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
Associate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt LtdAssociate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt Ltd
Accounts Receivable (A/R) at Versatile Physicians Solutions Medical Billing Company (VPS)Accounts Receivable (A/R) at Versatile Physicians Solutions Medical Billing Company (VPS)