Curriculum Vitae
GHULAM DASTGER ADAL
Address: Ward No.8, Street No.5, Dhoke Shah Zaman Gujar Khan. Dist. Rawalpindi, Pakistan
Mob # -
Email:-
OBJECTIVE
To seek a career position in a progressive organization that should be challenging and
demanding where I can practice and learn new skills.
PERSONAL INFORMATION
Father’s Name
Date of Birth
C.N.I.C #
Domicile
Nationality
Religion
Marital Status
:
:
:
:
:
:
Abdul Rashid
18/07/-
Punjab
Pakistani
Islam
Married
ACADEMIC QUALIFICATION
Exam
Year
MA
Board / University
2019
University Of The Punjab, Lahore.
BA
2013
University Of The Punjab, Lahore.
Intermediate
2010
B.I.S.E Rawalpindi.
S.S.C Science
2007
B.I.S.E Rawalpindi.
(Political Science)
COMPUTER SKILLS
Computer operative skill
Emailing
Drafting
MS Office, MS Excel, PowerPoint,
Browsing
Data entry
Reporting
Job Experience:
MMBC (Millennium Medical Billing)
Designation: Payment Posting Representative (In-Network and OON Clients)
Tenure: Nov 2021 - Present
Researches and analyzes denial data and coordinates denial recovery responsibilities.
Identifies, analyzes, and researches frequent root causes of denials and develops
corrective action for the resolution of denials.
Makes management aware of any issues or changes in the billing system, insurance
carriers, and/or networks.
Payment posting from check batches received from the Insurance companies into the
practice management system manually.
Ensure data from both EOBs and ERAs match payments.
Making an appeal for the reconsideration claims and taking follow-up on the appeal.
Identifying and moving balances to the patient's responsibility helps to ensure faster patient
billing.
Process write-offs and adjustments and report any unusual contractual adjustments while
processing payment and insurance refunds as needed.
Ensure notes are entered into the patient account, and copies of EOBs, denials, and other
correspondence are provided to the Collector.
Payments and adjustments are accurately recorded in the patient accounting system.
Reconciles daily batch posting to actual entry in order to identify and reconcile any
discrepancies, ensuring that payment posting functions are accurate and performed on a
timely basis.
Process secondary claims/Patient statements responsibilities.
Meet monthly closing deadlines as set by the company.
Assisting with special projects as requested/needed.
MTBC (US-Based Medical Billing and Transcription Healthcare IT Company)
Designation: Account Manager Operations (In-Network and OON Clients)
Tenure: Oct 2016 - Oct 2021
Independently manage all activities of the medical billing cycle of assigned clients.
Efficient Revenue Cycle Management (RCM) of the assigned clients to establish & maintain
positive, long-term relationships.
Timely & error-free medical bills entry & posting of the reimbursements received from
insurances.
Ensuring client satisfaction by an effective & regular follow-up on accounts receivables.
Swift & accurate remedial actions on claims/bills denied by healthcare insurances.
Independent & timely communication with insurances to ensure a steady stream of client’s
cash flow.
Understanding of relevant Key Performance Indicators (KPIs) & working towards positive
results for the assigned clients against all KPIs.
Striving for optimum utilization of company resources on the assigned clients & suggesting
areas of improvement.
Keeping the immediate supervisor aware of all important issues of assigned clients.
Protect assets from unauthorized access, disclosure, modification, destruction, or
interference.
Any other tasks assigned by supervisor.
MTBC (US Based Medical Billing and Transcription Healthcare IT Company)
Designation: Billing Executive
Tenure: Aug 2014 - Sep 2016.
Performed medical billing for offshore doctors.
Entering customer and account data from source documents within time limits
Process applications and maintained updated files.
Process all incoming and outgoing correspondence.
Understanding of relevant Key Performance Indicators (KPIs) & working towards positive
results for the assigned clients against all KPIs.
Researched/Analyzed & prepared appeals when the claims/bills were rejected/denied.
To tele-converse with insurance companies for client follow-up.
Completed assigned tasks in the given time frame.
LANGUAGES:
English
Urdu
Punjabi
References:
Will be furnished on demand.