Nosheen S.
Islamabad, Pakistan
99%
Job Success
Top Rated Plus
Medical Billing Project Manager
$35.00/hr
To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement.
I have worked 20+ years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks.
As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. I have also visited US and visited doctors’ offices and hospitals to completely know about their processes.
a) Medical Billing Services includes the following:-
- To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.
- Create appointments on scheduler while receiving patient calls
- Full patient demographics and charge entry
- Insurance claims submission (primary, secondary or tertiary)
- Accounts receivable analysis with corrective and preventive actions and decision making for Collections
- Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
- Patient billing inquiries as per received information from provider office
- To check claim status from insurance, websites, auto response unit and via live calls.
- To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge
- ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding
- Daily, Monthly and annual AR Financial reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Consulting/Training
- Super bill review
- Appeals
(b). Medical Coding
- To research the right DX and CPT code according to medical records
- Provide right DX pointers for the first time to avoid payment delays
- Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version
(c). Specialties
Anesthesiology
Cardiology
Chiropractic
Dermatology
Emergency Medicine
Endocrinology
Family Practice
Gastroenterology
General surgery
Geriatrics
Gynaecology and obstetrics
Internal Medicine
Pneumology
Orthopaedic
Otolaryngology
Pathology
Pediatrics
Physical Medicine and Rehabilitation
Physical Therapist
Psychiatry
Neurology
Radiology
Radiotherapy
Rheumatology
Urology
Work history
Medical Billing Insurance A/R Specialist
May 23, 2022
-
Mar 12, 2024
"I am reaching out to provide feedback on the outstanding performance of Nosheen during her tenure as an AR Specialist with our company. Nosheen has consistently showcased exemplary professionalism, autonomy…
Private earnings
US health insurance claim expert - must be based within the US
Jul 1, 2021
-
Jan 5, 2024
Private earnings
Project Manager for Medical Billing, Coding and Clearing House Integration and Testing
Nov 6, 2023
-
Dec 11, 2023
No feedback given
Private earnings
Performance Metrics for Restaurant Chains - Upwork enterprise client
Aug 6, 2022
-
Apr 18, 2023
Private earnings
Medical Billing Specialist
Sep 24, 2015
-
Oct 28, 2022
No feedback given
Private earnings
Research on CPT Code Descriptions - Upwork enterprise client
May 24, 2022
-
Oct 20, 2022
No feedback given
Private earnings
Hospital Chargemaster and billing consultant
Mar 23, 2021
-
Oct 6, 2022
Private earnings
Medical Billing Consultant
Mar 25, 2015
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Oct 3, 2022
No feedback given
Private earnings
ICD-10 Expert
Dec 22, 2014
-
Aug 1, 2022
No feedback given
Private earnings
Health Insurance Plan Information - Upwork enterprise client
Feb 11, 2022
-
Mar 30, 2022
No feedback given
Private earnings
Research Reimbursement, Codes & Practices for Nuclear Medical Imaging Procedure
Jan 21, 2022
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Present
Job in progress
Private earnings
Medical billing
Aug 5, 2021
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Present
Job in progress
Private earnings
Insurance Claims Research
Jun 21, 2021
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Present
Job in progress
Private earnings
Medical billing and RCM support - autism care
Jun 18, 2021
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Present
Job in progress
Private earnings
Virtual Assistant for Medical Billing
May 21, 2021
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Present
Job in progress
Private earnings
MEDICAL BILLING, CODING AR (DERMATOLOGY) Help improve our billing and collections
May 4, 2021
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Present
Job in progress
Private earnings
Experienced Medical Coder and BIller
Mar 23, 2021
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Present
Job in progress
Private earnings
Medical Billing and RCM
Mar 18, 2021
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Present
Job in progress
Private earnings
Medical Billing and Coding
Feb 28, 2021
-
Present
Job in progress
Private earnings
Medical Billing Project Manager
Dec 30, 2020
-
Present
Job in progress
Private earnings
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Skills
- Microsoft Excel
- Insurance Document Production
- Insurance Policy Analysis
- Medical Billing & Coding
- Medical Records Software
- Medical Records Research