Experience

APKSoft

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Team Lead Operation AR

  • Aug 2020 - Present

  * Obtaining referrals and pre-authorizations as required for procedures. * Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. * Reviewing patient bills for accuracy and completeness, and obtaining any missing information. * Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. * Following up on unpaid claims within standard billing cycle time frame. * Checking each insurance payment for accuracy and compliance with contract discount. * Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances. * Reviewing accounts for insurance of patient follow-up. * Researching and appealing denied claims. * Answering all patient or insurance telephone inquiries pertaining to assigned accounts. * Setting up patient payment plans and work collection accounts. * Updating billing software with rate changes. Show less



Rawal Digital

• Bahria town Rawalpindi

• Medical Billing AR Specialist

  • Jan 2019 - Aug 2020

  1-Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. 2-Set up new pt account. 3-Accurately apply payment to patient account 4-Post and reconcile insurance and patient payment. Research and resolve incorrect payment EOB. Specialty Peds, internal medicine, family practices Skill, Patient Entry Charge Entry,Claim submission, Invoice issuing and tracking Account collection and monitoring Payment processing Report generation and analysis Payment posting Balance and account reconciliation Show less



TRH Business Medical Billing Services

• Rawalpindi

• Medical Billing /AR Executive

  • Jun 2018 - Jan 2019



Sequel Technologies

• Pakistan
• Software Development
• 100 - 200 Employee

• Medical Billing Executive

  • Apr 2014 - May 2018

  Managing many accounts important projects to expedite clients’ payment cycle. Performing rigorous data analysis and presenting creative ideas to higher management for further enhancement of billing process and clients’ satisfaction level.Prepared financials, statistical/analytical reports and internal audits for the assigned clients. Payments Posting .(EOB & ERA) Charge Entry,Denial managements Managing many accounts important projects to expedite clients’ payment cycle. Performing rigorous data analysis and presenting creative ideas to higher management for further enhancement of billing process and clients’ satisfaction level.Prepared financials, statistical/analytical reports and internal audits for the assigned clients. Payments Posting .(EOB & ERA) Charge Entry,Denial managements