Usman Ahmad Email & Phone Number

Develop and Implement operating plans targeted to promote the growth and enhancement of company's business.Manage personnel and oversee the professional development of the administrative leaders responsible for the operations of billing and coding.Participate in contract negotiations for physicians.Prepare monthly operations report and present results to management.Oversee the establishment of internal controls for compliance and develop tools to monitor controls.Ensuring that all financial targets are met with regards to Revenue.Ensure that the business is operated to the highest standards in line with the mission statement and values.Implement systems for reviewing all operating costs to ensure that they are consistently in line with focused revenue in conjunction with the Financial Controller.Hire and maintain qualified personnel in all positions reporting directly.Identify training needs, initiate development of subordinates and recommend effective personnel action. Conduct meetings and workshops for the purpose of identifying issues, developing recommendations and supporting other staff.Accurately forecasting and managing workloads and regular analysis of data to ensure adherence to SLA’s and agreed deadlines.

Headed healthcare projects as a first senior in command and increased the total revenues by multiple folds in less than one year. Since it was a new project so I played a pivotal strategic role in establishing the project and making it a successSuggested the right EMR and helped the company in developing strategic partnerships with other companies. We also acquired the exclusive rights of marketing the EMR for two states in USEstablished client practices and handled their entire credentialing process by hand holding and worked with them on different strategies to enhance the revenuesProvided complete handholding to newbie’sInitiated a training department and trained the team by running pilots before the commencement of live workMet the highest level of client satisfaction by providing both technical and fundamental support and asking them for their feedbacks on personal levelOversee all aspects of project and serving as project manager between clients, line management, internal and external resourcesAssisting Sales Team in US by providing complete pre-sales support and monthly estimated projections to gauge the business feasibilitiesTrained physicians and prepared presentations guiding them how to up-code keeping in view the federal guidelines which enhanced the practices’ revenues and ultimately increased our company’s monthly billing invoicesResponsible of the delivery of all the billing projects from the design process to a finished stateProviding guidance to project team and recommend action to direct the analysis and solution to problemsFurther details can be reviewed in Resume

Worked at Brain Storm a transcription company with over 150 clients for their Medical billing and EMR project. We planned to provide different ancillary services to the physicians and group practices. The idea was to provide additional services e.g. Medical billing; virtual secretary, appointment scheduling, pharmacy calls and collection services under one roof including CCHIT certified EMR. Got engaged with the EMR development feasibility and financials. I was responsible to help the company in acquiring a CCHIT certification for their EMR by acting as a product specialist for the software development team. I did intensive research on Medical Billing and EMR business options and development of EMR. Also developed some strategic alliances with the companies and meeting our existing transcription clients for new business options.

Started Healthcare operations for HMW in 2007 from scratch and till my stay there, the company enjoyed very good revenues and smooth operations with a team directly supervised and trained by meGot promoted as “Managing Director” for Malaysian operations due to outstanding performanceSupervised a team of 40 people (including two branch offices in different cities). I also headed the projects of Medical Billing, Medical Transcription, Development of EMR and Secretarial services quite successfullyEstablished an office for HMW in Cyberjaya, Malaysia which later handled medical Billing and EMR projects for US and Australian clientsKey Responsibilities:Supervised the complete process of Medical Billing (From Referral to Paid EOB and Patient Statements)Ensure Continuous Cash FlowStreamline Operations and Close Monitoring of Collections from InsurancesKeeping the 120+ aging numbers down i.e. around 4%Increased profitability by enhancing operational efficiencies within the organizationConduct team’s trainings on productivity and motivationAutomated and replaced the manual process of receiving payments to avoid delays in collections. This has significantly reduced the organization cost and time. It also enhanced the reporting systemEvaluation of Performances, identifying problems and fixing them by using six sigma approachPreparation of Contracts, Agreements, Strategic Plans and Reports for clients and company’s managementGenerated Weekly, Monthly, Quarterly and Annual Billing ReportsFile/Submit All kind of paperwork required by Insurances, Registrations, Renewal of Agreements etc.Development of EMR as a product specialist (Work Closely with Software Development Team and instructing them as per the guidelines, requirements and the desired standards)Employees’ and Office’s day to day issues

