Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Software
Certification
Interests
Timeline
Generic
Muhammad Usman Raheel

Muhammad Usman Raheel

Director Operation
Boca Raton

Summary

To obtain a position in the Business Management, Operations Managements, Medical Billing, complete ICD coding and company forecast which using my skills will be used to greatly benefit my employer as well as grant personal satisfaction and growth. Work well independently and with a group. Excellent in communications skill. High moral values, trustworthy and professional approach. Efficient in multitasking and goal oriented. Compensation Medicare/Medicaid and commercial insurance. Maintain thorough knowledge of patient information system and its processes as it pertains to Billing/Collections. Research and respond by telephone and in writing to patient inquiries regarding billing issues and problems. Posting notes on each patient account when even the account has been touched. Great typing skill 35 words per minute. Balance daily batches and report; prepare income reports and statistics. Post and reconcile payments to patient ledgers posting adjustments Deductibles setting up Accounts for Collections. Report problematic trends with accounts to supervisor. Participate in development of organization procedures and update of forms and manuals. Maintain patient demographic information and data collection systems. Perform a variety of general clerical duties including telephone reception mail distribution and other routine functions. Assist in preparing documentation for legal inquiries litigation and court appearances. Ensure strict confidentiality of financial records. Exceptional ability to prioritize work to meet goals and objectives within acceptable time frames Calling Doctor/Client to resolve each problematic issue if any. Detail oriented, efficient and organized professional with extensive experience in accounting systems. Possess strong analytical and problem solving skills, with the ability to make well thought out decisions. Highly trustworthy, discreet and ethical. Resourceful in the completion of projects, effective at multi tasking Versatile Managing Director with proven abilities across all levels of organizational management. Talented in developing partnerships, overseeing personnel and developing tactical plans to meet strategic goals.

Overview

12
12
years of professional experience
7
7
years of post-secondary education
2
2
Certifications
3
3
Language

Work History

Director of Operations

American University Of Anguilla School Of Medicine
Boca Raton
2022.05 - Current
  • Developed, implemented, revised, and evaluated policies and procedures.
  • Interacted effectively with clinical staff and patients by using active listening and interpersonal skills.
  • Participated in nursing research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas.
  • Implemented ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
  • Represented organization at all community events, answering questions, providing details and giving informative presentations.
  • Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
  • Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions.
  • Worked with nurse manager to develop nursing staff through education, evaluation, performance management, and competency improvement.
  • Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
  • Developed and implemented strategic plans enabling facility to meet budgetary and quality assurance goals.
  • Identified nurses' and staff training needs and devised training programs to close gaps.
  • Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs.
  • Defined, implemented, and revised operational policies and guidelines.
  • Worked collaboratively with functional leaders to implement new procedures and corrective actions to improve quality.

Managing Director

MediMax Solutions LLC
St Petersburg
2020.02 - Current
  • Establishing Direction: Develops the vision and strategies to achieve that vision; sets and communicates the long term direction of the firm and ensures that the short term goals, objectives and tasks are aligned and adjusted in anticipation and in response to outside forces and internal changes that impact achievement of the firm’s vision and strategies.
  • Led change and transformation across business areas to deliver benefits and align company resources.
  • Monitored and coordinated workflows to optimize resources.
  • Piloted cross-departmental projects to achieve successful delivery of new initiatives.
  • Led development of comprehensive business plan to maximize profitability and company performance.
  • Monitored office workflow and administrative processes to keep operations running smoothly.
  • Prepared annual budgets with controls to prevent overages.
  • Devised and implemented innovative and marketing campaigns to promote products and services.
  • Introduced new methods, practices, and systems to reduce turnaround time.
  • Performed statistical analyses to gather data for operational and forecast team needs.
  • Implemented innovative programs to increase employee loyalty and reduce turnover.

