Muhammad Ilyas
RCM Executive
Lahore
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational and data analytical skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
4
4
years of professional experience
5
5
years of post-secondary education
Work History
RCM Executive
CureMD research & development
Lahore
02.2020 - Current
- Financial Analysis: Monitoring, analyzing and mining financial data related to RCM (Revenue Cycle Management) operations, including billing, collections, coding, and reimbursement. Identify trends, patterns, and areas of concern and take appropriate actions to address them.
- Key Performance Indicators (KPIs): Establishing and monitor key performance indicators to track performance of revenue cycle operations. Develop dashboards and reports to provide regular updates to management, highlighting trends, achievements, and areas for improvement.
- Vendor Management: Collaborating with external vendors, such as billing companies or revenue cycle software providers, to optimize services and ensure seamless integration with organization's revenue cycle operations.
- Strategic Planning: Developing and implementing strategic plans and goals for RCM, aligning them with organization's overall objectives. Identify areas for improvement and formulate strategies to enhance revenue cycle performance.
- Payments Decline Management: Implementing strategies to minimize claim denials and effectively manage denial resolution process. Analyze denial trends, identify root causes, and work collaboratively with internal stakeholders to implement corrective actions.
- Process Improvement: Assessing existing revenue cycle processes, identify bottlenecks and inefficiencies, and implement process improvements to streamline operations, reduce denials, and enhance revenue capture. Utilize technology and automation tools to optimize revenue cycle workflows.
- Relationship Management: Building and maintain positive relationships with payers, third party administrator, and other relevant stakeholders. Negotiating contracts, resolving billing disputes, and collaboration on revenue cycle initiatives.
- Compliance and Regulations: Staying updated with relevant healthcare regulations, coding guidelines, payer policies, and billing requirements. Ensure compliance with industry standards, government regulations, and contractual obligations to minimize compliance risks and potential revenue loss.
- Continuous Education: Staying abreast of industry trends, emerging technologies, and best practices in RCM. Attend conferences, workshops, and seminars to enhance knowledge and skills.
AR Executive
Bravo Services
Lahore
01.2019 - 01.2020
- Completing daily process adjustments to maintain accuracy.
- Posting customer payments by recording cash, checks, and credit card transactions.
- Verifying discrepancies and resolving clients' billing issues
- Reconciled daily AR ledger and verified proper posting.
- Preparing bill receivable, invoices, and bank deposits.
- Processing incoming payments in accordance with established financial policies.
- Effectively communicated with clients about payment needs and kept updated.
- Checking eligibility and benefit verification.
- Preparing, reviewing and transmitting claims using billing software, including electronic and paper claims.
- Follow up on unpaid bills and rejections.
- Contacting payers regarding any discrepancies in payments if necessary.
- Identify and billing to secondary or tertiary insurances.
Education
MBA - Strategic Business Project
University of The West of Scotland
Hamilton, Scotland, UK 06.2017 - 06.2018
Postgraduate Diploma in Strategic Management - Strategic Management
School of Computing And Business Studies
Brixton, England, UK 06.2015 - 02.2017
Diploma in Tourism And Hospitality Management - Tourism And Hospitality
Capital School of Business And Management
Wembley, England, UK 09.2013 - 03.2015
Higher National Diploma in Business Management - Business Management
LGSM Millennium City Academy
London, England, UK 03.2011 - 03.2012
Skills
Analytical mindset with the ability to analyze financial data, identify trends, and make data-driven decisions
undefinedWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
RCM Executive
CureMD research & development
02.2020 - Current
AR Executive
Bravo Services
01.2019 - 01.2020
MBA - Strategic Business Project
University of The West of Scotland
06.2017 - 06.2018
Postgraduate Diploma in Strategic Management - Strategic Management
School of Computing And Business Studies
06.2015 - 02.2017
Diploma in Tourism And Hospitality Management - Tourism And Hospitality
Capital School of Business And Management
09.2013 - 03.2015
Higher National Diploma in Business Management - Business Management
LGSM Millennium City Academy
03.2011 - 03.2012
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