Saher Raza
Indianapolis, IN
Summary
I started my career at MATT Billing as a medical biller with over 3 years of experience. Expert in the use of systems intelligence, including expertise in medical billing systems such as Epic, Webpt, Care Cloud, eClinicalWorks, Kareo, Office Ally, Advance MD and NextGen. I excel at exploring the complexities of end-to-end billing processes, achieving operational efficiencies, and reducing billing errors. Strong knowledge of ICD 10 and CPT/HCPCS. More hands on active LCD/NCD Policies. Having strong analytical skills, attention to details and commitment to maintaining the highest regulatory standards.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Account Receivable Specialist
IC Solutions
08.2022 - Current
- Analyzed claims data to identify trends in denials and rejections
- Performed account reconciliations between insurance companies and internal system
- Researched discrepancies on unpaid invoices and reconciled them
- Processed appeals related to denied or rejected claims in a timely manner
- Maintained current knowledge of insurance policies, procedure, regulations, and guidelines
- Monitored accounts receivable daily to determine appropriate follow-up action needed
- Contacted insurance providers to check patient coverage
- Investigated and documented payments errors resulting from incorrect processing of claims
- Reconciled account receivable balances with payer when necessary
- Participated in meeting with physician, nurses, coders, billing personnel, regarding denials prevention initiatives
- Collaborated with fellow team member to manage large volume of claims
- Responded to incoming calls, scheduling and rescheduling appointments as requested
- Coordinated with insurance companies to ensure coverage for services rendered
- Verified that all required documents were received and completed accurately.
Medical Biller
MATT Billing Company
07.2021 - 07.2022
- Managed end-to-end medical billing cycle, including insurance verification, coding, claim submission, payment posting and accounts receivable follow-up
- Reviewed patient records to ensure accurate coding and adherence to coding guidelines (CPT, ICD-10, HCPCS)
- Accurately prepared and submitted electronic and paper claims to insurance companies, resulting in a reduction in claim denials
- Effectively communicated with physicians and clinical staff to resolve coding discrepancies and ensure accurate claim submission
- Conducted regular audits to identify billing errors, resulting in improvement in billing accuracy
- Utilized knowledge of insurance policies and regulation to verify patient eligibility and benefits, reducing payments delays
- Posted payment and adjustment accurately to patient accounts, maintaining a reconciliation rate
- Followed up on unpaid and denial claims, resulting in a 85% increase in timely reimbursement
- Collaborated with the revenue cycle team to develop and implement process improvements that enhanced overall efficiency.
Education
Master of Arts -
University of The Punjab
Skills
- Claims processing Proficiency
- HIPPA Compliance
- Patient registration
- Insurance verification
- Rejections Management
- Denial Management
- Revenue cycle management
- Reconsideration
- Appeals
Certification
Accountability Act (HIPAA) of 1996. PHI, as defined by HIPAA, includes information about a person's past, present, or future health as well as information on how that person was treated and how much it cost. Any HIPAA-covered organization is subject to HIPAA regulations regarding the creation, collection, transmission, maintenance and storage of this data. Healthcare deals with sensitive details about a patient, including birthdates, medical condition and health insurance claims. Whether in a paper-based record or an electronic health record (EHR) system, PHI explains a patient's medical history, including aliments, various treatments and outcomes.
Languages
English
Professional
References
References available upon request.
Timeline
Account Receivable Specialist
IC Solutions
08.2022 - Current
Medical Biller
MATT Billing Company
07.2021 - 07.2022
Master of Arts -
University of The Punjab
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