Aya Osman
Dubai
Summary
Certified Medical Billing Specialist with 5+ years of experience in fast-paced, multiple-client medical billing companies serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
SiPARADIGM DIAGNOSTICS INFORMATICS
09.2022 - Current
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Operations Specialist
Zollect
04.2019 - 07.2021
- Verifying claims and handling medical billing
- Communication with insurance companies to discuss the claim denial reasons
- Check the medical provider claims verification to make sure it is submitted correctly to the insurance
- Calling insurance companies for collection and follow up on denied claims
- Research new laws and rules issued by insurance companies and updating the system.
- Provided training for new hires, fostering a supportive learning environment conducive to success in their roles.
- Assisted various departments with change by communicating new improvement plans and expectations.
- Identified company objectives by analyzing feedback, observing consumers and collecting surveys.
- Generated reports detailing findings and recommendations.
Medical Billing Specialist (MSI and AMICAS Collection Departments)
Northern Rhode Island Medical Care
07.2007 - 09.2009
- Posts third-party insurance remittance vouchers and demographics
- Follows-up with third-party insurance carriers on unpaid claims ensuring that only self-pay balance remains
- Monitors claims for missing information, authorization, or control numbers
- Keeps an update on all third-party billing requirements and changes of insurance types within their area of responsibility
- Secures and follows-up on needed medical documentation requested by third-party insurance
- Processes rejections by either privatizing accounts through issuing rejection letters or demanding to resubmit claims to third- party insurance carriers
- Demonstrates knowledge of, and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and code
- Maintains confidentiality of all information
- Completes work within authorized time to assure compliance with departmental standards.
Education
Bachelor of English Literature -
Faculty of Arts, Ain Shams University
01.2007
Futures Language School
01.2003
Skills
- Computer basics
- Microsoft Office Applications
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- Patient Billing
- Denial Management
- Bill payment
- Data Entry
- Customer Service
- Accounts Receivable
Languages
Arabic
English
Personal Information
- Date of Birth: 11/07/85
- Nationality: Egyptian
- Marital Status: Married
References
Furnished Upon Request
Timeline
Medical Billing Specialist
SiPARADIGM DIAGNOSTICS INFORMATICS
09.2022 - Current
Operations Specialist
Zollect
04.2019 - 07.2021
Medical Billing Specialist (MSI and AMICAS Collection Departments)
Northern Rhode Island Medical Care
07.2007 - 09.2009
Bachelor of English Literature -
Faculty of Arts, Ain Shams University
Futures Language School
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