Sumbul Aslam Email & Phone Number

Yonkers, New York

Provide leadership and direction for RCM initiatives and manage day-to-day RCM activities across the enterprise.Implement necessary internal controls to ensure regulatory and policy compliance.Manage all aspects of Patient access for the client Hospitals including insurance verification, ensure timely processing of insurance claims and follow up on denials.Research and analyzes data to determine where problems exist. Audit billing documentation and data. Develops solutions.Provide follow up training, changes in procedure, prepares reports to VP. Hire, Train, Supervise, Counsel, Discipline and Terminate assigned staff as appropriate.Communicate goals, objectives, accountabilities and priorities to the team.Monitor DNFB and resolve all bill holds by working directly with the appropriate departments.Collaborates with clinics and/or provider offices to ensure efficient flow of accurate patient information.Performs all department functions as necessary.

New York, New York

Manage day to day operations within the Billing Dept; Serve as SME and resource for all applicable regulatory requirements related to New York State marketplace managed care plans-Essential plans, Qualified Health plans, Child Health Plus, Senior Health Partners, Medicare Complete Care and Healthfirst Health plans.

Morris Plains, Nj

Manage a team of 9 in conjunction with the Director of Reimbursement; plan, direct, review, coordinate and evaluate reimbursement staff and carry out supervisory responsibilities to increase cash flow, achieve operational efficiencies, and ensure compliance with established laws, regulations, practices, procedures and company policies. Analytical and focused utilizing prudent judgment, decision-making and meeting deadlines in a fast- paced and complex high volume billing departmentApply extensive knowledge of regulations governing Medicare, NJ and NY Medicaid, Managed Care, Hospice and commercial insurance. Adhere to HIPAA compliance in all aspects of job functions.Collaborate with case manages and clinical staff in determining medical necessity for requesting durable equipment such as Ventilator, PAPs, Oxygen, Enterals Nutrition, Group I & II Support Surface Products, Orthotics and CPM etc.Act as liaison between other departments, including operations and customer service to improve reimbursement process and reduce overutilization denials.

Hamilton, Nj

Lead team of 6 employees; oversee daily operation from handling order intake, set up deliveries for medical equipment and supplies, benefit verification, pre authorization to accurate adjudication of the patient’s account..Created a full range of billing and denial solutions. Successfully managed multiple accounts receivable projects leading to consistent and improved financial standing.Implemented payer appeal process though letter templates. These varied templates proved to be a great tool for denial overturns Initiated a quality management recertification process for revenue cycle team.

Greater Pittsburgh Area

Responsible for the collections of neglected large balance accounts in excess of $100,000 each.Mentored team with all payer authorization requirements reducing denials to 5% that deliver quality work product within established time frame.Applied qualitative and quantitative skills to various engagements that resulted in increase of Medicaid reimbursement by 20%.Successfully implemented and monitored outsourced vendor for patient medicaid and charity care enrollment process leading to increased cash flow.

Langhorne, Pa

Responsible for assigning codes to patient cases of moderate to high complexity using ICD-9 CM, CPT and or any other designated coding classification system in accordance with coding rules and regulations.Correct billing errors and resubmit claims to insurance carriers.Review and advise for payment errors, denials and under payments.Resolve problems from internal and external sources.Create and strengthen policies and procedures surrounding the billing and collections process.