Ismail Avuliya Mydeen, Cpmb Crcp Ccat Email and Phone Number
Performance-driven accounts receivable expert, experienced health insurance operations specialist, and certified revenue cycle professional with over 14 years of experience in the healthcare industry. Having extensive experience - six years working in a multinational insurance TPA in the UAE and eight years in the US healthcare RCM process in provider billing offices.Demonstrated track of records in medical policy administration, medical insurance operations, including invoice billing and premium collection activities, accounts receivable management, key account management, team handling and work allocation, quality control, and call center administration. Well versed in the RCM process with extensive knowledge in end-to-end medical billing process management and having achieved the client deliverables across different functionalities.
Msh International (Dubaï)
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Health Insurance - OperationsMsh International (Dubaï) Feb 2019 - PresentDubai, United Arab EmiratesBilling Management: Effectively validated all legal documents and affirmed that have all necessary information for premium invoices billing.Efficiently validated signed quotation for premium structure and set-up the premiums in the internal billing system and computed premiums, prepared production details, and shared with insurance providers to generate tax invoices. Proactively coordinated with the insurance to get the inception, renewal and monthly endorsement invoices and shared them with the brokers and clients on time. Investigated thoroughly and successfully resolved client inquiries and issues in an empathic manner.Collection Management:Generated monthly statement of accounts and implemented established strategies to collect premiums within 30-day stipulated period. Successfully managed all types of client queries, which has increased the receivables rate. Successfully recorded all payments in clients' accounts, updated ledger, and reconciled it with insurance records on regular basis. Prepared monthly aging report to investigate past-due premiums, implemented necessary arrangements to collect all balances, and maintained reduced delinquency rates. Identified accounts that had been in default for more than 30 days, escalated them to line manager, and followed credit control procedures to recover premiums. Conducted monthly reconciliations of client accounts to identify and rectify discrepancies.Reports Management: Processed monthly production reconciliation and shared regulatory requirements with insurance providers to report BASMA, HCV, and ICP charges. Prepared bi-weekly collection files to report all payments to insurance providers, process all intermediary commission payments, and process appropriate net premiums to re-insurance companies. Prepared quarterly re-insurance treaty files to report all the billed and collected premiums in the respective quarter. -
Team Leader - Healthcare AdministrationMiramed Ajuba - A Global Services Company Sep 2010 - Nov 2018Chennai Area, IndiaJob Description: Effectively managed a revenue cycle department of 23 members on tasks such as accurately entering patient and insurance information into billing systems, checking eligibility, quality checking and submitting claims, claims status and tracking, calling management with insurance providers for claim payments, practice management, cash posting, accounts receivable management including denials, resubmission and appeals, and self-pay collections. Supervised access to various EHR systems to ensure patient's confidentiality. Managed work distribution, training, and addressing problems within team, evaluating performance, providing recommendations for improvement, and motivating employees to achieve peak productivity. Ensured that all scheduled reports were sent regularly to client and handled all escalations from clients via emails and calls. Developed and maintained strong customer relationships with US-based team. managed all clients' and owners' relationships and business processes effectively.
Ismail Avuliya Mydeen, Cpmb Crcp Ccat Education Details
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A Grade -
Physics
Frequently Asked Questions about Ismail Avuliya Mydeen, Cpmb Crcp Ccat
What company does Ismail Avuliya Mydeen, Cpmb Crcp Ccat work for?
Ismail Avuliya Mydeen, Cpmb Crcp Ccat works for Msh International (Dubaï)
What is Ismail Avuliya Mydeen, Cpmb Crcp Ccat's role at the current company?
Ismail Avuliya Mydeen, Cpmb Crcp Ccat's current role is Health Insurance Operations | RCM | Healthcare administration | Accounts receivables | Medical policies administration | Billing and collection management | Team handling | customer services | call center administration.
What schools did Ismail Avuliya Mydeen, Cpmb Crcp Ccat attend?
Ismail Avuliya Mydeen, Cpmb Crcp Ccat attended Madurai Kamaraj University, Madurai Kamaraj University.
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