Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Declaration
Timeline
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AMEER KHAN

HYDERABAD

Summary

Healthcare professional with nearly 3 years of experience in accounts receivable, pre-authorization, and eligibility and benefits verification at ISpace Software Solutions. Proven track record in enhancing revenue cycle management and maintaining compliance with regulatory standards. Expertise in MS Office and adept at resolving complex claims issues through strong analytical and communication skills.

Overview

3
3
years of professional experience

Work History

Eligibility and Benefits Verification

ISpace Software Solutions India Pvt Ltd
HYDERABAD
12.2023 - 06.2025
  • Verified patient insurance coverage and eligibility for benefits to minimize claim denials.
  • Utilized online portals and phone calls to ensure accurate information verification.
  • Investigated policy specifics, including deductibles, co-pays, and patient benefit details.
  • Initiated prior authorization requests as required by insurance plans for specific services.

Pre-authorization

Infinx services pvt ltd
HYDERABAD
11.2023 - 12.2023
  • It's the process of obtaining prior approval from a patient's insurance provider before delivering certain healthcare services.
  • Verified member eligibility and benefits using provider portals and payer communications.
  • Ensured compliance with established standards and procedures to enhance cash flow.
  • Optimized treatment plans to meet patient needs while reducing claim denials.

AR Associate

Gebbs healthcare solutions private limited
HYDERABAD
08.2022 - 01.2023
  • Contacted insurance companies and patients to inquire about unpaid or denied claims status.
  • Verified patient dental eligibility and claims through direct engagement with insurers.
  • Resolved denials and outstanding account balances by contacting payers.
  • Analyzed denied claims to identify root causes of issues.

Education

Bachelor of Technology -

Sphoorthy Engineering College
Hyderabad
06-2022

Intermediate -

Bhavitha Junior College
Mahabubnagar
05-2017

Secondary School Certificate -

Best Grammar High School
Mahabubnagar
06-2015

Skills

  • Claims processing and adjustment
  • Healthcare revenue cycle management
  • Appeals and claim submissions
  • Regulatory compliance (CMS-1500, ADA, CPT, HIPAA)
  • Project management in dental services
  • MS Office 365, Excel, Word, Outlook

Accomplishments

  • Awarded monthly best performance
  • Conducted knowledge transfers
  • Achieved a high accuracy rate

Languages

  • English, Hindi, Telugu

Declaration

  • I hereby declare that all the facts given above are true and correct to the best of my knowledge.

Timeline

Eligibility and Benefits Verification

ISpace Software Solutions India Pvt Ltd
12.2023 - 06.2025

Pre-authorization

Infinx services pvt ltd
11.2023 - 12.2023

AR Associate

Gebbs healthcare solutions private limited
08.2022 - 01.2023

Bachelor of Technology -

Sphoorthy Engineering College

Intermediate -

Bhavitha Junior College

Secondary School Certificate -

Best Grammar High School
AMEER KHAN