Bachelor In Commerce - Accounting And Business Management
Quaid I Azam University
Islamabad09.2017
M. Yaseen Us Seemab Shaukat
Rawalpindi
Summary
Results-driven Assistant Manager with 7 years of extensive experience in medical billing. Proven track record in leading and optimizing billing processes, ensuring accuracy, compliance, and timely reimbursement. Adept at managing teams, resolving issues, and implementing efficient solutions to enhance overall operational efficiency. Strong understanding of medical coding and billing regulations. Demonstrated ability to drive results while maintaining a focus on quality and customer satisfaction.
Education
Diploma In Commerce (D.Com) - Accounting And Business Management
Govt. College of Commerce
Rawalpindi09.2015
Secondary School Certification (SSC) - Science
Govt. Faiz Ul Islam High School
Rawalpindi03.2013
Skills
- Resource Planning & Utilization
- Grip on MS Office 365
- Data Analysis
- Project Management
- Administrative
- Training and Planning
- Team leadership and supervision
- Problems Solving
- Excellent Written and Verbal Communication
- Teamwork
- Strong Analytical Skills
Timeline
Assistant Manager - Operations
MedsNexus Inc.
02.2022 - Current
Supervisor - Accounts Receivable
Millenium MBS
12.2020 - 01.2022
Senior Medical Billing Specialist and Team Lead
Nobility MBS
03.2017 - 02.2020
Medical Billing Specialist
Physicians Revenue Group (PRG)
04.2016 - 05.2017
Bachelor In Commerce - Accounting And Business Management
Quaid I Azam University
Diploma In Commerce (D.Com) - Accounting And Business Management
Govt. College of Commerce
Secondary School Certification (SSC) - Science
Govt. Faiz Ul Islam High School
Work History
Assistant Manager - Operations
MedsNexus Inc.
Rawalpindi, PB
02.2022 - Current
- Participate in hiring process by interviewing and selecting qualified candidates for medical billing team. Contribute to team building and development initiatives to foster collaborative and high-performing work environment.
- Managed team of over 70 resources, including 5 team leads, to address day-to-day issues and queries.
- Oversee day-to-day activities of medical billing team to ensure efficient and accurate processing of claims, payments, and refunds.
- Provide training and guidance to billing staff, staying informed about changes in medical billing regulations and practices to ensure continuous team development.
- Investigate and address billing discrepancies, denied claims, and payment discrepancies, working collaboratively with internal teams and external payers to resolve issues promptly.
- Implement and monitor key performance indicators (KPIs) for billing team, analyzing data to identify trends, areas for improvement, and opportunities to enhance overall billing efficiency.
- Client communication and Email handling.
- Supervised operations team to support operational excellence and excellent customer service.
- Coordinated with Director Operations in different operational issues and promotional activities.
- Monitored employee productivity and optimized procedures to reduce costs.
- Developed and maintain operational guidelines for staff.
- Improved customer satisfaction rates by closely monitoring service quality and addressing issues promptly.
- Collaborated with cross-functional teams to achieve overall business objectives and improve operational performance.
- Achieved cost reductions through effective resource allocation and vendor negotiation.
Supervisor - Accounts Receivable
Millenium MBS
Rawalpindi, PB
12.2020 - 01.2022
- Managed team of 25-30 resources and Increased productivity by 20-30%.
- Participated in Management Meetings.
- Presented needful solutions to problems and implemented across board.
- Made Operational processes to fulfill long term organizational needs.
- Restructuring of operations.
- Batch orientation\training and education.
- Quality assurance and Audit at AR, Payment Posting & Charge Entry level.
- Reporting and analysis.
- Set goals for accounts receivable team of 25-30 developed strategies to meet goals.
Senior Medical Billing Specialist and Team Lead
Nobility MBS
Rawalpindi, PB
03.2017 - 02.2020
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
- Developed monthly and daily production output plans to deliver on customer service and financial metrics.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Reviewed, implemented and updated company records related to team activities for future reference.
- Managed leave requests and absences and arranged covers to facilitate smooth flow of operations.
- Communicated KPIs outlined in annual plan to inform employees of expectations and deliverables.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Utilized various software programs to process customer payments.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Analyzed medical records to satisfy insurance company mandates.
- Verified proper ICD-10 coding on claims.
Medical Billing Specialist
Physicians Revenue Group (PRG)
Lahore, PB
04.2016 - 05.2017
- Taken orientation sessions regarding Medical Billing & HIPAA.
- Precisely evaluated and verified 250 benefits and eligibilities per day.
- Accurately posted and sent out all medical claims.
- Accurately posted surgeries, hospital visits and payments for assigned carriers.
- Determined prior authorizations for medication and outpatient procedures.
- Examined patient's insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Insurance and Patient Calling.
Overview
8
8
years of professional experience
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