Mohamed El Sayed
Medical Billing Specialist at AllegianceMD- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
web development professional
UdacityOct, 2020- Oct, 2024 -
Android Development track - 1MAC
UdacityJan, 2020- Oct, 2024 -
Programming Foundations with JavaScript, HTML and CSS
Duke UniversityNov, 2019- Oct, 2024 -
Front End Development Track - 1MAC
UdacityMar, 2019- Oct, 2024 -
Full-stack Web Development - 1 Million Arab Coder
UdacityAug, 2018- Oct, 2024 -
HTML5 Programming from scratch
UdemyAug, 2018- Oct, 2024 -
Python 3 Tutorial
SoloLearnJul, 2018- Oct, 2024 -
Ruby Tutorial Course
SoloLearnJul, 2018- Oct, 2024 -
HTML Fundamentals
SoloLearnMay, 2017- Oct, 2024 -
JavaScript Tutorial
SoloLearnMay, 2017- Oct, 2024 -
PHP Tutorial
SoloLearnApr, 2017- Oct, 2024 -
SQL Fundamentals
SoloLearnApr, 2017- Oct, 2024 -
jQuery Tutorial
SoloLearnApr, 2017- Oct, 2024 -
CSS Fundamentals
SoloLearnMar, 2017- Oct, 2024 -
TICO - Travel Industry Council of Ontario
Travel Industry Council of Ontario (Ontario's Travel Regulator)Apr, 2015- Oct, 2024
Experience
-
AllegianceMD
-
United States
-
Software Development
-
1 - 100 Employee
-
Medical Billing Specialist
-
Feb 2018 - Present
Professional Skills: • Patient Data Coding • Claim Entry and Payment Posting • Records Accuracy • Insurance Liaison • Claims Denial Follow-up • Insurance and Patient Aging • Bad Debt Reporting • Patient Statements Review Technological Skills: • ICD-9, ICD-10, CPT • Electronic Remittance Advice (ERA's) • EDI Insight, Navicure, Gateway EDI • Electronic Medical Billing • HCFA 1500 forms Key Achievements: • Improved revenue for most recent provider over 25% with same patient load • Successfully obtained payments from many delinquent accounts by constantly following up on them • Increased instances of insurance claims payment by effectively creating EFT depositing accounts for providers • Ensure claims are entered and submitted with 24 hours of receipt Professional experience: • Set up new patient accounts. • Insure accuracy of insurance claims by verifying correct ICD-10 and CPT codes. • Enter and submit claims electronically to insurance. • Verify patient eligibility and deductible status before sending claims to insurance. • Follow up on rejected claim in clearing house. • Retrieve Electronic Remittance Advice (ERA's). • Accurately apply payments to patient accounts. • Send secondary claims upon processing of primary insurance. • Send Patient statements, answer and resolve patient billing inquires. • Follow up on Insurance Denials by contacting insurance to get the exact reason for denial to correct. • Re-submit corrected claims to insurance as necessary bearing in mind the timely filing restrictions. • Follow up on Insurance and patient aging. • Contact insurance companies to update the provider's information and enroll providers with the insurance companies also to inquire on provider credentialing status. • Create system reports to provide the management with information on billing procedures and outcomes. • Identify and resolve patients’ billing problems and discrepancies. • Insure office practices are in compliance with HIPAA regulations. Show less
-
-
-
Teleperformance
-
France
-
Outsourcing and Offshoring Consulting
-
700 & Above Employee
-
Travel Consultant - Customer service agent
-
Apr 2015 - Feb 2018
Responsibilities: - Responsible for solving complaints faced by the company’s customers - Responsible for Documenting each and every case to make sure it’s not occurring again - Responsible for maintaining good communication with the customers and be effective to handle the call in a good timely manner. Responsibilities: - Responsible for solving complaints faced by the company’s customers - Responsible for Documenting each and every case to make sure it’s not occurring again - Responsible for maintaining good communication with the customers and be effective to handle the call in a good timely manner.
-
-
-
Vodafone UK
-
Smart village
-
Customer Service Representative
-
Jan 2015 - Apr 2015
Responsibilities: - Responsible for solving complaints faced by the company’s customers - Responsible for Documenting each and every case to make sure it’s not occurring again - Responsible for maintaining good communication with the customers and be effective to handle the call in a good timely manner. Responsibilities: - Responsible for solving complaints faced by the company’s customers - Responsible for Documenting each and every case to make sure it’s not occurring again - Responsible for maintaining good communication with the customers and be effective to handle the call in a good timely manner.
