Muhammad H.

Capable of achieving personal objectives as demonstrated by my prior work experience and my commitment to leisure pursuits. Excellent communication skills and an ability to relate to all levels of commercial and social contacts. Extremely ambitious, goal oriented with a clear and concise vision of future objectives. Eager to find a position offering long term potential with a structured, defined career progression. • Coding and doctor office queries • Communicating with front desk and headquarter • Dealing with Rejections and Payer responses. • Working with Worker Compensations/No fault • Weekly meeting with both offices • Interview with the new staff • Team building • Learning the new implementation and rules. • Experience in Medicare/Medicaid Billing/Coding; Familiar with ICD-9 and/or (ICD-10) and CPT Coding, OASIS, and other accepted conventions associated with home care billing • Knowledge of health care coverage and benefits preferred • Submit claims to appropriate insurance agencies, timely and accurately. • Follow up to insure proper payment of claims. • Resolve denials and other issues which prevent claims from being paid. • Appeal denied, low reimbursed and rejected claims • Resubmit corrected claims for payment • Verify coverage for active patients • Contact patients to obtain updated insurance information • Retrieve Electronic Remittance Advice (ERA). • Oversee and streamline billing and collections processes • Coding for all the Specialists (Hospital & Clinics) • Month-end closing of the billing group information • Plan and implement quality assurance for all processes • Special program/billing planning and implementation • Personnel development; staff meetings • Staffing discussions and planning/interviews; Team building • Field Operators’ problem escalation and customer service • Assist with the implementation of a new billing system • Prepares and submits clean claims to various insurance companies either electronically or by paper. • Answers questions from patients, clerical staff and insurance companies. • Identifies and resolves patient billing complaints. • Prepares, reviews and sends patient statements • Evaluates patient’s financial status and establishes budget payment plans. Follow ups and reports status of delinquent accounts. • Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. • Performs daily backups on office computer system • Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. • Processes payments from insurance companies and prepares a daily deposit. • Participates in educational activities and attends monthly staff meetings. • Conduct self in accordance with HIPAA’s employee manual. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations • Working on Practice AR. • Downloading ERA’s from Capario portal. • Downloading ERA’s from BCBS Portal AHIN. • Claim Submission on Medicaid portal of Medicaid of Arkansas Check the Daily received work on FTP server. • Distribute the work among my team members. • Coordinate practice management related issues with off shore providers/Doctors. • Provide on the Job Training to the whole Billing Team. • Perform acute Follow-up on daily work entered and on outstanding claims. • Make phone calls to different insurance companies for outstanding claims resolution. • Prepare monthly/weekly analysis reports for the associated practice. • Inform the superiors about any flaws appearing in the processes. • Responsible for Client monthly collection • Work on Client Queries • Co-ordination with Account receivable Department • Co-ordination with Client Services Department • Work on client Queries • Work on Patient Queries • Quality assurance of Daily Production