Head of Reporting & Research DepartmentJ.D:Q&A and Strategies to maximize reimbursementsPractice AuditsFee Schedule Reconciliation and placementProvider Office Queries HandlingAccounts Receivable Coordinationinterdepartmental CoordinationMedical CodingResearch & Reporting

Development, implementation and documentation of appropriate revenue cycle policies and practices to ensure maximum reimbursement for Clients;• Working various payer accounts receivable reports Initiating account follow up.• Ensure resolution of billing issues preparing and submitting appeals.• Working with payers for an expedient and sufficient resolution.• Ensures accurate billing of services in a timely and accurate manner.• Contacting insurance companies and patients regarding outstanding accounts.• Auditing and review accounts Working EOB denials, and rejected claims.• Ensures appropriate payments received possibly contracting and credentialing.• Assist with implementation of new billing procedures as necessary.Insurance benefits coordination Authorizations specialist Referrals coordinatorOther EMR Consulting• Assist in EHR and EMR selection process• Implemented EMR and related technology in doctors' offices & Hospitals• Consulted doctors on EMR selection and implementation• Advised EMR and EHR vendors• Speak at EMR related events, seminars and conferences

JD: telemarketing, lead generation & appointment setting

Key responsibilities: To identify related payments like the percentage of insurance receivables, frequency of inflows, denials, etc. and then record it accurately. To make sure that patient is informed if there is any balance remaining to collect outstanding receivables without any without hassle. To keep a real-time track on the outstanding amount receivable and the cash flow status. To assist healthcare providers in maximizing their revenue cycle by increasing profitability and improving accounts receivable days. To identify the reason for denials and resolves that reason to avoid future denials. To help providers determine whether the process could be added, improved, or removed from the current processes in order to enhance the effectiveness of the revenue cycle. To quickly identify denials and correctly re-file them so as to considerably reduce the A/R days. To ensure that the primary payment is posted correctly so that the secondary and tertiary payments are billed out correctly. To use EOBs to understand why a patient needs to pay the balance in cases like uncovered insurance, deductibles and co-insurance, etc. To provide Cost Effective payment posting services within a quick turnaround time. To post claims accurately that highlights overall billing efficiency and analyzes reasons for low inflows.

Handling the team of people working with different clients and specialties.Following are my key responsibilities• As a Healthcare Management responsible for managing and training & development Offshore Office based in Lahore (Pakistan) for a leading Healthcare client based out of Texas, USA.• Quality Management Systems and Revenue Cycle Management Services.• Managing different EMRs and Practices Management Software’s for front desk management• Ensuring quality services with defined KPIs• Responsible for Invoicing / budgeting and financial management of business unit• Leading team of healthcare front desk management for clients based in U.S.• Defined KPIs as in accordance with best practices and ensure compliance• Define Strategic goals for Healthcare Operations in order to improve work efficiency and cost effectiveness• Handling overall budget of Business Unit• Developed Audit & MIS (Management Information System) for healthcare clients in order to provide them complete visibility of their services.• Consulting with different clients in development of healthcare strategies.• Responsible for managing Front desk Operations and related functions and ensure that productivity and effectiveness should be intact• Developed statistical based reports and procedures for Healthcare Operations, as well as systems for coordinating the administrative and human resources management of the Healthcare operations• Developed and monitors processes for account management and Audit, including reports, complaints, etc.• Reduces accounts receivable and days outstanding (DAR), and develops and enhances the billing procedures• Coordinates completion of all departmental documents, maintains a log of staff’s vacation, floating holidays, and sick time• Handling fraud management and audit check controlling system• Meet periodically with team members on billing and collection matters

Responsibilities:To Control Transmission by managing play list on Pebble Beach and Tools On Air.To air all commercials according to the CTS .To Preview all programs, commercials and promos before airing (Video/Audio).To fill promos airing time report.To calculate each hour duration ( Programs+ commercials) to manage capping.To co-ordinate with PCR (Power Control Room) for live Programs and news bulletins.To Co-ordinate with MCR-3 (Master Control Room) for international transmission.To air promos according to the given schedule.To Operate Orad to air PIPs, Logos, Scrolls and pop ups.To co-ordinate with other Orad Operator.To swith over to backup if any emergency occurs in transmission.To create commercial blocks for 24 hours transmission on Pebble Beach.To update weather Hourly.To prepare Deviation Report and send to H.O.D.To check the As Run Log daily.

Primary claim generation,Sec claim submission,Patient bills submission, Downloading of Daily Work from Medimobile/Falcon/Acumen, Problem Fixation of Hospital Claims from Medical Center of Mckinney Server, Follow up through Web, Website Submission of Primary/Secondary, Querries Reported to Client / Manager/ AR, Denials/Rejections fixation,Payment Posting, Verification of Daily Claims, Verification of Monthly Work, Checking Daily Scans from FTP server, Report software bug and error to concerned person, Q/A Of Practice

To Control Transmission by managing play list To air all commercials according to the CTS .To Preview all programs, commercials and promos before airing (Video/Audio).To fill promos airing time report.

Primary claim generation,Sec claim submission,Patient bills submission, Downloading of Daily Work from Medimobile/Falcon/Acumen, Problem Fixation of Hospital Claims from Medical Center of Mckinney Server, Follow up through Web, Website Submission of Primary/Secondary, Querries Reported to Client / Manager/ AR, Denials/Rejections fixation,Payment Posting, Verification of Daily Claims, Verification of Monthly Work, Checking Daily Scans from FTP server, Report software bug and error to concerned person, Q/A Of Practice