Director Operation

Columbus Central University School Of Medicine
Boca Raton
2019.03 - Current
  • Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
  • Managed daily operations while overseeing multiple locations to foster increased productivity.
  • Worked closely with organizational leadership and board of directors to guide operational strategy.
  • Monitored office workflow and administrative processes to keep operations running smoothly.
  • Evaluated scripts to identify creative strategies and resource needs.
  • Monitored and coordinated workflows to optimize resources.
  • Evaluated company documentation to verify alignment with regulatory requirements.
  • Evaluated live broadcasts to assess signal strength and compliance with FCC standards.
  • Oversaw supply chain functions to verify inventory levels and budget adherence.
  • Assisted with sales and marketing strategies to foster achievement of revenue goals.
  • Optimized operational processes using analytics tools to address client-specific metrics.

Operations Manager

Right Medical Billing Company
Islamabad
2015.06 - 2019.12
  • Alignment and Commitment: Builds consensus throughout the partnership and gains commitment behind the vision and direction
  • To ensure alignment of people; that partners’ have input, are heard and that opinions are considered through strong communication and effective listening skills and through effective mentoring
  • Ensuring Execution: To ensure that accountable for effecting change and execution of the firm’s strategies through the activities and priorities of the Executive Committee and the Management
  • Team
  • Holds people accountable and works with them to ensure that people are doing the right things
  • Setting a Personal Example: To provides a positive personal example through words and behavior
  • Displays personal integrity, supports the professionals at all levels in the firm; takes responsibility for his or her actions and holds others accountable
  • Fosters a learning organization where mistakes are identified, owned and where the firm and its professionals learn from them.
  • Introduced new methods, practices, and systems to reduce turnaround time.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Set, enforced, and optimized internal policies to maintain responsiveness to demands.
  • Devised processes to boost long-term business success and increase profit levels.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
  • Developed and maintained relationships with external vendors and suppliers.

Team Lead

MTBC A Unique Healthcare IT Company
Somerset
2014.12 - 2015.05
  • Oversees the operations of multiple medical billing services, business developing and forecasting which may encompass medical coding, charge entry, claims submissions, payment posting, follow up, and/or reimbursement management
  • Tele converse with the providers on regular basics to ensure the smooth running of operations and resolution of billing related issues
  • Participate and provide updates regarding operations in daily NJ meetings
  • Serves as principal liaison with managers and administrators of assigned client components on day to day issues within specified areas of billing operations
  • Ensures that the activities of the billing operations teams within the group are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, law
  • Assists in the development and implementation of operating policies and procedures, in accordance with Federal and State regulations
  • Oversees the supervision of personnel, which includes work allocation, Attendance and problem resolution
  • Evaluates performance and makes recommendations for personnel actions
  • Motivates employees to achieve peak productivity and performance
  • Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency
  • Provides advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures
  • Provides, oversees, and/or coordinates the provision of training for new and existing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.

Back Up Team Lead RCM

MTBC A Unique Healthcare IT Company
Somerset
2012.06 - 2014.11
  • Assisted Senior Management to provide planning, programming, and project management support to ensure all project activities are executed in accordance with established means, methods and constraints
  • To serve as a principal liaison with managers and administrators of assigned client components on day to day issues within specified areas of billing operations
  • Assisted the Senior Manager Operations to provide planning, programming, and project management support to ensure all project activities are executed in accordance with established means, methods and constraints
  • Lead efforts for streamlining processes and generating cost savings in operations
  • Oversaw the operations of multiple medical billing services, which may encompass medical coding, charge entry, claims submissions, payment posting, follow up, and/or reimbursement management
  • Managed the operational and fiscal activities of the department to include: staffing levels, budgets, and financial goals
  • Developed and implemented procedures, control systems for maintaining hygiene and quality standards
  • Evaluated department processes
  • Recommend and coordinate needed changes based on process analysis
  • Managed whole shift of more than 100 individuals performing Medical Billing for more than 70 clients
  • Compensation and Benefits and Training of employees
  • Developing and implementing procedures, control systems for maintaining hygiene and quality standards
  • Manage the operational and fiscal activities of the department to include: staffing levels, budgets, and financial goals
  • Leading efforts for streamlining processes and generating cost savings in operations
  • Evaluate department processes
  • Recommend and coordinate needed changes based on process analysis
  • Tele converse with clients in USA on a regular basis to ensure the smooth running of operations, and resolution of billing related issues
  • Participate and provide updates regarding operations in managerial meetings
  • Assist in the development and implementation of operating policies and procedures, in accordance with Federal and State regulations
  • Provide advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures
  • Conduct interviews, hire new staff, and provide employee orientation
  • Interpretation of operational data to assess need for procedural revisions and enhancements; participated in the design and implementation of specific systems to enhance revenue and operating efficiency

