Summary of Career

1. Processing the day-to-day functions of the Medical claims which consist of IP & OP billing of Insurance claims, IP/OP Submission & Resubmission.(Hospital &Pharmacy)preparing reports on daily statistics and revenue cycle activities including trend analysis and monthly revenue reports.

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2. Auditing insurance claims & Billing through implementation of policies, procedures, and workflows within the HAAD standards & guidelines. Training the Front Office staff for Insurance updates and billing methodology.

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3. Monthly submitting Insurance claims (Hospital &Pharmacy) to various Insurance companies either electronically or by manually.

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4. Following with insurance companies for payment status post submission.

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5. Review and audit all insurance claims before submission and to act as first point of contact between physicians and insurance companies

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6. Reconciliation & ageing analysis comparison of insurance companies and follow ups of due receivables.

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7. Resubmission of rejected claims on regular basis.

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8. Monthly preparing the confirmation reports of all Pharmacies.(NMC group)

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9. preparing reports on daily statistics and revenue cycle activities including trend analysis and monthly revenue reports.

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10. Coordinating with Finance and Cash Collections.

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