Saud I.

A result-oriented professional with over 14 years of experience in Revenue Cycle Management Operations. Proven track record of developing procedures, service standards, operational policies, planning, and implementing effective control measures to improve the service standards. Expertise in designing and implementing training programs for bringing keen customer focus, high energy level, and team spirit in the employees. Excellent written, communication, inter personal, liaison and problem solving skills with the ability to work in multi cultural environment. Passion for leading and building a team, conducting counseling, training, and development sessions. Strong ability to communicate ideas effectively through written and verbal material. Skilled at learning new concepts quickly, working well under pressure, completing tasks on time, and highly effective with time management. Ability to multi-task and work aggressive time frames with minimal supervision. Strong decision-making skills and the ability to document issues, solutions, and strategies effectively. Extensive computer training, including knowledge of multiple networking environments and business software. Proficient in Windows, Excel, Word, PowerPoint, Outlook, Adobe Acrobat, and most major medical software. Specialties: Clinical Documentation Improvement, Coding, ICD-10, Compliance, Revenue Cycle Management, administration, auditing, billing, charts, cms, CPT, documentation, financial, focus, ICD-9, legal, letters, Medisoft, performance analysis, policy analysis, programming, quality control, reports, supervisory skills, teaching, treasury, workflow analysis. I have 10 years of experience in medical billing industry as biller, collection manager and now looking to utilize my solid knowledge and expertise in a highly stimulating environment. Based on the job description I am expert in all tasks mentioned. I am familiar with HIPPA, Medicare, Medicaid, HMOs, PPOs, and commercial insurance billing policies and guidelines. I have good knowledge of checking eligibilities & benefits with insurance to verify patient benefits while posting billing charges. I am also familiar with Medicare LCD, NCD policies & guidelines ^ have good knowledge of using DX codes as per LCD, NCD. Following are some highlights of my strengths which would enable me to contribute to your Company success: • Complete grip on Contracting, Credentialing & Fee scheduling, EDI Enrollments and ERA/EFT setups. • Handling generating and sending client invoices and statements, tracking and resolving outstanding payment issues, collection calls etc. • Well versed with ICD 9-10 /CPT coding terminology • Good experience for billing and coding. • Good in handing provider credentialing issues. • Thorough understanding of multiple billing software’s. • Vast experience to get disputed denials paid through appeals and by reprocessing on call. • Highly skilled in computerized scheduling • Demonstrated ability to process insurance claims • in depth knowledge of medical records, ethics & HIPPA • Understandable American English, and used to communicate directly with the providers. • Appealing on disputed denials to get paid. • Recovery on adjusted claims and try to get recovery on claims which are old more than 1 year. Specialties I worked on; (Billing/Coding/Collection AR Follow up/ Payment Posting/ Credentialing & Contracting) 1- Vascular Surgeon 2- Internal Medicine 3- Urgent Care 4- Neurologist 5- Family Medicine 6- Pain & Management 7- Hospitalist 8- Home Health & SNF billing & Coding 9- Urology 10- chiropractic 11- Orthopedic 12- Pediatrics 13- DME Billing & Collection 14-Chronic care management (CCM) 15-Advance care planning (ACP) 16-Telehealth 17-Urology 18-Nephrology It will be pleasure an exciting opportunity to work with you as I am confident in my ability to perform my duties in the most effective manner. Please feel free to contact me if you require any further information. Thank you for your time and consideration