Zeeshan Ahmed

Experience

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  Mobilink

  Dec 2010 - Apr 2011

  Network Operations Engineer

  Responsibilities: --Visiting sites to monitor and troubleshoot the faults-Make fault reports according to the network issues -Communicating with the on location operations team -Prepare and maintain daily statistical reports.

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  Hoovertel International FZC

  Mar 2014 - Nov 2017

  Telecommunications Support Engineer

  • Level -3 Support diagnose by using wireshark and sniffing calls to analyze call Flow• Analyzing Inbound and outbound calls and Traffic trend on daily basis• Voice Optimization of A to Z destinations depending upon Call Quality,ACD &ASR• SMS optimization of A to Z destination to Ensure maximum delivery.• Communication with different Carriers to ensure Qos of Voice and SMS traffic, Routes costing, • Troubleshooting of calls failure reasons and testing the voice quality through different Scenarios• Worked as a trainer for other team members and Outsourced Support partners• Integrating Voice Carriers for Inbound and Outbound calls. Show less

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  Ascend BPO Services, Inc.

  Nov 2017 - Nov 2023

  As part of the Client Relationship Services, I have kept striving hard to ensure that our clients have a positive experience. Acting as a liaison between our organization and the Medical Professionals, in USA, assisting them with their requests, complaints, orders, account questions, billings and various other queries which were brought ahead by them.. I try to maintain the values through:• A proper maintained communication with our Medical Professionals Clients.• Sharing of reports on a daily/weekly and Monthly basis.• Daily calls and meeting with the clients.• Daily encounters and payment summaries.• Resolution on all queries put forward by the respective clients.• Summaries of Enrollments with insurances across the United States.• Provider licensing and Recredentialing and Revalidation requests. Show less Having a complete grip on the Revenue Cycle Management; I was in charge of starting up with the newly established Healthcare practices and managing their complete operations. Major Responsibilities include:• Daily Patient Eligibilities for Primary or Secondary insurances.• Daily Claims verification along with the error free submissions.• Rectifying the Rejections and Denials fixation on a daily basis.• Payment posting for the processed claims.• Client meetings, reporting and maintaining the productivity.• Obtaining the Pre-Authorizations for the medical procedures.• Maintaining the Medical records and charts. Show less I specialized in the credentialing and enrollments of the Healthcare Professionals across USA in the Federal as well as the commercial payers like Medicare enrollment, State-based Medicaid enrollment and the state commercial payers. The Major Responsibilities include:• The Certified Affordability and Quality Healthcare CAQH portal creation for HealthCare providers and maintenance.• Network Integration of Clearing houses to Practice Management Softwares.• New Payer Contracts / Enrollments like Aetna, Cigna, UnitedHealthcare - Optum, and more.• Re-Credentialing / Revalidations of Healthcare providers.• Changes of Information / Ownership / Acquired Locations in the contracts.• NPI Enumeration for new and existing Providers/Facilities.• Electronic Remittance Advice – 835 Enrollments along with Electronic Funds Transfers – 588 and more. Show less

  • Assistant Manager Client Services

    Dec 2019 - Nov 2023

  • Medical Billing Supervisor

    Dec 2018 - Dec 2019

  • Credentialing / Contracting Specialist

    Nov 2017 - Dec 2019
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  Physicians Revenue Group, Inc.

  Nov 2023 - now

  Assistant Manager Credentialing & Enrollments

  Experienced credentialing Asst. Manager dedicated to maintaining compliance and optimizing provider credentialing process. Skilled in overseeing end-to-end credentialing and enrollment processes, maintaining databases, and fostering collaboration with the Medical Professionals, in USA, assisting them with their Practice setup in all states across USA and getting them contracted with all the professional payers across the states. Major Responsibilities include:• Managing the end-to-end credentialing process, ensuring compliance with organizational standards and regulatory requirements.• Coordinating the credentialing of healthcare providers, including physicians, nurses, and allied health professionals.• Implementing quality assurance measures to ensure the accuracy and completeness of credentialing documentation and processes, minimizing errors and discrepancies.• Serving as a liaison between providers, internal departments, and external stakeholders, fostering effective communication and collaboration to streamline credentialing activities.• Developing and revising credentialing policies and procedures in accordance with industry best practices and regulatory standards, ensuring compliance and continuous improvement. Show less