Wasif Hameed
Queens,NY
Summary
Pursuing Master of Science in Business Analytics from Trine University with almost 3 years of US Healthcare Revenue Cycle Management experience worked as an Accounts Receivable Associate with a track record of enhancing revenue cycle efficiency at IKS-Health by implementing best practices and streamlining processes. Expert in Microsoft Excel and adept at customer service support, significantly reduced claim denials and improved revenue recovery. Skilled in training new employees, ensuring seamless team integration and performance enhancement.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Accounts Receivable Associate
Infinx Services Private
Hyderabad, India
06.2022 - 07.2023
- Company Overview: Headquartered In Cupertino, CA
- Reviewing and analyzing denied claims to identify reasons for denial
- Prepared and submitted comprehensive appeals to insurance carriers to secure reimbursement
- Fax Supporting Medical Records to the payer to prove medical necessity
- Reviewing Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify patterns and trends in claim denials
- Document findings and make recommendations for process improvements
- Assisting in the preparation of regular reports on billing activities and denial trends using Excel and other reporting tools
- Contributing to departmental meetings by sharing insights and suggestions for improvement
Revenue Cycle Representative
IKS-Health, Inventurus Knowledge Solutions
Hyderabad, India
09.2020 - 04.2022
- Company Overview: Headquartered In Dallas, TX
- Improved revenue cycle efficiency by streamlining processes and implementing best practices
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers
- Analyzed financial data to identify trends and areas of improvement within the revenue cycle process
- Audited patient accounts for discrepancies, resolving issues for timely reimbursement
- Identified root causes of claim denials through thorough analysis, implementing corrective actions for improved results
- Ensured accurate billing and coding practices, leading to a reduction in claim denials
- Managed patient account collections for increased revenue recovery
- Trained new employees on company-specific systems, tools, and processes for efficient integration into the team
- Developed customized reports for management review, assisting in informed decision-making regarding revenue cycle initiatives.
- Managed complex problem-solving for upper management in order to complete projects on-time
Education
Master of Science - Business Analytics
Trine University
Reston, VA08-2025
Bachelor of Science - Mechanical Engineering
Sreyas Institute of Engineering And Technology
Hyderabad, IndiaSkills
- Medical Billing Software: eClinicalWorks, NextGen, EHR, IDX, GreenwayHealth Intergy, AllScripts, EMR
- Coding: Knowledge of ICD-10, CPT, HCPCS
- Data Analysis: SQL, Excel, data mining, Tableau
- Microsoft Office Suite: Word, Excel, PowerPoint, Outlook
- Claims Processing: Claim Submission, Claim Follow-up, Denial Management
- Patient Collections: Collection Strategies, Payment Processing
- Insurance Verification: Eligibility Verification, Benefit Verification
- Knowledge of HMOs, PPO, POS, Medicare and Medicaid,
- HIPAA, Appeals, EOBs, ERAs, posting and balancing
Soft Skills
- Excellent written and verbal skills
- Ability to identify and resolve issues
- Strong attention to detail and ability to manage multiple tasks
- Ability to analyze data and identify trends, strong interpersonal skills and ability to interact with patients and payers,
- Knowledge of healthcare regulations and policies, HIPAA.
- Very organized and disciplined
- Time management
Accomplishments
- Gained expertise in all aspects of medical billing including filing claims, re-filling rejected claims, completing appeals, and adjusting underpayments.
- Committed to stay up to date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
- gained an excellent knowledge of Revenue cycle management
Certification
- IBM Data Analytics with Excel, R and SQL
- IBM Data Visualization and Dashboards with Excel and Cognos
Interests
- I like Swimming, Ice Skating, Travelling, Hiking, bowling, reading book, singing, playing cards and much more.
Linkedin Profile
- www.linkedin.com/in/wasif-hameed-648850346
Timeline
Accounts Receivable Associate
Infinx Services Private
06.2022 - 07.2023
Revenue Cycle Representative
IKS-Health, Inventurus Knowledge Solutions
09.2020 - 04.2022
Master of Science - Business Analytics
Trine University
Bachelor of Science - Mechanical Engineering
Sreyas Institute of Engineering And Technology
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