Worked as a Medical Billing Consultant in Crescent Technologies (a leading group). I was offered a position of Project Manager in Crescent Technologies which I was not able to take at that time due to other commitments but decided to work with them as a consultant for few months. I trained their team, established operations for them and successfully handled the project for them and matured it to a level where they could handle operations independently.Key Responsibilities:Hiring a TeamTraining on Medical BillingQuality AssuranceSupervisionClients’ Correspondence

Independently supervised and handled the billing of various doctors with different specialties in California, Arkansas, Florida, Washington & New YorkKey Responsibilities: Developments and Ongoing Training of Billing TeamKeep the team updated with the ongoing enhancements and changes in US Healthcare policies of Medicare, Medicaid, Blue Cross Blue Shield and Aetna etc.Client’s Enrollment by filling out different applicationsFilling out NPI applications online on behalf of the clientsDealing with Case Managers and Claim Adjustors of insurances in USA to resolve Critical CasesSupervision of the complete Billing Process and met the set business targetsEnhancements/Suggestions/Feedback in the Billing Software to increase the productivity and lower operational costsRetention of Existing Clients and handling new deploymentsDeliver Trainings to the US Customers about Billing SoftwareDeveloping Strategies for Business EnhancementsGenerating multiple reports on Daily, Weekly, Monthly and Annual BasisProductivity Reports, Collection Reports, Aging Reports, Payments Report etc.Complete Correspondence with the Clients in USAInvolved in Higher Level of Conference/Training CallsDirectly Reporting Back to Company CEO and Directors in USA

Through the platform of Ovex Technologies I serviced their client Premier BPO (www.premierbpo.com) as a Supervisor for their Medical Billing projects. I also looked the following projects independently and was first senior in command for their Billing Projects in Pakistan.Argus Medical Management (Medical Billing)Kindred Healthcare (Medical Billing)EZ Processing (Medical Billing)Deloitte (General Transcription Project)These projects covered the following areas of Medical Billing and I was assisting the billing team in the following departments. I used to report back to the clients directly in USA at the end of each business day.VerificationCharge Entry (Patient’s Demographics, Superbills etc)Claims Submission (Electronically & on HCFA-1500)Accounts Receivables – Aggressive Follow-up with Insurance CompaniesWorking on Denials (WEBMD Rejections, Denied EOBs’)Payments Posting (EOBs’ reconciliation)QualityKey Responsibilities: • Managing workflow• Responsible for meeting deadlines and monthly billing targets• Team management• Maintaining productivity reports• Conduct Trainings for New Employees• Assisting team on complex issues and continuous support in day to day billing operations• Evaluation of Performances• Day end report to client back in US• Daily/Monthly Productivity Reports• Attending higher level training and conference calls• POLC (Planning, Organizing, Leading & Control)

Joined the company in 2002 as a Medical Billing Representative for their Medical Billing Project and I was responsible for the following tasks.Data Entry (Patient’s Demographics, Entering Charges, Insurance information,Payer IDs’ etc.)Submission of Claims Electronic and Paper (HCFA 1500) Receiving Incoming Calls (Patients, Adjustors, Case Managers etc.)Insurance follow-ups: Acquiring claims statusesChecking EligibilitiesClaim Resubmissions after fixing the initial reasons of denials Resolution of Denial CasesWorking on Denied EOBs’Extensively worked with over 100 insurances especially Medicare,Medicaid/MediCal, BCBS, Cigna, Oxford, UHC, GHI, Aetna, Coresource, Qual Choice, Department of L & I, AARP, AMCO, Zurich, Municipal Health Benefit,State Farm Insurance, Allstate Insurance, Work Comp Insurances and Local Unions.Payments Posting (EOBs’, Copays’, Contractual Adjustments, Taking Write offs’)Secondary, Tertiary Insurance BillingAlso worked for a collection Agency “Giller Collection Management” and exceeded the assigned targets. Due to my excellent performance company was able to bring more business on board. Keeping in View my excellent performance management has promoted me as Billing Supervisor and assigned me additional management responsibilities.• Delegation of Work Responsibilities• Meeting Deadlines• Devising training programs for new AR Representatives and Billers.• Quality Assurance• Directly Reporting to Company Directors in NY• Rigorous Insurance Follow-ups by keeping a close eye on aging reports