ABDUL BASIT
Lahore
Summary
Enthusiastic eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Task and Task and training in Skill. Motivated to learn, grow and excel in Industry. With over 10 years of successful experience in Customer services, sales managing and medical billing. Recognized consistently for performance excellence and contributions to success in industry. Strengths in Hardworking and Skill backed by training in every industry. Experienced with over the years of experience in Industry. Excellent reputation for resolving problems and improving customer satisfaction. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Overview
10
10
years of professional experience
Work History
Medical Billing Specialist
Prime Health United
08.2023 - Current
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Managed collections claims for unpaid bills against estates of debtors.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Monitored outstanding invoices and performed collections duties.
RCM Specialist
MDVision
08.2020 - 08.2023
- Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
- Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
- Streamlined billing processes with the implementation of efficient organizational systems and attention to detail.
- Improved cash flow, consistently monitoring and resolving outstanding accounts receivable balances.
- Assisted in training new team members, sharing knowledge of AR best practices and specific company procedures.
- Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences.
- Supported internal audit initiatives, providing thorough documentation of AR activities as requested for review purposes.
- Increased overall departmental productivity through active participation in process improvement initiatives focused on streamlining AR workflows.
- Managed multiple priorities effectively by maintaining strong organization skills while handling competing deadlines within a fast-paced environment.
- Sustained a high level of professionalism when dealing with sensitive financial matters, upholding patient confidentiality and adhering to HIPAA guidelines.
AR Billing Specialist
Promed Professional
04.2020 - 08.2020
- Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
- Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
- Streamlined billing processes with the implementation of efficient organizational systems and attention to detail.
- Improved cash flow, consistently monitoring and resolving outstanding accounts receivable balances.
- Optimized revenue generation by accurately applying appropriate adjustments, write-offs, and refunds as needed.
AR Executive
IPS-P3
11.2019 - 04.2020
- Efficiently collected payments and communicated with clients
- Analyzed medical records to satisfy insurance company mandates
- Delivered timely and accurate charge submissions utilizing on Software's
- Followed up on legal claims
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
- Liaised between patients, insurance companies and billing office
- Oversaw all billing for Medicaid PCA, waiver and skilled claims, commercial insurance and private pay clients
- Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
- Communicated with insurance providers to resolve any denied claims and resubmit
- Researched and followed up on denied insurance claims.
- Improved AR collections by implementing efficient follow-up processes and maintaining strong client relationships.
- Reduced accounts receivable aging by streamlining invoicing procedures and enhancing communication with clients.
Area Manager
Wester 77
01.2019 - 10.2019
- Increased overall sales through capitalizing on new potential opportunities and developing and maintaining partnerships with new companies and shareholders
- Managed inventory and reduced shrinkage through detailed monitoring of daily operations and stock
- Oversaw operations of organization, including budget planning, strategy development, community outreach, forecasting and payroll
- Monitored customer buying trends, market conditions and competitor actions to adjust strategies and achieve sales goals
- Planned operations to meet established schedules, factoring in order demands and business forecasts
- Oversaw routine maintenance programs and scheduled service to keep equipment functioning at peak levels.
Customer Service Representative
Warid Telecom
02.2015 - 04.2017
- Answered customer telephone calls promptly to avoid on-hold wait times
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Provided information to customers regarding charge accounts and loyalty program and helped to open and activate new accounts
- Provided primary customer support to internal and external customers in fast-paced environment
- Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions
- Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions
- Responded to customer requests for products, services and company information.
Sailor
PAK NAVY
12.2013 - 12.2014
- Wear uniform to defend my country from internal and external enemies.
Education
BACHELORS DEGREE - Bachelors in Applied Psychology
Lahore Garrison University
INTERMEDIATE -
Garrison Degree College for Boys
MATRIC -
Garrison Academy For Boys
Skills
- Preparing solutions
- Multi-disciplinary collaboration
- Complaint resolution
- Creative problem solving
- Self Motivated
- Good listening skills
- Medical terminology knowledge
- Product Knowledge
- Attention to detail
- Stress tolerance
- Policy adherence
- Professional demeanor
- Staff Development
Info
0332-4325698, Basit1319@gmail.com
Timeline
Medical Billing Specialist
Prime Health United
08.2023 - Current
RCM Specialist
MDVision
08.2020 - 08.2023
AR Billing Specialist
Promed Professional
04.2020 - 08.2020
AR Executive
IPS-P3
11.2019 - 04.2020
Area Manager
Wester 77
01.2019 - 10.2019
Customer Service Representative
Warid Telecom
02.2015 - 04.2017
Sailor
PAK NAVY
12.2013 - 12.2014
BACHELORS DEGREE - Bachelors in Applied Psychology
Lahore Garrison University
INTERMEDIATE -
Garrison Degree College for Boys
MATRIC -
Garrison Academy For Boys
Similar Profiles
JAJA HARRISONJAJA HARRISON
Tier 1 Help Desk Analyst at Prime source Technologies- United states Department of CommerceTier 1 Help Desk Analyst at Prime source Technologies- United states Department of Commerce
Carol FabianCarol Fabian
Medical Coder at AdvantEdge Health Solutions/Health PrimeMedical Coder at AdvantEdge Health Solutions/Health Prime
Margarita LopezMargarita Lopez
Receptionist at Prime Health Urgent CareReceptionist at Prime Health Urgent Care