Abid J Khan

• Enhanced audit processes by implementing algorithms to capture errors.
• Re-engineered processes to ensure alignment with escalation and updates.
• Created E module to simplify understanding through effective data presentation.
• Directed 45-member QA team to audit RCM functions, maintaining compliance with quality KPIs.
• Drove continuous improvement initiatives by managing client expectations and aligning processes with quality benchmarks.
• Managed calibration calls and monthly MBR reporting.
• Managed the Audit the Auditor procedure to elevate QA effectiveness and accuracy.
• Facilitated understanding of policy updates among Quality Managers and Analysts.

• Managing Quality Team Handling multiple accounts and Quality experts

Handled various accounts in American Medical Response focusing on ambulance billing for emergency services.

Managed operations across NY, NJ, and KS.

Engaged with three separate client managers.

Provided insights on AR and denial patterns and proposed action plans.

Maintained zero backlog consistently.

Created dashboard for weekly internal and external reviews.

• Leading team of 20 agents, Patient calling, Customer service, Inbound and Outbound calls for multiple clients.
• Collection strategy, Outbound Soft collection, future appointments, Payment processing on call, Resolving caller queries on Statements dispute.
• AR- Calling on Denials & No response claims.

• Auditing Accounts, Certification, Training & Feedback on errors, Coaching, Business excellence, process improvement, client calls, PKT of Ops.

• Claim Status, Denial

• Denials, No Response claims, Auth, Eligibility