Aftab Ilyas Email & Phone Number

• Provide strategic direction and leadership to the healthcare and medical billing operations teams.• Develop and implement operational policies, procedures, and best practices to optimize efficiency and productivity.• Oversee the end-to-end revenue cycle process, including claims processing, payment posting, denial management, and collections.• Monitor key performance indicators (KPIs) to identify areas for improvement and drive revenue cycle optimization.• Ensure compliance with all relevant healthcare regulations, including HIPAA and HITECH.• Implement and maintain quality assurance processes to minimize errors and discrepancies in billing.• Build and maintain strong client relationships by understanding their needs and providing exceptional service.• Collaborate with clients to identify opportunities for process improvement and increased revenue.• Monitor financial performance, identify cost-saving opportunities, and drive profitability.• Stay current with industry trends and emerging technologies in healthcare and medical billing.• Identify and implement innovative solutions to enhance operational efficiency.• Utilize data and analytics to assess performance, track key metrics, and make data-driven decisions.• Prepare regular reports for senior management and clients.

• Oversee and streamline billing and collections processes including medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.• Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports.• Audits current procedures to monitor and improve efficiency of billing and collections operations.• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.• Participates in the development and implementation of operating policies and procedures.• 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.• Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.• Understands and remains updated with current coding and billing regulations and compliance requirements• Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.

• Develop and oversee control systems to prevent or deal with violations of compliance guidelines and policies• Evaluate the efficiency of controls and improve them continuously• Revise procedures, reports etc. periodically to identify hidden risks or non-conformity issues• Draft, modify and implement company policies• Collaborate with corporate counsels and HR departments to monitor enforcement of standards and regulations• Assess the business’s future ventures to identify possible compliance risks• Review the work of colleagues when necessary to identify compliance issues and provide advice or training• Prepare reports for senior management and external regulatory bodies as appropriate• Ensure compliance with HIPAA and other regulations as defined by other governing bodies. i.e. OIG, HHS, and CMS.

Islamabad, Northern Punjab Rawalpindi, Pakistan

• Manage and supervise Medical Billing Training of new hires and on job trainings for existing employees in operations• Efficient delivery of scheduled training and development programs • Competency evaluations to analyze the effectiveness of trainings.• Keep up to date with latest developments in the industry• Revise training content in order to adapt the changes occurring in the industry and plan effective & need based training content considering training programs• Participate in internal and external audits including ISO ISO 9001:2008 (QMS) and ISO 27001:2013 (ISMS)

• Ensure quality of service/customer satisfaction• Building long term relationships with key stakeholders• Ensure that customer requests are responded to in an accurate and timely manner• Building Client Relations, by maintaining high standards of client support and technical issue resolution via E-Mail, phone and other electronic mediums.• Based on Client’s feedback work on suggestions with the IT teams to help improve the products and services provided by the MTBC.

• To coordinate, plan and manage operational activities so that they are executed in accordance with requirements of medical billing process.• To review the company’s operational activities to assess needs for procedural revisions and enhancements.• To participate in the design and implementation of specific systems to enhance revenue and operating efficiency.• Liaison with head office (USA) on the progress of projects and smooth transition of new acquisitions.• To implement a rules-based system using artificial intelligence techniques to prevent/correct occurrence of errors in the medical billing process.• To analyze new policy updates of CMS and other insurances to integrate with the rules- based system in order to achieve a reduction in the payment cycle.• To implement new developments related to medical billing and coding analysis (CMS local coverage determinations), NCCI (National Correct Coding Initiatives).• To analyze and implement of checks and rules according to requirements of medical billing to facilitate work flow.• To participate in internal and external audits of the company’s various departments and handling documentation for such audits, including ISO audits.

• To schedule, manage and supervise training programs such as,• Medical Billing Training for Revenue Cycle Management and other departments• HIPAA, HITECH and Information Security• On the job training sessions• ISO 9001:2008 Quality Management System• ISO 27001:2013 Information Security Management System• Quarterly appraisal/ probation clearance tests of employees

• To ensure quality, timeless and accuracy in the entire billing process• Communication with New Jersey Management regarding practice issues.• Communication with clients (Doctors) in U.S.A• Communication with New York Management• To assist Manager Operations in billing activities. • Shift supervision and keep them updated of all the changes in the rules and regulations of insurance carriers

• To resolve medical claims related issues of complex nature.• Prime responsible of the clients assigned• Monitoring & resolution of client complaints• To keep team updated of all the changes in the rules and regulations of insurance carriers

• To perform medical billing for doctors in U.S.A• To analyze and prepare appeals for rejected claims• To Tele-converse with insurance companies for claims follow up.• To keep inform of all the changes in the rules and regulation of insurance carriers and to regularly update the Team Leader.