Dennis Daniel Email & Phone Number

Pakistan

Karāchi, Sindh, Pakistan

Karachi Division, Sindh, Pakistan

Karachi Division, Sindh, Pakistan

Karāchi, Sindh, Pakistan

Karāchi, Sindh, Pakistan

Karāchi, Sindh, Pakistan

Pakistan

Health care quality:• Performing Audit for different Quality Measure for registered physicians and doctors all over Texas enrolled under different ACOs to identify if the measures were performed according to MEDICARE guide lines.• Working on EMR’s and EHR’s of multiple ACO providers to collect and extract important medical records as evidence for performed measures.• Coordinate with PBE’s (Physician Business Executive) & doctor office staff on daily basis and point out the progress and issues of doctor’s regarding their quality measures and update the record after receiving the updated information by the physician.• Working on our in house developed application ‘360 Deep Learn’ to save our audited data along with the evidences under each physicians account.• Check physician EMR to identify AWV (Annual wellness visit) performed by doctor for current year, if not performed intimate doctor to schedule AWV for quality measures for current year.• While performing audit we need to check each and every visit falling in our measurement period in order to justify the services provided to the patients in accordance with the Medicare guide lines.GPRO PHASE:• Once the audit is completed for all the providers enrolled in our ACO’s, Medicare now collects the data patient wise on sampling basis to run an audit from their end to reimburse the providers/ACO’s according to the quality percentage set by Medicare.• Once Medicare runs the Audit, they send the sample data back to the ACO’s to re-audit (if required) and submit the data back to Medicare within their given timeline before the payments are released.MARKETING:• To find and collect ACO’s within different Counties/States.• To check eligibility for providers, whether they are enrolled with Medicare Plans.• To check providers total Medicare Lives/Members on CMS portals.

Karachi, Pakistan

Responsibilities: Insurance VerificationPre-AuthorizationCoding and Claims Submission ProcessesPayment postingSecondary & Tertiary Claims SubmissionClaim Follow Up and Denial ManagementInsurance AR managementPatient AR ManagementReporting and analysis of key metrics of billing and AR performanceDME medical billing Collection & Posting in BrightreeExperience with Brightree DME billing softwareExperience Follow-ups & Collection CPAPsContracting and payer negotiation experience.

Karachi

Making Claim’s in accordance with the correct Cpt and Icd-9 Codes.Researching on different diagnosis codes.Handling A/R (Accounts Receivable) for the claims which are denied by the insurance company’s and taking correct follow ups and actions on the denied claims.

Karāchi, Sindh, Pakistan

Karāchi, Sindh, Pakistan

Intermediate, Commerce

Matriculation, Science

Bachelors, Commerce