E Clinical Works
Yousaf Ali
Senior Billing Executive
Rawalpindi,Punjab
Summary
Experienced Senior Billing Executive with over 6 years of experience in Health Care Industry. Excellent reputation for resolving problems and improving customer satisfaction. My objective is to secure position in such an organization, which gives challenges to my skills and where my hard working capability and diligence is related to job security and satisfaction. Personal Attributes Pleasant and friendly manner Enjoy talking to people, Team worker and able to work as part of a team Able to work quickly and accurately Aptitude for working with computers.
Overview
6
6
years of professional experience
1
1
Language
Work History
Sr. Billing Executive
PMTAC, iRCM
Rawalpindi, Punjab
05.2019 - 11.2021
- Key Responsibilities:
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- 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 have communicated in USA with insurance companies to sought details on behalf of client
- Maintains strictest confidentiality, adheres to all HIPAA & HITEC guidelines/regulations To perform effective follow up on different A/R reports
- To suggest auto-active RBS (Rule based system) rules in the software to prevent manual Entry errors in the claims
- To do analysis of the practices and raising the relevant concerns at different levels
- Completing assigned tasks in a timely, thorough and accurate manner
- Perform other functions as assigned by the Management
- Analyze and follow up on progress of assigned projects
- Medical Billing Professional (CPB).
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Medical Billing Associate
Nobility MBS
Rawalpindi, Punjab
02.2019 - 04.2019
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Delivered timely and accurate charge submissions.
- Posted surgical charges for practice providers.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Set up and maintained new electronic billing system.
- Managed billing calendar and scheduled claims for payments.
- Prepared accounts with past due balances and transferred those cases to collection agency.
Benefits Agent
LAL Technologies
01.2018 - 02.2019
- To check eligibilities and benefits of patients before given appointments
- Searching different web portals of insurance companies for eligibility and benefits
- Completing assigned tasks in a timely, thorough and accurate manner
- To perform Medical billing for offshore doctors
- Maintain daily work on excel sheets for daily sign off
- Maintains strictest confidentiality, adheres to all HIPAA & HITEC guidelines/regulations.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Handled 50 calls per day to address customer inquiries and concerns.
- Increased customer satisfaction by resolving benefit issues.
Account Operations Manager
MTBC (CareCloud)
Rawalpindi, Punjab
10.2016 - 06.2017
- 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 have communicated in USA with insurance companies to sought details on behalf of client
- Maintains strictest confidentiality, adheres to all HIPAA & HITEC guidelines/regulations To perform effective follow up on different A/R reports
- To suggest auto-active RBS (Rule based system) rules in the software to prevent manual Entry errors in the claims
- To do analysis of the practices and raising the relevant concerns at different levels
- Completing assigned tasks in a timely, thorough and accurate manner
- Perform other functions as assigned by the Management
- Analyze and follow up on progress of assigned projects
- Planned, developed, implemented and maintained accounts.
- Drafted invoices for completed work.
Billing Executive
MTBC (CareCloud)
Rawalpindi, Punjab
09.2014 - 10.2016
- 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 have communicated in USA with insurance companies to sought details on behalf of client
- Maintains strictest confidentiality, adheres to all HIPAA & HITEC guidelines/regulations To perform effective follow up on different A/R reports
- To suggest auto-active RBS (Rule based system) rules in the software to prevent manual Entry errors in the claims
- To do analysis of the practices and raising the relevant concerns at different levels
- Completing assigned tasks in a timely, thorough and accurate manner
- Perform other functions as assigned by the Management
- Analyze and follow up on progress of assigned projects
Education
Bachelor of Computer Sciences -
Punjab University
Intermediate - Computer Sciences
Federal Board Islamabad
Matriculation - undefined
Federal Board Islamabad
Skills
Operating System:Windows (Xp,Windows7,vista) Microsoft Office:Word, Power Point, Excel & In pageundefined
Software
Kareo
Advance MD
OfficeAlly
Simple Practice
Trappy notes
Cure MD
All Web Portals for Insurances
Timeline
Sr. Billing Executive
PMTAC, iRCM
05.2019 - 11.2021
Medical Billing Associate
Nobility MBS
02.2019 - 04.2019
Benefits Agent
LAL Technologies
01.2018 - 02.2019
Account Operations Manager
MTBC (CareCloud)
10.2016 - 06.2017
Billing Executive
MTBC (CareCloud)
09.2014 - 10.2016
Bachelor of Computer Sciences -
Punjab University
Intermediate - Computer Sciences
Federal Board Islamabad
Matriculation - undefined
Federal Board Islamabad
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