Hameed Bhutta

Hameed Bhutta

$2/hr
Credentialing /Enrollment specialist
Reply rate:
-
Availability:
Part-time (20 hrs/wk)
Location:
Rawalpindi/Islamabad, Punjab, Pakistan
Experience:
13 years
Hameed Bhutta S/O Abdul Majeed Bhutta Temporary Address: House # SA 298/c, ST# 15 Near magistrate colony sadiqabad, Rawalpindi. Cell#- Email : - To be a part of a progressive and dynamic organization that provides ample opportunities for learning and growth in a challenging and innovative environment, with an objective to contribute constructively towards the goals of the organization and to excel my professional skills. MTBC, Medical Transcription Billing, Corp., US based healthcare IT Company. March 2007 - Present Designation Credentialing specialists January, 2012 Team Leader- Credentialing January, 2017 Assisted in preparing and coordinating provider information to / from managed care quality committees and other internal departments and / or external entities. Exceeded production goals by 99% while maintaining quality. Maintained credentialing database while tracking all direct provider contract data. Performed primary and secondary source verifications of credentials according to departmental policy. Maintained all medical license, Drug Administration and malpractice insurance for physicians and mid-level providers. Ensured compliance with national standards of quality organizations. Maintain updated CAQH reattestations every 120 days on client behalf . Research Analyst Root-Cause Analysis of different Issues / Problems regarding development in American healthcare industry. Root –Cause Analysis on different ongoing issues / problem faced by employees and clients. Financial Analysis of clients on their request and reporting to higher management. Handling Electronic Data Interchange activities and to resolve issues at same time when occurs. Designation: Medical Billing Executive March, 2007 To perform medical billing for US based doctors. Check eligibility and benefit verification. Review patient bills for accuracy and completeness and obtain any missing information. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid. Follow up on unpaid claims within standard billing cycle timeframe. Check each insurance payment for accuracy and compliance with contract discount. Retrieve Electronic Remittance Advice (ERA's) All accounts are to be reviewed for insurance or patient follow-up. To keep the stakeholders informed of all changes in the rules and regulations of Insurance Carriers and regularly update the Team Leader. Updates cash spreadsheet, runs collection reports To Research / Analyze and prepare appeals when claims are rejected. Awards & Achievements: Employee of the Month for October 2010. Salient Features Handled two clients worth $100,000 in direct revenue for the company. Actively communicated with transition partners in USA and India. A team player, he is very supportive to all his team members and also to members of other teams.   Is aware of team issues and handles them very well in the absence of the Team Leader. On average, worked 12 hours a day during October 2010. Receive appreciation letter from provider office in November 2016 Salient Features of Letter. I appreciate the credentialing department's assistance in our billing issues. Throughout these processes - credentialing with insurance carriers and resolving mysterious billing issues - Hameed Bhutta has shown the immense value of his work. I am impressed with the fast turnaround for requests for information, the detailed nature of information provided, and his intelligence and persistence in resolving issues. Receive appreciation letter from provider office in May 2018 Hameed Bhutta & Dee Murray were professional and provided us with exceptional service. They were always available to answer a question and to offer much needed support during a very stressful period of time for our practice. We truly understand how hard they worked to help get our contracts pushed through so we were able to see patients. I do not think we could have worked our way through this process without their help. We think it is important to acknowledge excellence and we commend Dee and Hameed and their team for all of the help and support they provided to us.  Proficient skills in Microsoft Word, Excel and PowerPoint Good communication Good team player and organized worker Various Practice Management Software HIPAA Compliance Claim Entry & Payment Posting. CNIC #: - Domicile: Multan (Punjab) Date of Birth: October 14, 1980 Marital Status: Single Religion: Islam Nationality : Pakistani Language: Urdu, English, Sraiki.
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