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Nosheen S.

Nosheen S.

Islamabad, Pakistan
Job Success
Top Rated Plus

Medical Billing Project Manager

To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have worked 20 years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. I have also visited US and visited doctors’ offices and hospitals to completely know about their processes. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
Rating is 5 out of 5.
5.00 Aug 10, 2021 - Oct 26, 2021
Private earnings
Rating is 5 out of 5.
5.00 May 7, 2018 - Aug 20, 2021
Private earnings
Rating is 5 out of 5.
5.00 Jun 13, 2020 - Sep 2, 2020
Private earnings
Rating is 3.55 out of 5.
3.55 Dec 9, 2019 - Jul 4, 2020
Private earnings
Rating is 5 out of 5.
5.00 Aug 16, 2018 - Sep 28, 2018
Private earnings
Rating is 5 out of 5.
5.00 Feb 14, 2017 - Jun 21, 2018

"good"

Private earnings
Rating is 2.25 out of 5.
2.25 Mar 2, 2017 - Apr 14, 2017

"There seemed to be more of a concern about documenting issues than fixing them. Seemed not to understand that the ENTIRE point of this job is to help a business collect income from insurance companies. Was also not anywhere near familiar with Carepaths software as she had suggested."

Private earnings
Rating is 5 out of 5.
5.00 Mar 4, 2015 - Jan 28, 2017
Private earnings
Jan 13, 2014 - Oct 31, 2016

No feedback given

Private earnings
Feb 12, 2014 - Oct 31, 2016

No feedback given

Private earnings
Nosheen S. has more jobs. Create an account to review them

Portfolio

Medical Billing Eligibility, precertifications and Follow-up on Cerner
Medical Billing Eligibility, precertifications and Follow-up on Cerner
Medical Billing on AdvancedMD
Medical Billing on AdvancedMD
Want to see more? Create Account

Skills

Nosheen S.

Nosheen S.

Islamabad, Pakistan
Job Success
Top Rated Plus
93
Total Jobs
55,199
Total Hours

Medical Billing Project Manager

Specializes in
To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have worked 20 years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. I have also visited US and visited doctors’ offices and hospitals to completely know about their processes. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
Rating is 5 out of 5.
5.00 Aug 10, 2021 - Oct 26, 2021
Private earnings
Rating is 5 out of 5.
5.00 May 7, 2018 - Aug 20, 2021
Private earnings
Rating is 5 out of 5.
5.00 Jun 13, 2020 - Sep 2, 2020
Private earnings
Rating is 3.55 out of 5.
3.55 Dec 9, 2019 - Jul 4, 2020
Private earnings
Rating is 5 out of 5.
5.00 Aug 16, 2018 - Sep 28, 2018
Private earnings
Rating is 5 out of 5.
5.00 Feb 14, 2017 - Jun 21, 2018

"good"

Private earnings
Rating is 2.25 out of 5.
2.25 Mar 2, 2017 - Apr 14, 2017

"There seemed to be more of a concern about documenting issues than fixing them. Seemed not to understand that the ENTIRE point of this job is to help a business collect income from insurance companies. Was also not anywhere near familiar with Carepaths software as she had suggested."

Private earnings
Rating is 5 out of 5.
5.00 Mar 4, 2015 - Jan 28, 2017
Private earnings
Jan 13, 2014 - Oct 31, 2016

No feedback given

Private earnings
Feb 12, 2014 - Oct 31, 2016

No feedback given

Private earnings
Nosheen S. has more jobs. Create an account to review them

Portfolio

Medical Billing Eligibility, precertifications and Follow-up on Cerner
Medical Billing Eligibility, precertifications and Follow-up on Cerner
Medical Billing on AdvancedMD
Medical Billing on AdvancedMD
Want to see more? Create Account

Skills

More than 30 hrs/week
Nosheen S.
Nosheen S.
18,510 hours
100% Job Success

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