USAMA KHAN
Houston,TX
Overview
14
14
years of professional experience
Work History
Revenue Cycle Manager
United Surgical Partners, International (USPI)
Houston, TX
01.2021 - Current
- Proactively leading multiple teams of over 30 employees including remote staff and vendor partner at USPI Central Business Office (CBO) by setting strategy and driving overall Revenue Cycle performance
- Collaborated with Directors, Accountants, Administrators, and RVPs during MORs to identify areas of opportunity, and reduce overall A/R and bad debt
- Implemented several automations throughout CBO to expedite billing and collections resulting in average cash flow increase of $3M across multiple locations and overall DSO reduction of 37%
- Maintained knowledge of applicable rules, regulations, policies, laws and guidelines that impact revenue cycle.
- Collaborated with BI team to develop and revise multiple reports containing most effective RCM data including unbilled and aging
- Proactively worked with compliance and internal control division to ensure highest standard of integrity and service to our patients and clients
Revenue Cycle Manager
Nexus Health Systems
Houston, TX
07.2019 - 01.2021
- Responsible for leading and managing all aspects of business operations of Revenue Cycle including pre-authorization, billing, follow up, payment posting, and coding
- Assessed existing workflow procedures and implemented improvements to foster efficiency
- Responsible for overseeing and administering financial management operations for Revenue Cycle department
- Implemented automation in various billing processes and reduced claim billing edits by 70%
- Responsible for leading yearly chargemaster update project with Coders and EMR Team
- Reviewed and negotiated Managed Care contracts and Single Case Agreements to maximize reimbursement
- Responsible for generating KPI reports and reviewing cash trends with VP of Finance to identify areas of opportunity during MORs
- Trained and developed each team member to become knowledgeable and be ready to assist in other areas as needed
Revenue Integrity Analyst
Houston Methodist Hospital
Houston, TX
04.2016 - 07.2019
- Responsible for generating, analyzing, and distributing Revenue Cycle and KPI reports to system directors
- Performed audits to analyze claim denials and identify patterns to reduce backlog of A/R and ensure compliance with HIPAA and CMS
- Performed data integrity checks and generated ad-hoc reports to identify Patterns-based root cause analysis
- Recommended strategies to improve workflow efficiency and performance by 30%
- Worked collaboratively across Revenue Cycle, HIM, Patient Access, and IT towards meeting organizational goal of increasing revenue and decreasing outstanding A/R
Store Manager
Tropical Smoothie Cafe
Richmond, TX
08.2013 - 04.2017
- Managed store employees successfully in fast-paced environment through proactive communication
- Responsible for overseeing all operations including dine-in and drive-thru
- Introduced high standards for customer service and increased efficiency by strategically assigning tasks throughout the day and during busy hours
- Trained and mentored employees on performance-oriented strategies and customer service
- Maintained established levels of goods based on sales forecasts and demand to fulfill orders on time.
- Maintained levels of quality and on-hand inventory
Accounts Resolution Specialist
Med A/R Management Services
Houston, TX
02.2015 - 04.2016
- Performed insurance verification, pre-authorization, billing, follow up, appeals, and account audits.
- Maintained and tracked all correspondence and outcomes.
- Responsible for resolving daily claim edits to ensure accurate and timely filing of claims.
- Coordinated with on-site hospital staff to ensure all Medical Records are stored appropriately.
A/R Operations Coordinator
Patient Accounts Services LLC
Houston, TX
09.2013 - 02.2015
- Performed research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information
- Monitored patient account details for non-payments and delayed payments
- Prepared weekly productivity report for entire A/R department
- Performed full audit and follow up of Top 20 High Dollar Escalated Accounts with balance over $250,000
Medical Billing and Appeals Coordinator
AvanteUSA
Houston, TX
02.2011 - 03.2013
- Responsible for billing claims to Medicare, Medicaid, and
Commercial Payers. - Worked claims and denials to ensure maximum reimbursement for
services provided - Trained new hire staff on proper billing and accurate claims
handling.
Education
Bachelor of Science - Accounting
University of Phoenix
Online05.2021
Certified Professional Coder (CPC) - 01437723 -
AAPC
Houston, TX2017
Timeline
Revenue Cycle Manager
United Surgical Partners, International (USPI)
01.2021 - Current
Revenue Cycle Manager
Nexus Health Systems
07.2019 - 01.2021
Revenue Integrity Analyst
Houston Methodist Hospital
04.2016 - 07.2019
Accounts Resolution Specialist
Med A/R Management Services
02.2015 - 04.2016
A/R Operations Coordinator
Patient Accounts Services LLC
09.2013 - 02.2015
Store Manager
Tropical Smoothie Cafe
08.2013 - 04.2017
Medical Billing and Appeals Coordinator
AvanteUSA
02.2011 - 03.2013
Bachelor of Science - Accounting
University of Phoenix
Certified Professional Coder (CPC) - 01437723 -
AAPC
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