Mudassir Shehzad
Rawalpindi
Summary
Seeking a challenging position with a well-reputed organization offering excellent prospects for organizational growth and personal development with international pace.
Overview
11
11
years of professional experience
Work History
Billing Executive
Medical Transcription & Billing Company (Pvt) Ltd. [MTBC]
06.2010
- A highly motivated and ambitious individual able to give timely & accurate advice, guidance and training to team members
- Possessing excellent management skills and having the ability to work with the minimum of supervision whilst leading a team of twelve or more
- Having a proven ability to lead by example, consistently hit targets, improves best practices and organizes time efficiently.
Senior Manager Operations
Stars Pro Medical Billing
07.2021 - Current
- After achieving targets, I got promoted to the position of senior manager operations
- Responsibilities included to oversee all 27 practices of the company
- Helped all the teams to achieve targets and to pull best out of them
- Tried to convert their weaknesses into their strengths
- Helped them out and trained members on insurance and patient calls (Both inbound and outbound)
- Discuss teams concerns with the clients and front office.
Lead Account Manager
Pyramids Global Pvt.Ltd
03.2020 - Current
- Worked on Interventional Cardiology client
- Team coordination regarding Scan verification from past 2 years to make sure that all the services performed and billing received has been taken care of
- Coordination with coding team to make sure that all the charges billed previously were coded correctly or not
- Coordination with coding for new scan as well to make sure that the coding is correct and we are receiving maximum reimbursements for services rendered
- Coordination with credentialing team to create ERA and EFT setup to reduce paper EOB’s and to keep system up to date
- Team monitoring and training on regular basis regarding denial fixing and to use different resources where they can check if the claim got denied correctly or not and how to fix the denials related to coding
- Coordination with Billing and AR team to make sure that the claims are getting submitted error free to increase FTPR and Denials have been taken care of in a timely manner
- Reporting as required by the client.
Manager Operations
Stars Pro Medical Billing
04.2021 - 07.2021
- Joined Stars Pro as Manager Operation on newly acquired acquisition worth 1.5M
- Helped company to setup billing software work without VPN and got IPS white listed
- Made sure that all the back log cleared as far as three years back
- Constant communication with front office to keep everything on track
- Achieve highest ever collection mark and received multiple compliments from the owner of the practice
- Training all the members regarding out of network follow-up and PART A negotiations, eCW training
- Streamlined Part B side of the practice and created new team to handle
- Payment targets started to achieve ever since
- Created separate team for PART A side of the practice and constantly grooming all the team members to achieve better positions
- Preparing reports and participation on weekly meetings with the client to check the satisfaction level and address their concerns.
Authorization Specialist (Home Health Care)
Pyramids Global Pvt.Ltd
12.2018 - 03.2020
- Submitting Auth requests on behalf of Home Health Agency for services rendered, either PT, OT, ST, SN, HHA, MSW
- Following up with insurance companies after 7 days to make sure that all the information is on file
- Negotiating with insurance reps in case of Auth denials
- Updating system once Auth approval is received
- Communication with front office in case of incomplete documents
- Sending messages to clinicians after every 48 hours to complete the SOC, Recert, PT, OT, ST, MSW, HHA Evaluations so that Auth request can be submitted in a timely manner and to avoid retro denials.
Patient Call Specialist
Pyramids Global Pvt.Ltd
04.2018 - 12.2018
- Complete patient billing
- Initiating balance reminder calls to patients for outstanding balances
- Receiving patient calls with different concerns i.e
- Prescription refills, Insurance update and queries regarding balance upon receiving statements
- Concerns regarding billing issue.
AR Analyst RMB (Right Medical Billing)
RMB
12.2016 - 04.2018
- Complete follow-up of AR through calls and web portals for both Part A and Part B
- Calling patients for updated information
- Receiving patient calls and calling them back with resolution of their concerns
- Dialing BRC (Balance Reminder Calls) to patient’s for balance collection as much as possible
- Negotiation with insurance companies regarding underpaid claims through calls and appeals.
AR Analyst eServmd
eServmd
06.2015 - 12.2016
- Complete follow-up of AR through calls and web portals
- Calling patients for updated information
- Receiving patient calls and calling them back with resolution of their concerns
- Dialing BRC (Balance Reminder Calls) to patient’s for balance collection as much as possible.
Team Leader PMTAC
PMTAC
02.2014 - 06.2015
- Ensuring that staff is motivated, monitored and measured in line with company’s target and performance standards
- Responsible for making sure that any gaps in performance or quality are quickly identified and addressed
- Producing accurate reports regarding team performance for senior managers.
Team Leader MTBC
MTBC
06.2013 - 02.2014
- Ensuring that staff is motivated, monitored and measured in line with company’s target and performance standards
- Responsible for making sure that any gaps in performance or quality are quickly identified and addressed
- Producing accurate reports regarding team performance for senior managers.
Education
B.A -
University of Punjab
F.A - undefined
Federal Board of intermediate and secondary education.
Secondary School Certificate - undefined
Federal Board of intermediate and secondary education.
Skills
Microsoft Windows 98, 2000, XP Professional, Windows 11
undefinedPersonal Information
- Father's Name: Abdul Ghafoor
- Blood Group: B+
- Date of Birth: 06/19/1986
- Nationality: Pakistani
- Marital Status: Single
- Religion: Islam
References
Will be furnished on request.
Timeline
Senior Manager Operations
Stars Pro Medical Billing
07.2021 - Current
Manager Operations
Stars Pro Medical Billing
04.2021 - 07.2021
Lead Account Manager
Pyramids Global Pvt.Ltd
03.2020 - Current
Authorization Specialist (Home Health Care)
Pyramids Global Pvt.Ltd
12.2018 - 03.2020
Patient Call Specialist
Pyramids Global Pvt.Ltd
04.2018 - 12.2018
AR Analyst RMB (Right Medical Billing)
RMB
12.2016 - 04.2018
AR Analyst eServmd
eServmd
06.2015 - 12.2016
Team Leader PMTAC
PMTAC
02.2014 - 06.2015
Team Leader MTBC
MTBC
06.2013 - 02.2014
Billing Executive
Medical Transcription & Billing Company (Pvt) Ltd. [MTBC]
06.2010
B.A -
University of Punjab
F.A - undefined
Federal Board of intermediate and secondary education.
Secondary School Certificate - undefined
Federal Board of intermediate and secondary education.
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