Hassan Ali

Hassan Ali Address: Street no.1 Sector 32/A Korangi, Karachi Mobile No :-/- Email:- Objective A graduate who is seeking to find the opportunity to work in an environment that will encourage me to improve and learn new and necessary skills as well as be motivated by the company to do his best for the sake of helping himself and the company advancements. Key Skills 40 words per minute typing Proficiency in all areas of Microsoft Office, including Excel, Word, PowerPoint 2013. Excellent English & Urdu communication skills, both written and verbal Impressive Familiarity with Internet Surfing and Web Browsing. Proficiency on usage of almost all major insurance payers’ portals & calling process. Work History Manager of Revenue Cycle Management, Caregenix, Karachi, Pakistan (Oct -2022 – Present)               Responsibilities: In depth working on Remote patient monitoring & Chronic care management workflow. Working on behalf of US based RPM/Telehealth service providers. Transmitting RPM & CCM Bills/Claims electronically through CMS 1500 to Clearing House. Working on AR, denial management, appeals management as requires on daily basis. Making calls to Insurance for claim status for denials, eligibility, and prior authorizations. Transmitting RPM & CCM Bills/Claims electronically through CMS 1500 to Clearing House. Working on AR, denial management, appeals management as requires on daily basis. Making calls to Insurance for claim status for denials, eligibility, and prior authorizations. Checking and clearing house reports and rectify the rejections for confirming resubmissions. Extracting ERA’s from clearing houses, billing software and post them. Detailed Reporting & Analysis. Team Handling Invoicing to Clients based on the percentage Tracking of invoices and Reporting of financials Medical Biller & Authorization Specialist, ZAR Solutions, Karachi, Pakistan (Jan-2022 – Sep -2022) Responsibilities:     In depth working on Remote patient monitoring & Chronic care management workflow. Working on behalf of US based RPM/Telehealth service providers. On boarding new Providers, Clinics or Hospitals for RPM & CCM services. Initiating EDI & ERA on a separate Billing software. Free CV template by reed.co.uk            Verifying patient’s enrolment, eligibility & benefits for Remote patient monitoring & CCM. In depth working on Medicare, Medicare replacement plans & Medicaid plans regarding RPM & CCM. Transmitting RPM & CCM Bills/Claims electronically through CMS 1500 to Clearing House. Working on AR, denial management, appeals management as requires on daily basis. Making calls to Insurance for claim status for denials, eligibility, and prior authorizations. Checking and clearing house reports and rectify the rejections for confirming resubmissions. Extracting ERA’s from clearing houses, billing software and post them. Extracting ERAs and EOBs through insurance’s online portal. Coordinating provider services representative for Credentialing. Drafting Accounts receivable reports and send to concern dept for preparing invoice to client. Communicating & Coordinating with Team to rectify and solve queries. AR Executive, HAWK Logix Lahore, Karachi, Pakistan (Jan-2021 – Nov-2021) Responsibilities:             Worked on behalf of one of the Multi-Specialty Clinics based in Wisconsin, USA. Congregating Medical Bill for Charge, according to Diagnosis and Procedure codes. Reviewing patient bills for accuracy and completeness and obtain any missing information. Working on AR, denial management, appeals management as requires on daily basis. Verifying patient’s enrolment, eligibility with Insurance provided by Client. Accumulation and authentication of Medical Codes through HCPCS CPT, ICD-9 and ICD-10. Transmitting Claims electronically. Checking and clearing house reports and rectify the rejections for confirming resubmissions. Preparing Escalation list for rectified incompletion, problems and send them to client. Handling Inbound & Outbound Patient calls regarding billing, payment queries and appointment confirmation. Developing strategies to increase patient flow. Detailed Reporting & Analysis for Patient Flow. Medical Billing Executive, Maxremind PVT RWP, Karachi, Pakistan (Feb-2020 – Dec-2020) Responsibilities: ● ● ● ● ● ● ● Worked on Behalf of US based Medical billing & consulting firm. Working on High volume of AR, denial management, appeals management on daily basis. In depth working on AR, Appeals & Reconsiderations for one of the out of network emergency center based in Texas. Congregating Medical Bill for Charge, according to Diagnosis and Procedure codes for different providers such as Psychiatrist & Internal Medicine. Checking and clearing house reports and rectify the rejections for confirming resubmissions. Verifying detailed eligibility & benefits with Insurance provided by Client. Detailed Reporting & Analysis for Patient Flow. Education Particulars Year Institute Duration Progress Percentage Free CV template by reed.co.uk Bachelor’s in Arts 2021 Allama Iqbal Open University Islamabad 4 Years Completed 70.05% Intermediate in Commerce 2019 Jinnah College of Engineering PBTE Lahore 2 Years Completed 85.57% Matriculation in Computer Science 2016 Al-Kamal Boys High School Jampur 2 Years Completed 80.90% Free CV template by reed.co.uk