MOHAMED SHAJEER A
Senior Executive - AR
Avadi
Summary
Experienced professional with a strong desire to contribute to an organization and utilize abilities and qualifications. Committed to continuous learning and staying updated on industry trends, strives to enhance knowledge and bring valuable insights to the team. Dedicated to achieving both team and organizational success, driven by a deep sense of satisfaction in making a meaningful impact.
Overview
2
2
years of professional experience
5
5
Languages
Work History
Senior Executive – AR
Access Healthcare Pvt. Ltd
07.2023 - 06.2024
- Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor
- Priority to high dollars and sensitive case for those whose TFL about to expire
- Maintaining strict patient confidentiality according to HIPAA regulations
- Providing excellent customer service to patients, Insurance representatives, and peers
- Training the new users for the process
- Worked in NextGen Software
Senior Executive - AR
Global Healthcare Billing Partners Pvt. Ltd
09.2022 - 06.2023
- Inducting different micro level processes of RCM like AR follow up, Denial Management, ERA (electronic remittance advice) management, Appeal and Grievance
- Worked in Athena management Software, Matrix Care, Waystar, Medicare DDE
- Focus on resolving the denial and rejection rather than writing off the amount
- Priority to high dollars and sensitive case for those whose TFL about to expire
- Work for provider’s based billing, somehow any issue raised in billed claims then recreate the claim again with correct info and void the previous claim
- Attending the call from Onshore team to discuss the daily trends and issues in processing the claims
- Maintain communication with Payers (Insurance) via telephone or payer website if we need any information regarding the claim like check#, date of payment etc
Executive - AR
Omega Healthcare Management Services Pvt. Ltd
02.2022 - 08.2022
- Performing following-up activity on outstanding physician claims under the direction of my accounts receivable supervisor
- Proactively following-up on outstanding physician claims in accordance with the medical system current standards (between 30 to 50 accounts daily)
- Identifying issues and trends that result in non-payment of claim due to internal/external review, elevating significant issues to the Supervisor
- Maintaining strict patient confidentiality according to HIPAA regulations
- Providing excellent customer service to patients, Insurance representatives, and peers
Education
Diploma - Civil Engineering
Kalaivanar N.S.K. Polytechnic College
KanyakumariSSLC - undefined
Government Higher Secondary School
KanyakumariSkills
Mail handling
Operational management
Sorting and labeling
Technical Analysis
Data analysis
Problem-Solving
Teamwork and Collaboration
Flexible and Adaptable
Multitasking Abilities
Personal Information
- Father's Name: Ameer Mohiden
- Date of Birth: 03/30/92
- Gender: Male
- Nationality: Indian
- Marital Status: Single
- Religion: Muslim
Timeline
Senior Executive – AR
Access Healthcare Pvt. Ltd
07.2023 - 06.2024
Senior Executive - AR
Global Healthcare Billing Partners Pvt. Ltd
09.2022 - 06.2023
Executive - AR
Omega Healthcare Management Services Pvt. Ltd
02.2022 - 08.2022
Diploma - Civil Engineering
Kalaivanar N.S.K. Polytechnic College
SSLC - undefined
Government Higher Secondary School