Sajjad Ali Email and Phone Number
I have worked as a Medical Biller and Denials Specialist in US Medical Billing healthcare companies.I have worked for 2+ years in a US Healthcare Business. From a Medical billing specialist, Account Receivable, EDI Analyst to Management level had almost performed all the tasks related to Medical billing such as: Claim Entry, Claim Submission, Claim Follow up, Denial Management, Payment posting, ICD-10, Talk-EHR, Insurance Calling, patient Calling, Web portals, Appeals, EMR, ERA, Claim Status.I was Lead account manager Operations in a Medical Billing company globally known as MTBC (care cloud).My job was to look after different teams working on different task such as: Charge posting, Payment posting, Denial management, AR, follow up of backlogged claims, Calling to different insurances for claim status, Medical Records, Eligibility and Benefits, Coverage Criteria.I have worked on Different Practices / Facilities / Hospitals such as: Brooklyn Dental Services, Brooklyn Radiology services, King Physicians Services, Montefiore New Rochelle, Women’s Wellness Center, Skilled Nursing and rehabilitation center, FOX rehabilitation center, Fullerton Radiology Services. A. MEDICAL BILLING SERVICES- Eligibility & Benefits verification.- Appointments Scheduling.- Credentialing guidelines with payers.- Patient Demographics and Charge entry.- Insurance claims submission via clearinghouse and Paper submission.- Accounts receivable and Denial management.- Payment Posting.- Claims Follow up on denials from insurances like Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, Dentaquest, Emblem Health, GHI, HIP Healthplex, Health First, Fidelis Care)- Claim status from insurance Portal and calls.- Submitting appeals for denied claims.- ICD 10, CPT, and HCPCS Coding review.B. SPECIALITIESDurable Medical Equipment, Optometry and Ophthalmology, PHYSICAL THERAPIST, Chiropractic, Acupuncture, Behavioral Health, Ambulatory Surgery, Home Health, Anaesthesiology, Cardiology, Skilled Nursing Facility, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Internal Medicine, Orthopedic, , Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, Podiatry, RadiotherapyPMS SOFTWARE WORKED ON:Simple Practice, AdvancedMD, Carecloud, Practice EHR, Kareo, Office Ally, ClinixPM, Medisoft, Medical Mamager, Websoft, Athenanet, Medisoft.CLEARING HOUSE WORKED ON:Trizetto, Optum EDI, Availity , Emdeon, Allscripts, Cerner.
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Medical Billing SpecialistMedquill Billing Solutions Mar 2024 - Present -
Medical Billing SpecialistInfomatec Feb 2020 - PresentPakistanCheck eligibility and benefit verification by calls and web portals.Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.Identify and bill secondary or tertiary insurances.Check each insurance payment for accuracy and compliance with contract discount.Payment Posting (EOB/ERA).Review patient bills for accuracy and completeness and obtain any missing information.Generate Patient Statement.Obtain referrals and pre-authorization as required for procedures.Call insurance companies regarding any discrepancy in payments if necessary.All accounts are to be reviewed for insurance or patient follow-up.Follow up on unpaid claims through insurance calls & web/portals.Research and appeal denied claims.Update billing software according to updated fee schedule.Updates cash spreadsheet, runs collection reports.Answer all patient or insurance telephone inquiries pertaining to assigned accounts. -
Assistant Operations ManagerInfomatec Jan 2020 - Mar 2022Sindh, Pakistan
Frequently Asked Questions about Sajjad Ali
What company does Sajjad Ali work for?
Sajjad Ali works for Medquill Billing Solutions
What is Sajjad Ali's role at the current company?
Sajjad Ali's current role is Medical Billing Executive | AR Follow up Specialist | Educationist.
What schools did Sajjad Ali attend?
Sajjad Ali attended Quaid-E-Awam University Of Engineering, Sciences And Technology Nawabshah, Quaid-E-Awam University Of Engineering, Sciences And Technology Nawabshah.
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Sajjad Ali
Tech Leader & Software Developer | 10+ Years Of Multi-Framework Expertise | Proven Track Record In LeadershipIslāmābād, Pakistan1siparadigm.com -
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