AADIL JAVED SHAIKH

• Offering answers to the customers of an organization. Communicate the why's and how's of a company's service expectations.
• Perform a wide range of duties like answering phones and responding to customers' queries.

The Job Profile:

 Follow Revenue cycle management.
 Analyzing the inventory and follow up Insurance company to clear the payments of Hospitals and Physicians.
 Make a call to insurance to know the exact reason for not paying the procedure billed to them.
 Take Correct action on the CPM software so the date can be shared with client for the exact reason of denials and adjustment.
 Maintaining the records of non-resolvable inventory and discuss with Supervisor to get the update on that from client.

• Worked for US Medical billing process.
• Worked for Florida blue process and used to work from payer side.
• Received provider query in availity portal regarding claim denials.
• Need to Analyze why the claim denial, why over payment done and why underpayment is made if any.
• Maintaining the records of non-resolvable inventory and discuss with Supervisor to get the update on that from client.
• Reaching out to correct department to take proper actions on the claims.
• Making payments to providers if the claim is satisfactory and needs to be paid.

• Responsible in executing the channel's strategies to achieve sales targets.
• Managed the Direct Sales Agencies through regular product briefings, business reviews, and channel servicing.
• Answering phones and explaining the product and services offered by the company.
• Contacting existing customers as well as prospective customers.
• Obtaining customer information and other relevant data. Asking questions to the customer and understanding their specifications.
• Reviewed important reports prepared on every day, weekly and monthly basis.
• Responding on emails daily received from external and internal parties.