Abdullah Tabish Email & Phone Number

• Credentialing, Enrollment, TPA Agreements.
• Vendor Communication for Enrollment statuses, Claim submission & Missing ERA issues.
• To monitor latest news for all vendors and electronic gateways for any service interruptions, dysconnectivity or scheduled maintenance.
• To review EDI 835, 837, 271 & 277 standard rejections.
• Software utilizations for EDI setups, payer ID setups, claim status and eligibility setups.

• Leading, coordinating and monitoring the review and analysis of provider applications and accompanying documents, ensuring applicant eligibility monitoring and managing all aspects of department projects.
• Identifying and understanding problems through forecasting, gap analysis, quantitative reporting, research and statistical analysis.
• Participate and assist in staff training.
• Conduct team meetings to update members on best practices and continuing expectations.
• Conduct external meetings with clients via video conferencing platforms such as Teams, Zoom & Skype.

• Credentialing and Privileging
• Provider Enrollment and Contracting
• Regulatory Compliance (HIPAA, CMS, Joint Commission)
• Database Management (CAQH, NPI, PECOS)
• Quality Assurance and Auditing
• Credential Verification and Validation

· Participate and assist in staff training.· Conduct team meetings to update members on best practices and continuing expectations.· Generate and share comprehensive and detailed reports about the team performance, work related objectives and deadlines.· Conducts external meetings with clients via video conferencing platforms such and Teams, Zoom and Skype.

• Creating & integrating the EDI, ERA & EFT setups for the healthcare providers by working with different clearinghouses & healthcare payment platforms like Optum iEDI, Office Ally, Post 'N' Track, Availity, Kareo, Claim.
• Keeping the grids and spreadsheets up-to-date for each client.
• Training the clients on different payment methods and modules.
• Compiling the training & educational guides for clients & new hires.
• Track the progress of weekly, monthly, quarterly and annual objectives.
• Solving the Client’s support cases by working with Client Success Center.

Islamabad

· Evaluated customer information to explore issues, develop potential solutions and maintain high quality services.· Memorized all company products and services to be able to answer customer questions quickly and efficiently and increase upsells.· Trained many new employees in customer service script recitation, conflict resolution and data entry practices.

Islamabad, Pakistan

· Handled 100+ customer interactions per day, giving detailed, personalized, friendly and polite service to ensure customer retention and satisfaction.· Collected KYC source data such as customer names, addresses and phone numbers for over 1000 customers and entered it into the customer service softwares.

Bachelor Of Commerce - Bcom, Business/Commerce, General

I.Com, Business/Commerce, General

Matric, Science