-
-
-
ARMS - Medical Billing (Cairo Storm Now)
-
Giza Governorate, Egypt
-
Medical Billing Specialist
-
Nov 2014 - Jan 2015
Professional Skills: • Patient Data Coding • Claim Entry and Payment Posting • Records Accuracy • Insurance Liaison • Claims Denial Follow-up • Insurance and Patient Aging • Bad Debt Reporting • Patient Statements Review Technological Skills: • ICD-9, ICD-10, CPT • Electronic Remittance Advice (ERA's) • EDI Insight, Navicure, Gateway EDI • Electronic Medical Billing • HCFA 1500 forms Key Achievements: • Improved revenue for most recent provider over 25% with same patient load • Successfully obtained payments from many delinquent accounts by constantly following up on them • Increased instances of insurance claims payment by effectively creating EFT depositing accounts for providers • Ensure claims are entered and submitted with 24 hours of receipt Professional experience: • Set up new patient accounts. • Insure accuracy of insurance claims by verifying correct ICD-10 and CPT codes. • Enter and submit claims electronically to insurance. • Verify patient eligibility and deductible status before sending claims to insurance. • Follow up on rejected claim in clearing house. • Retrieve Electronic Remittance Advice (ERA's). • Accurately apply payments to patient accounts. • Send secondary claims upon processing of primary insurance. • Send Patient statements, answer and resolve patient billing inquires. • Follow up on Insurance Denials by contacting insurance to get the exact reason for denial to correct. • Re-submit corrected claims to insurance as necessary bearing in mind the timely filing restrictions. • Follow up on Insurance and patient aging. • Contact insurance companies to update the provider's information and enroll providers with the insurance companies also to inquire on provider credentialing status. • Create system reports to provide the management with information on billing procedures and outcomes. • Identify and resolve patients’ billing problems and discrepancies. • Insure office practices are in compliance with HIPAA regulations. Show less
-
-
-
Bioderma egypt
-
Cairo Governorate, Egypt
-
Senior Accountant
-
Nov 2013 - Nov 2014
Responsibilities: - Responsible for Clients Accounts - Responsible for the accounting cycle in the western area of Cairo and 6th October City and El Fayoum - Since March 2014 responsible for the accounting cycle in Eastern Cairo and Qalyoub and The Delta - Responsible for the stock movement regarding the 3 areas Responsibilities: - Responsible for Clients Accounts - Responsible for the accounting cycle in the western area of Cairo and 6th October City and El Fayoum - Since March 2014 responsible for the accounting cycle in Eastern Cairo and Qalyoub and The Delta - Responsible for the stock movement regarding the 3 areas
-
-
-
ARMS - Medical Billing
-
Giza Governorate, Egypt
-
Medical Billing Specialist
-
Dec 2011 - Dec 2013
Professional Skills: • Patient Data Coding • Claim Entry and Payment Posting • Records Accuracy • Insurance Liaison • Claims Denial Follow-up • Insurance and Patient Aging • Bad Debt Reporting • Patient Statements Review Technological Skills: • ICD-9, ICD-10, CPT • Electronic Remittance Advice (ERA's) • EDI Insight, Navicure, Gateway EDI • Electronic Medical Billing • HCFA 1500 forms Key Achievements: • Improved revenue for most recent provider over 25% with same patient load • Successfully obtained payments from many delinquent accounts by constantly following up on them • Increased instances of insurance claims payment by effectively creating EFT depositing accounts for providers • Ensure claims are entered and submitted with 24 hours of receipt Professional experience: • Set up new patient accounts. • Insure accuracy of insurance claims by verifying correct ICD-10 and CPT codes. • Enter and submit claims electronically to insurance. • Verify patient eligibility and deductible status before sending claims to insurance. • Follow up on rejected claim in clearing house. • Retrieve Electronic Remittance Advice (ERA's). • Accurately apply payments to patient accounts. • Send secondary claims upon processing of primary insurance. • Send Patient statements, answer and resolve patient billing inquires. • Follow up on Insurance Denials by contacting insurance to get the exact reason for denial to correct. • Re-submit corrected claims to insurance as necessary bearing in mind the timely filing restrictions. • Follow up on Insurance and patient aging. • Contact insurance companies to update the provider's information and enroll providers with the insurance companies also to inquire on provider credentialing status. • Create system reports to provide the management with information on billing procedures and outcomes. • Identify and resolve patients’ billing problems and discrepancies. • Insure office practices are in compliance with HIPAA regulations. Show less
-
-
-
sharm el el sheikh specialized Hospital (Sinai Mountain hospital now)
-
Sharm El Sheikh,Egypt
-
Senior Accountant
-
Dec 2010 - Dec 2011
Responsibilities: - Responsible for Daily Accounting work. - Payment of services provided to patients. - Responsible for salaries . - Responsible for purchasing requirements. - Responsible for Representing the hospital . - Responsible for the Monthly Accounting work. Responsibilities: - Responsible for Daily Accounting work. - Payment of services provided to patients. - Responsible for salaries . - Responsible for purchasing requirements. - Responsible for Representing the hospital . - Responsible for the Monthly Accounting work.
-
-
-
United International Importing Company
-
Alexandria Governorate, Egypt
-
Accountant
-
Jun 2010 - Dec 2010
Responsibilities: - Responsible for the salaries . - Responsible for Banking transactions. - Responsible for the daily work for our sales Dep. Responsibilities: - Responsible for the salaries . - Responsible for Banking transactions. - Responsible for the daily work for our sales Dep.
-
-
-
Abou El Dahab Importing Company
-
Cairo Governorate, Egypt
-
Employee at the importing Dep.
-
Dec 2009 - Jun 2010
Responsibilities: - Responsible for contacting importing companies and embassies . - Implement the Banking transactions regarding the contracts. - Supervising the Customs work for our imported merchandise in the ports of Suez , Ain El Sokhna and Alexandria . - Assurance of the transporting of the merchandise to our stores in cairo. Responsibilities: - Responsible for contacting importing companies and embassies . - Implement the Banking transactions regarding the contracts. - Supervising the Customs work for our imported merchandise in the ports of Suez , Ain El Sokhna and Alexandria . - Assurance of the transporting of the merchandise to our stores in cairo.
-
-
-
Zu El Norin Importing Company
-
Giza Governorate, Egypt
-
Deputy director of Foreign Affairs
-
Oct 2008 - Nov 2009
Responsibilities: - Responsible for contacting importing companies and embassies . - Negotiating prices, terms of contracts. - Supervising other employees in the section. - representing the company in commercial events involving other importing companies. In embassies, the chamber of commerce.. etc. Responsibilities: - Responsible for contacting importing companies and embassies . - Negotiating prices, terms of contracts. - Supervising other employees in the section. - representing the company in commercial events involving other importing companies. In embassies, the chamber of commerce.. etc.
-
-
Education
-
2004 - 2009
Helwan University Cairo
Bachelor's degree, Accounting
Community