Billing Executive RCM

MTBC A Unique Healthcare IT Company
Somerset
2011.11 - 2012.05
  • To perform Medical billing for offshore doctors
  • To Keep informed of all changes in the rules and regulations of Insurance Carriers and regularly update the Team Leader
  • To Research / Analyze and prepare appeals when claims are rejected
  • To Tele converse with Insurance Companies for claim follow up
  • To Tele converse with Clients (doctors) in USA.

Education

High School Diploma -

Private High School
Islamabad Pakistan
2004.01 - 2006.07

Associate of Arts - History, Civics , Economics

Govt Collage
Rawalpindi Pakistan
2008.01 - 2010.11

Bachelor of Arts - Political Science And Government

Punjab University
Lahore Pakistan
2011.01 - 2012.12

Skills

    Capital spending

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Accomplishments

  • ISO 27001,2013 Certification
  • Sales/Marketing Management
  • Medical Records Management
  • Business Management and forecasting
  • Insurance/Patient AR
  • Bookkeeping & Filing
  • Calling insurance /patient
  • Customer Relations
  • Patient Education HIPPA
  • Preparing revenue budgets, forecasts and Plan Marketing Manager
  • Handling Payroll
  • Ensuring compliance with accounting deadlines
  • Responsible for documentation
  • Academics:
  • Graduation
  • University Of Punjab
  • Year : 2012
  • I.COM
  • Board of Intermediate & Secondary Education Rawalpindi
  • Year : 200 9
  • Matriculation
  • Board of Intermediate & Secondary Education RWP
  • Year : 2006
  • Key Qualification:
  • Process billings to patients and third party reimbursement claims
  • Working denials follow up onsubmitted claims status and unpaid claims
  • Submitting corrected claims and appeals if necessary
  • Knowledge of medical terminology ICD 10/CPT codes
  • Follow up on claims greater than 30 days for assigned type
  • Knowledge of PPO HMO Worker s

Affiliations

  • Toastmasters
  • American Institute of Certified Public Accountants
  • Project Management Institute

Software

Office Ally

Ecw -eClinical Works

AdvancedMD

Tebra/Kareo

Medics Premier

CareCloud

DrChrono

Certification

HIPPA

Interests

Book Reading

Cricket

Touriusm

Timeline

Director of Operations

American University Of Anguilla School Of Medicine
2022.05 - Current

Managing Director

MediMax Solutions LLC
2020.02 - Current

Director Operation

Columbus Central University School Of Medicine
2019.03 - Current

Operations Manager

Right Medical Billing Company
2015.06 - 2019.12

Team Lead

MTBC A Unique Healthcare IT Company
2014.12 - 2015.05

HITECH

2013-01

HIPPA

2012-12

Back Up Team Lead RCM

MTBC A Unique Healthcare IT Company
2012.06 - 2014.11

Billing Executive RCM

MTBC A Unique Healthcare IT Company
2011.11 - 2012.05

Bachelor of Arts - Political Science And Government

Punjab University
2011.01 - 2012.12

Associate of Arts - History, Civics , Economics

Govt Collage
2008.01 - 2010.11

High School Diploma -

Private High School
2004.01 - 2006.07
Muhammad Usman RaheelDirector Operation