Hussnain A.

Medical Billing Specialist

I have over 7+ years of work experience in Medical Billing/ US healthcare industry. I can manage the Medical billing practice complete Revenue cycle management operations smoothly. I have a vast experience to identify and fixing the practice common problems resulting major increase in revenue. I will be responsible for directing and coordinating the overall billing functions by utilizing experience and skills billing including code punching, • Strong Client communication in order to build good relation to discuss and resolve their concerns. • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. – • Ability to make independent decisions when circumstances warrant; make prompt and accurate judgments regarding AR, billing and other office duties. • Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy. • Ability to conceptualize work flow, develop plans, and implement appropriate actions. • Worked in multi-specialty group practice. • To Audit the Medical Billing entered by Billing Dept and fixing their billing Error. • Implement of Modifiers according to billing of the Doctors. • Submission of the claims electronically and on Paper. • To fix the Rejected claims received from Clearing Houses and to make them ready to send again • To follow up of the Pending claims by calling insurance companies customer service lines. • To fix the Denied claims over the phone on the bases of the Insurance policies. • To get paid claims Posted into the Medial billing Software. • To Work on denied EOB (explanations of Benefits). • To coordinate with American office staff to get things done in timely manners • Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, rejections, payment posting, accounts receivable follow-up, and reimbursement management. • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues. • Maintains contacts with all departments to obtain and analyze additional patient information to document and process billings. 4-Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports. 5- Audit current procedures to monitor and improve efficiency of billing and collections operations. 6-Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements. 7- Participate in the development and implementation of operating policies and procedures. 8-Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures. 9-Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance. 10-Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques. 11- Work on new clients getting on board. 12- Pull all clients reimbursement reports on weekly and monthly basis to bill our clients. 13- Working closely on new client’s old AR recovery, billing and credentialing process. 14- Efficient enough to argue on denials and extract right information from insurance representatives 15- Working on denials and appeals (Negotiation, dispute, resolution etc) 16- Working on rejections & Denied EOBs/ERAs. 17- Proactive approach for denials 18- Familiarity with policies, CMS guidelines, Credentialing Issues 19- Familiarity with Appeals process 20- Understanding of denial codes and re-submission.