Experience

PMTAC Private Limited

• Pakistan
• IT Services and IT Consulting
• 300 - 400 Employee

• Manager

  • 2023년 1월 - – 현재

• Assistant Manager

  • 2022년 1월 - 2023년 1월

  Consultant to Projects: (HEDIS/CARE GAPS, PCMH, MIPS) CCM "(Chronic Care Management)" , HRSA COVID-19 Uninsured Program, RPM "(Remote Patient Monitoring)", PCM "( Principal Care Management)".I can help you prepare your own Chronic Care Management (CCM) and Remote Patient Monitoring (RPM ) Softwares with compliance to CMS guidlines.

• Senior Team lead ( Health Consulting Group )

  • 2021년 1월 - 2022년 1월

  Consultant to Projects: (HEDIS, PCMH, MIPS, CCM " Chronic Care Management" , HRSA COVID-19 Uninsured Program, PPP "Paycheck Protection Program" USA, RPM "Remote Patient Monitoring")

• Team Lead ( Health Consuting Group )

  • 2019년 6월 - 2020년 12월

  PROJECTS: (HEDIS, PCMH, MEANINGFUL USE, MIPS, CCM )

• Backup TeamLead(PCMH, Meaningful Use, MIPS, Care Gaps, Hedis, QARR)

  • 2018년 1월 - 2019년 6월

  • Work closely with practice teams planning quality improvement projects and establishing protocols for the collection and use of data in clinical workflows.• Work with the Practice Manager and Director of Operations to support the timely closing of encounters in Epic.• Create and implement project plans with clear timelines and appropriate milestones to facilitate desired outcomes.• Present quality improvement initiatives to various leadership and management audiences to facilitate understanding of practice priorities and opportunities for improvement.• Identify strategies for effectively communicating among collaborators and stakeholders.• Manage and protect the relationship between the company and Clients.• Working on extensive technical concerns of the client and ensuring a resolution.• Helping team leads ensuring quality control and maximizing performance.• Developing and maintaining adequate training sessions.• Implement quality Checks within the Client’s practice. • Working closely with different department to enhance and maximize efficiency of the department.• Reporting to Manager.• Other assigned task and projects by the Management.• Training and coaching of team members.• Preparing and maintaining daily reports.• Supervising escalated issues.• Monitoring of team performance.

• Project Analyst (PCMH, Meaningful Use, MIPS, Care Gaps, Hedis, QARR)

  • 2016년 12월 - 2018년 1월

  • Process analysis especially with regard to Clinical Operations and Electronic Medical Records (EMR) systems.• Create weekly and monthly dashboards to track and measure practice performance on metrics such as volume, access, patients per session, patient experience, etc.• Create and manage patient registry and panel reports in Epic.• Meet with departmental medical and quality directors to define system data and reporting needs. Support directors in developing annual section metrics and acquiring data to measure progress on these metrics.



MTBC

• Hospitals and Health Care
• 700 & Above Employee

• Account Manager

  • 2016년 9월 - 2016년 12월

  • Assist Manager Operations in all Billing Activities.• Manage complete revenue cycle of assigned practices.• Ensure quality, timeliness & accuracy in the entire billing process.• Resolve medical claims-related issues of complex nature.• Communication with clients and insurance companies.• Communication with head office regarding practice issues.• Develop & retain the billing expertise in team members by providing them day-to-day updates of billing techniques.• Highlight and suggest actions to improve the billing process.• Work on the dashboard and resolve these issues proactively

• Client Services Executive (CSS)

  • 2015년 3월 - 2016년 8월

  • Responsible for reviewing, analyzing and initiating appropriate action for complex denials by communicating with payers, hospital departments, patients & Billing Department. • Follow up on Corrected Claims, Re determinations & Re considerations.• Ensure Patient Eligibility & Benefits.• Obtained Prior & retro Authorizations.• Handle Inbound and Outbound calls with Medical Insurance companies.• Communicate with insurance companies for all types of claim related queries.• Handle patient’s eligibility, benefits and authorization verification project.• Communicate with insurance companies while adhering to the Information security guidelines.• Accomplish assigned tasks according to the priority set by Team lead.• Ensures and provides quality service to both internal and external entities.• Provide daily signoff to Team at day end.• Any other task assigned by the Team lead/ Supervisor.• Worked with billing department to resubmit denied claims with missing & required information.• Worked with Medicare Re-opening Departments



Venture Play

• Canada
• Advertising Services
• 1 - 100 Employee

• Team Lead

  • 2011년 11월 - 2015년 1월

  - Evaluation of sales calls.- Conducting calibration sessions with respective team- Managing teams ‘on the floor’.- Closing sales and managing clients. - Keeping foreign Clients up-to-date about the sales. - Training different teams with ‘on the job’ training - Sending out regular feedback to manager to ensure high quality standards over the phone. - Evaluation of sales calls.- Conducting calibration sessions with respective team- Managing teams ‘on the floor’.- Closing sales and managing clients. - Keeping foreign Clients up-to-date about the sales. - Training different teams with ‘on the job’ training - Sending out regular feedback to manager to ensure high quality standards over the phone.



SEOTURN

• Technology, Information and Internet
• 1 - 100 Employee

• SEO Executive

  • 2010년 12월 - 2011년 11월

  I did SEO of a job portal Pkjobs.pk I did content writing on different Projects which includes Pkjobs.pk.I wrote BMR, properties and Website content too. I did SEO of a job portal Pkjobs.pk I did content writing on different Projects which includes Pkjobs.pk.I wrote BMR, properties and Website content too.



ORE TECHNOLOGIES

• United Kingdom
• IT Services and IT Consulting

• Senior Services Representative

  • 2009년 2월 - 2010년 12월

  I Work on different projects like Diabetics, EDUCATION and Injury Claims. I Work on different projects like Diabetics, EDUCATION and Injury Claims.