMED

Holy Family Red Crescent Medical College Hospital January 2019 – March 2019

• Supported pharmacy operations and patient counseling.

Managed inventory and reported adverse drug reactions

• Company Overview: Novo Healthcare and Pharma Ltd
• Completed a 14-day training program covering QC, QA, Production, PD, Engineering, Microbiology, and Warehouse operations.

• Manage overall operations for the LACSA service program, ensuring seamless service delivery and adherence to regulatory standards.
• Oversaw all company management functions, including billing, payroll, claims processing, and intake, ensuring accurate and timely completion of all tasks.
• Coordinated and supervised teams, ensuring efficient workflows and compliance with organizational policies, promoting a positive work environment.
• Streamlined operations to improve service quality, reduce costs, and enhance client satisfaction across all areas of the LACSA service program.

• Oversaw all company management functions, including billing, payroll, claims processing, and intake, ensuring accurate and timely completion of all tasks.

• Manage overall operations for the LACSA service program, ensuring seamless service delivery and adherence to regulatory standards.
• Oversaw all company management functions, including billing, payroll, claims processing, and intake, ensuring accurate and timely completion of all tasks.
• Coordinated and supervised teams, ensuring efficient workflows and compliance with organizational policies, promoting a positive work environment.
• Streamlined operations to improve service quality, reduce costs, and enhance client satisfaction across all areas of the LACSA service program.

• Manage billing, payroll, and claims processes for CDPAP services, ensuring timely and accurate submissions.
• Prepared and submitted billing claims to insurance companies, maintaining compliance with industry regulations and documentation standards.
• Followed up on submitted claims to resolve discrepancies, address denials, and secure timely reimbursements from insurance providers.
• Processed caregiver payroll with precision, ensuring adherence to organizational policies and payroll compliance requirements.
• Maintained detailed and audit-ready records of billing, payroll, and claims, facilitating transparency and operational efficiency.

• Managed billing processes for LACSA and CDPAP programs, ensuring accuracy and timely submission of claims to insurance companies.
• Processed payroll for caregivers and administrative staff, maintaining precise records and adhering to compliance standards.
• Submitted billing claims to insurance companies, monitored claim statuses, and followed up on pending or denied claims to ensure prompt reimbursement.
• Communicated with insurance providers to resolve claim discrepancies and secure payments in a timely manner.
• Maintained comprehensive and accurate documentation for billing, claims, and payroll, meeting regulatory and organizational standards.
• Identified and resolved issues related to billing and claims, reducing errors and ensuring operational efficiency.
• Collaborated with team members and external partners to streamline workflows, improve billing accuracy, and enhance client satisfaction.

• Processed new referrals from marketers and ensured the timely acquisition of required documents, including M11Q, DOH forms, and authorizations for the start of care.
• Established and maintained strong relationships with referral sources through consistent and professional correspondence.
• Verified and generated all Home Health Aide’s hours into billing software (HHA Exchange and Visiting Add).
• Prepared and attached all required claims documentation including timesheets, authorizations, and other.
• Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
• Appropriately and correctly identified errors and re-filled denied-rejected claims.
• Proficient utilizing, editing, updating billing and account follow-up via Vising aid.
• Handled all Medicaid adjustment/void processes for designated branches via EPACES.
• Monitored and Maintained 200 patients reports weekly.
• Followed HIPAA guidelines in handling patient information.
• Understand managed care verification and authorization process.

• Counseled patients and dispensed medications.
• Monitored inventory and ensured proper storage of medicines.

• Supported pharmacy operations and patient counseling.
• Managed inventory and reported adverse drug reactions.