Nasir Ahemad

· Experienced in US medical billing as an Accounts Receivable (AR) Executive, managing invoicing, payment posting, denial management, and claim resolution processes.

· Efficiently managed accounts receivable processes, including invoicing, payment posting, and reconciliation, ensuring accuracy and timeliness in medical billing transactions.

· Proactively identified and resolved billing denials and discrepancies, collaborating with insurance companies and healthcare providers to expedite payment processing and maximize revenue.

· Verifying insurance coverage and eligibility

· Generating and submitting Appeals to insurance companies in order to maximize reimbursement

· Following up on unpaid claims and denials

· Checking for missing and incomplete correspondence and creating action log for the same.

· Verifying the accurate denied amount while checking Epic and EIQ software

· Ensuring compliance with healthcare regulations and billing guidelines

· Collaborating with healthcare providers and insurance companies to resolve issues

· To ensures accurate recording of payments and adjustments

· To analyze denials, identify root causes, and resubmit or appeal claims as needed to maximize reimbursement

· To follow-up activities to track and resolve outstanding accounts receivable

· Involving with payers (Insurance) and patients if necessary to resolve claim discrepancies or unpaid balances

· Keep a track of outstanding balances after insurance payments for individual patients

· Performing escalated cases by reviewing the same and doing analysis

· Managed escalation matrix and response procedures effectively

· Coordinated project activities for a leading Canadian electricity and gas provider, ensuring timely completion of project milestones and deliverables

· Efficiently managed billing and invoicing processes within SAP IS-U, ensuring accurate and timely generation of customer bills for electricity and gas services.

· Managed and processed meter readings and meter data, ensuring accurate billing and consumption tracking for electricity and gas utilities

· Generated and analyzed reports on billing, payments, and meter data using SAP IS-U, providing insights for operational improvements and decision-making

· Working in Billing and market Management (MM), handling payments, invoices, reconciliation, and customer enrollment

· Process vendor invoices accurately and promptly

· Reconcile vendor statements to address and resolve any discrepancies

· Manage and organize vendor payment schedules, ensuring adherence to payment terms.

· Work closely with internal departments, including finance, procurement to secure the required approvals for efficient and accurate invoice processing.

· Conduct regular audits of accounts payable data to maintain accuracy and compliance

· Prepare and process electronic transfers and payments

· Handle inquiries from vendors regarding payment status and discrepancies

· Maintain and update vendor files and records

· Assist in month-end and year-end closing processes related to accounts payable

· Generate and analyze reports to support financial decision-making

· Provided training to new recruits regarding the process

· Handling escalated cases by reviewing and conducting analysis.

· Auditing cases performed by team members to ensure that quality targets are met.

· Ensuring that compliance training modules are completed by the team on time.

· Dealt primarily with residential mortgage held by high professional client.

· Ensuring data of the customer has been punched properly in the database

· Evaluate client's creditworthiness and review credit report along with income transcripts

· Examine appraisal report, loan application, closing document, Purchase/Sale contract land all other required disclosure in compliance.

· Insuring that all the data related production and team is punched properly in the database

· Consolidating team EOD report and forwarding it to my supervisor

· After my team completes the file I re-examine the file to make sure file accuracy before sending to client

· Checking eligibility criteria of loan on the basis of borrowers FICO score, payment history, collateral and other sources

Examining each document from origination to closing including address verification, Property appraised value and income verification