Manage the operation of the billing department, front office, credentialing, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and denial management.•Manage the operational workflow and process related to clients with outstanding results in terms of quality and quantity.•Promote effective use of data for quality assessment and improvement of customer services.Reviewing monthly collection reports and providing… Show more Manage the operation of the billing department, front office, credentialing, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and denial management.•Manage the operational workflow and process related to clients with outstanding results in terms of quality and quantity.•Promote effective use of data for quality assessment and improvement of customer services.Reviewing monthly collection reports and providing insights.•Coordinate billing activities between healthcare providers/clinics and insurance carriers, including private insurance companies, Medicare and Medicaid.•Liaise between operations team and clients.•Promote effective use of data for quality assessment and improvement of customer services.•Responsible to prepare processes improvement plan and data trending reports for the clients. Show less

•Manage the operation of the billing department, front office, credentialing, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and denial management.•Manage the operational workflow and process related to clients with outstanding results in terms of quality and quantity.•Promote effective use of data for quality assessment and improvement of customer services.Reviewing monthly collection reports and providing… Show more •Manage the operation of the billing department, front office, credentialing, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and denial management.•Manage the operational workflow and process related to clients with outstanding results in terms of quality and quantity.•Promote effective use of data for quality assessment and improvement of customer services.Reviewing monthly collection reports and providing insights.•Coordinate billing activities between healthcare providers/clinics and insurance carriers, including private insurance companies, Medicare and Medicaid.•Liaise between operations team and clients.•Promote effective use of data for quality assessment and improvement of customer services.•Responsible to prepare processes improvement plan and data trending reports for the clients. Show less

• Manage the complete end-to-end RCM processes for US-based providers.• Manage billings, payments, AR, and other reporting aspects for clients. Present practice updates and discuss daily billing and RCM issues with healthcare providers.• Billing expertise in different specialties, i.e., podiatry, internal medicine, pain management, cardiovascular, speech therapy, TMS billing, and DME billing.• Expertise in reporting tool for a complete view of practice health on daily… Show more • Manage the complete end-to-end RCM processes for US-based providers.• Manage billings, payments, AR, and other reporting aspects for clients. Present practice updates and discuss daily billing and RCM issues with healthcare providers.• Billing expertise in different specialties, i.e., podiatry, internal medicine, pain management, cardiovascular, speech therapy, TMS billing, and DME billing.• Expertise in reporting tool for a complete view of practice health on daily, weekly and monthly basis, also knowledge to prepare financial comparison report, i.e., charges vs. payment analysis, year to year comparison, CPT trend analysis, AR analysis• Daily day to day operational activities including team attendance, leaves, and other PSM and sign off adjustment.• Expertise on different software and EMR and other practice management software, i.e., Prognosis, Medisoft, ECW, Athena, NextGen, Manteq, Criterion & Kareo.• In-depth knowledge of using NCD and LCD policies.• Knowledge about Insurance processing rules, i.e., NCCI Edit & bundling practices.• Complete knowledge about MGMA standards and follow the same MGMA standard to maintain provider AR number. Show less

In 2016 I was moved from US billing division to UAE billing division, and then later in 2017, I promoted as a Team Leader for UAE Division. Its quite a good and new experience for me to get learned about UAE billing dynamics.UAE health care industry is quite different as compare to US Health care, but they have followed all the ICD 10 & CPT guidelines with electronic claim submission processing as well. UAE healthcare industry is in the stage of maturity; therefore, it's quite challenging to… Show more In 2016 I was moved from US billing division to UAE billing division, and then later in 2017, I promoted as a Team Leader for UAE Division. Its quite a good and new experience for me to get learned about UAE billing dynamics.UAE health care industry is quite different as compare to US Health care, but they have followed all the ICD 10 & CPT guidelines with electronic claim submission processing as well. UAE healthcare industry is in the stage of maturity; therefore, it's quite challenging to follow up with Insurance and work on Denial Management. I have complete command over all the protocols of UAE commercial and government medical insurances. Knowledge about the insurance adjudication process with the overall Denial Management process for UAE RCM. Familiar with Insurance Timely filing guidelines and other protocols, including DHPO & HAAD guidelines. Show less

During My tenure as an Account Receivable Executive, I have worked in all aspect of RCM like charge entry, claim submission, Payment receiving and posting, AR follows up & Denial Management. Having strong knowledge about HCFA CMS 1500, Medicare & Commercial claim adjudication protocol & rule with aware of other HIPPA compliance protocols.

Assemble, organize, and itemize client medical bills.Submit and obtain liens from Adjuster & Insurances.Negotiate med pay reimbursement claims/waivers as well as sub-out attorney liensDraft Lien Reduction acceptance lettersidentify liens from: emergency medical treatment; hospitals; ambulances; collection agencies; chiropractors; and medical doctorsCorrespond with clients and creditors over the phone and through email.Working on $500,000 amount of worker compensation… Show more Assemble, organize, and itemize client medical bills.Submit and obtain liens from Adjuster & Insurances.Negotiate med pay reimbursement claims/waivers as well as sub-out attorney liensDraft Lien Reduction acceptance lettersidentify liens from: emergency medical treatment; hospitals; ambulances; collection agencies; chiropractors; and medical doctorsCorrespond with clients and creditors over the phone and through email.Working on $500,000 amount of worker compensation claims & $700,000 of personal injury claims. Show less