Arslan Mehmood

Experience

• 

  MTBC

  May 2005 - May 2006

  Billing Executive

  • Handling for different practices• Review patient bills for accuracy and completeness and obtain any missing information• Knowledge of insurance guidelines especially Medicare and state Medicaid• Follow up on unpaid claims within standard billing cycle timeframe• Identify and bill secondary or tertiary insurances• All accounts are to be reviewed for insurance or patient follow-up• Using coded data to produce and submit claims to insurance companies• Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid• Reviewing and appealing unpaid and denied claims• Verifying patients’ insurance coverage• Answering patients’ billing questions• Reply of client's and official e-mails• Daily update on received work• Distribution of work among the relevant billing executives Show less

• 

  Digital Processing Systems

  Aug 2006 - Jun 2008

  Medical Biller

  •Contacted and worked with all managed care, commercial and private insurances as well as Medicaid and Medicare for processing and verifying claims;•Ensured maintenance of security and confidentiality of patient's information at all levels; •Provided remedial measures in exceptions of submitted claims; initiated tracers; monitored unpaid claims, resubmitted claims as required. Using ICD 9 and CPT coding, closed encounters;•Worked on collections which included mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to a collection agency.•Extraordinary reduction in “aged claims,” which improved the revenue of practice and company by 15%;•Accomplished deadlines for all assigned portfolio of tasks with all professional standards. Show less

• 

  Salt Range Computer Technologies

  Jul 2008 - Jun 2009

  Practice Manager

  •Supervised all facets of medical billing including coding, charge entry, transmission, correction, and resubmission (if needed), posting of payments including patient/mail and ERA;•Effectively managed billing office, with A/R's and claims appeals for any denials;•Implemented protocols to ensure all charges captured and billed appropriately electronically;•Generated technical monthly financial reports, processed the aged accounts and made collection calls when appropriate;•Established Standard Operating Procedures (SOPs)/guidelines for proper codification/billing for providers;•Researched and resolved denials and EOB rejections within standard billing cycle timeframe•Improved the practice revenue by 20% by implementing efficient coding techniques and implementation of SOPs;•Strengthened skill sets in the areas of the client relationship, management, and team leadership.•Delivered all tasks in stipulated time frame professionally; Show less

• 

  MyDoctorsChart

  Aug 2009 - Oct 2017

  •Effectively communicated project scope, schedule, and financial planning with staff and top management;•Developed, monitored and enhanced budgets and revenue streams to hit high yearly projections Supervised a cross-functional, multidisciplinary team of professionals; •Cultivated a culture of excellent long-term relationships with clients by establishing strong communication channels along with solution-oriented approaches; •Managed a portfolio of $ 10 million revenue with close coordination with 20 international clients; •Managed the error-free execution of client management business processes which includes proposal writing, signing of a contract, financial & technical analytical reviews, scope dialogs, signing of contracts after diplomatic negotiations and launch of projects;•Managed in preparing and coordinating provider information to/from managed care quality committees and other internal departments and/or external entities•Conducted knowledge-based interviewing, consultation with a team of professional managers over candidate's skills profiles, requirements of the job, technical competence and final recommendations; Show less •Highly demonstrated in the determination of key priorities, the establishment of timelines and effective management of workflow; •Lead the team with excellent team dynamics to ensure that accurate information is received for claims processing; •Reviewed and generated technical reports to ensure that all statuses worked perfectly and supported in capacity development; •Provided effective guidance in remedial measures on identified account discrepancies and issues that create hindrances in claims payment processing; •In team supervision established an environment of trust, open communication, creative thinking and cohesiveness with strong team results; •Supervised the codification of inpatient and outpatient procedures from operative reports by using ICD 9, ICD 10, and CPT codes and applied modifiers whenever needed.• Acquired expertise in business process mapping and its re-engineering in Medical Billing from data entry phase to project implementation;•Raised revenue 20-30% through cost savings and refining workflow processes;•Improved efficiency of EHR application and resources with appropriate diagnosis and recommendations; •Supervised an insurance audit, which saved the company $20,000; Show less

  • Project Manager Medical Billing, Clients Relationship Manager & Senior Credentialing Specialist

    Nov 2011 - Oct 2017

  • Team Lead Medical Billing/Assistant Manager Training

    Aug 2009 - Oct 2011
• 

  Streams Analytics

  Nov 2017 - Jul 2020

  Healthcare Product Manager

  • Worked as a revenue cycle manager for different clinics and providers• Analyzed the top denials for each client and presented solutions to increase cash flow.• Reduced average days in A/R from 85 to 45 in a 3 month time resultantly increasing net collections from 55% to 75%.• Applied leadership and impelling skills to foster key relationships with high-ranking clients to promote customer loyalty and retain existing business;• Focal person for the “audit” activities, i.e., data inserted, and primary source verifications in compliance with various regulatory agencies/authorities for credentialing, re-credentialing, and delegated accounts;• Managed recruitment of staff through HR processes sourcing, screening, shortlisting, interviewing, follow-ups with senior management, selection of candidates and orientation of newly recruited staff; Show less

• 

  Freelance

  Aug 2020 - Dec 2021

  EHR Consultant/Implementation Specialist

   Serve as a key member of the core implementation team responsible for implementing and supporting the EHR system by becoming a subject matter expert in electronic practice management functionality and electronic medical record software. Communicate with designers, front-end developers, and back-end developers to ensure the vision is implemented flawlessly. Analysis and documentation of medical office and clinical workflow requirements as they relate to the implementation of electronic practice management software and electronic medical records. Prepare recommendations and/or alternatives that address current and potential areas of improvement in medical office operations. Reengineer existing workflows to leverage the EHR/PM application and document, review, and train future state workflows. Direct and remote support for doctors and medical office staff using the software. Show less

• 

  New Beginnings Integrated Healthcare

  Jan 2021 - now

  Director Revenue Cycle Management

  - Develop and implement strategies to improve revenue cycle operations, including patient registration, billing, collections, and account resolution. - Set short-term and long-term financial objectives related to revenue cycle performance.- Lead, train, and mentor the RCM team, including billing, coding, and collections staff. - Ensure all team members understand and follow proper procedures, maintaining accountability and fostering continuous improvement.- Identify areas in the billing and coding process that can be optimized to reduce errors, streamline workflows, and improve the efficiency of claims processing.- Implement technology and automation to enhance accuracy and efficiency across the revenue cycle.- Monitor key performance indicators (KPIs) such as days in accounts receivable (A/R), denial rates, and collections.- Generate regular financial reports to provide insights into revenue cycle performance and opportunities for improvement.- Ensure compliance with federal and state healthcare regulations, including HIPAA, Medicare, and Medicaid requirements.- Maintain updated knowledge of payer rules, government programs, and healthcare reforms to prevent compliance risks.- Collaborate with clinical, administrative, and financial teams to ensure alignment with the organization’s revenue goals.- Work with physicians, department heads, and patient financial services to address revenue collection issues.- Develop processes to minimize claim denials, identify root causes of denials, and implement corrective actions.- Manage relationships with insurance providers to resolve claims issues and ensure timely payment.- Oversee relationships with external vendors and third-party service providers.- Address patient concerns about billing and payment options to enhance satisfaction and trust.- Evaluate and implement new technologies and software that improve billing, claims processing, and collections efficiency, such as EHR systems and RCM platforms. Show less