Anam Maqsood

• Detail-oriented Medical Billing Specialist with 8 years of experience managing medical insurance claims
• Investigates and resolves insurance company disputes and communicates with patients regarding account balances and claim statuses.
• Medical Coding (CPT, ICD-10)
• Claims Processing and Management
• Insurance Verification
• Revenue Cycle Management
• Compliance with HIPAA
• Team Training and Leadership
• Patient Account Reconciliation
• Billing Software Proficiency

As a Medical Billing Supervisor, my responsibilities encompass overseeing the billing department, ensuring the accuracy and efficiency of the billing process, and managing a team of billing specialists. Here is a detailed breakdown of your responsibilities:

Team Management:

Supervise and provide leadership to a team of medical billing staff.

Recruit, train, and evaluate billing personnel.

Set performance goals and conduct regular performance reviews.

Develop and implement training programs to keep staff updated on billing procedures and compliance.

Billing Operations:

Oversee the entire billing process, ensuring timely and accurate submission of claims.

Monitor billing processes to ensure compliance with federal, state, and payer-specific regulations.

Handle complex billing issues and escalations from the billing team or other departments.

Ensure all billing operations adhere to HIPAA and other relevant regulations.

Claims Management:

Review and analyze claim denials, rejections, and underpayments; implement corrective actions to minimize future occurrences.

Coordinate with insurance companies to resolve disputes and discrepancies.

Manage the appeals process for denied claims, ensuring proper documentation and follow-up.

Financial Reporting and Analysis:

Prepare and analyze billing and financial reports, providing insights and recommendations for process improvements.

Track key performance indicators (KPIs) related to billing and collections.

Ensure accurate and timely reporting of revenue and billing metrics to senior management.

Process Improvement:

Identify areas for improvement within the billing process and implement changes to enhance efficiency and accuracy.

Develop and maintain standard operating procedures (SOPs) for billing activities.

Utilize billing software and technology to streamline operations and improve productivity.

Customer Service:

Address patient billing inquiries and complaints in a professional and timely manner.

Work closely with other departments, such as patient services and finance, to resolve billing issues and improve patient satisfaction.

Compliance and Audits:

Conduct regular audits of billing records to ensure accuracy and compliance.

Stay updated on changes in billing regulations and ensure the department’s practices are compliant.

Prepare for and assist with internal and external audits.

Collaboration and Communication:

Collaborate with medical staff, administrators, and other departments to ensure effective communication and workflow.

Provide regular updates to senior management on the status of billing operations and any significant issues or developments.