SKILLS
Ability to work effectively as part of a team, collaborating with colleagues to
achieve common goals.
Skill in identifying and resolving operational challenges on the floor.
Capacity to adjust to changes and respond effectively to unexpected situations.
MOHAMMED
Effective time management skills to ensure tasks are completed efficiently and in
a timely manner.
Capacity to handle multiple tasks and provider interactions simultaneously during
IDREES peak hours.
WORK EXPERIENCE
Work Experience- First Source Pvt Ltd
Pulling the claims Via Clearing House, Verification data such as eligibility, authorization,
and a solid foundation in denial management for Medicare COB claims and contracts
(Copay, Co-insurance, and Deductible) releasing the money Modifying the part on
payments CMS1500 For Outpatient, Inpatient (skill 1, 2, and 3) is the form type.
Processing the claims in accordance with the article's instructions Giving Junior
Association complicated jobs direction and help Assigning assignments and managing
team resources Managing the staff, answering questions, and making sure deadlines
were met Effectively handled accountability issues and ensured that the client was
satisfied.
Work Experience- GeBBS HealthCare Solutions.
PROFILE
In my professional role, I am responsible for evaluating insurance claims submitted by
healthcare providers on behalf of patients. After a patient receives medical treatment, the
1. Seeking a challenging position in specific provider bills the insurance company for the services rendered. It is my duty to
meticulously review each claim to ascertain if it aligns with the coverage provided by the
field where I can utilize my skills and patient's insurance plan.
contribute to the company’s success.
In some cases, the insurance company may choose to deny a claim, stating specific
2. To secure a specific role that allows for reasons for the denial. When this occurs, I am tasked with the critical role of assessing
professional growth while providing the the validity of the denial. It is essential to determine whether the denial is justified or if
opportunity to apply my expertise in specific there has been an error.
skills. If I identify that a claim has been denied incorrectly, I must communicate this finding to
3. Aiming to leverage my number years of the healthcare provider. I must request a review of the claim and advocate for its
reconsideration. The goal is to ensure that the provider is appropriately compensated for
experience in industry to help company the services rendered to the patient, in cases where the denial was unjustified.
name achieve its goals.
4. To obtain a position that encourages Additionally, I worked on provider credentialing and set up the providers' direct deposits
and EFT payments and Cash Postings.
growth and development in specific area,
while making a positive impact on the team.
5. Seeking a dynamic role in industry where I
can apply innovative solutions and enhance
team performance.
6. To contribute to company name with my
strong skills in skills and a commitment to
excellence
PHONE:
+919396330150
LINKEDIN:
https://www.linkedin.com/in/mohamm
ed-263b79276 EDUCATION
EMAIL-
Idduhoonyaar@yahoo.com
BACHELOR OF BUSINESS ADMINISTRATION.
(2021-2023)
Intermediate- Sri Chaitanya Jr. College. (2019-
2020)
MAHA GYAN HIGH SCHOOL. (2018)
