SAYYED SOHEL ANSAR
SR.AR Executive
35/4 Masjid Street, Hayath Nagar, Tirupattur
Summary
To seek a challenging assignment and a career in RCM industry to leverage and make the best use of my Analysis communication and teamwork, simultaneously allowing opportunities for professional growth with increased responsibility and personal satisfaction in my job and succeeding implementing ‘best practices and processes’ for the organization. Intend to build a career with leading organization & environment with committed & dedicated people, which will help me to explore myself fully and realize my potential. Willing to work as a key player in challenging &creative environment. I am looking for an opportunity to grow and learn as an eligibility or denial management
Overview
8
8
years of professional experience
1
1
Certification
4
4
Languages
Work History
Senior AR Executive
Access Healthcare
12.2023 - Current
- Processed and submitted medical claims efficiently, ensuring compliance with healthcare regulations and reducing claim rejections.
- Reviewed patient billing information for accuracy, minimizing discrepancies and ensuring timely reimbursement from insurance providers.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Senior AR Executive
OMEGA HEALTHCARE SOLUTION PVT LTD
12.2019 - 09.2023
- 1. Reviewing applications for eligibility to ensure they meet all program requirements 2. To Ensure the proper Plancode selection according to patients policy 3. Processing applications and ensuring accurate data entry into computer systems 4. Communicating with providers and payers to get the Coverage period and benefits. 5. Resolving issues and complaints related to eligibility 6.Having good knowledge in Revenue Cycle Management & Good. analytical skills. 7.Prioritize the pending claims for calling from the aging basket. 8.Escalate difficult collection situations to management in a timely manner.
AR Executive
GEBBS HEATHCARE PVT
08.2017 - 11.2019
- 1Reviewing applications for eligibility to ensure they meet all program requirements and credit balance over payment needs Tobe refunded 2. Identify root cause of the Patient Eligibility 3. Communicate with insurance companies regarding the Eligibility and benefits verification through calling insurance company or web portal. 4.Resolving issues and complaints related eligibility
Education
Degree BCOM - undefined
RASHTRIYA VISHWA VIDYAPEETH
MUMBAI01.2016
Higher secondary - undefined
global open education council
01.2013
SSLC - undefined
global open education council
01.2011
Skills
Word, Excel, Powerpoint, Outlook, Billing, Claims Processing
Achievements & Awards
IC Global Award in omega health care, Quarterly Star Award
Certification
. IC Global Award in omega health care . Quarterly Star Award
Interests
Playing video game, Active in social media
Software
Centre city
Intergy
Cerner
Epic
Timeline
Senior AR Executive
Access Healthcare
12.2023 - Current
Senior AR Executive
OMEGA HEALTHCARE SOLUTION PVT LTD
12.2019 - 09.2023
AR Executive
GEBBS HEATHCARE PVT
08.2017 - 11.2019
Degree BCOM - undefined
RASHTRIYA VISHWA VIDYAPEETH
Higher secondary - undefined
global open education council
SSLC - undefined
global open education council