Summary
Overview
Work History
Education
Skills
Software
Timeline
Hi, I’m

Mohammed Faiz Mulla

RCM Executive (US Healthcare) / Insurance Coordinator
Sharjah
Mohammed Faiz Mulla

Summary

Dedicated and results-driven professional with a passion for contributing to organizational success. Seeking opportunities to leverage skills and experience to improve operational efficiency while continuously pursuing personal and professional growth. Always ambitious and constantly set goals for myself which helps to expand skills and experiences. Seeking a healthcare management role to leverage 5+ years of experience in US Healthcare (RCM) / Insurance Coordinator for process improvement and revenue optimization. Proven expertise in resolving complex claims, reducing denials, and leading teams to deliver results.

● I have 5 years and 6 months of experience in the Healthcare industry, specifically in the US Healthcare Revenue Cycle Management (RCM), as well as 3 months of experience in Event Management.
● My experience in US Healthcare as Insurance Coordinator includes resolving various types of medical claims which include Physician and Hospital Claims, and managing claims that have been unpaid or denied by insurance companies. I
worked on behalf of doctors to seek payment resolutions.
● In Event Management, worked for a contracted agency and handled various aspects of operations.

Overview

5
years of professional experience

Work History

EClinicalWorks Pvt Limited
Mumbai

RCM Executive
07.2021 - 10.2022

Job overview

  • I have experience working with end-to-end client perspectives.
  • Managed operations in various specialty Clinics.
  • In main part of my role, I successfully handled high-dollar value claims (+$1000) and high-aging claims (75+ days).
  • Consistently maintained high productivity and delivered 100% quality work.
  • Gained comprehensive knowledge and proficiency in utilizing Trizetto ( TPS ) clearinghouse platform.
  • Possess strong coding-related knowledge, including proficiency in CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems, ensuring accurate and compliant medical billing processes.
  • I used to verify upcoding and downcoding of E&M Codes by reviewing medical records as sometimes it is caused due to coding errors.
  • Proficient in crafting appeals and transmitting them to respective addresses for resolution, ensuring timely and effective claims reconsideration.

Bizmatics INC Pvt Limited
Navi Mumbai

AR Associate
06.2019 - 07.2021

Job overview

  • Accrued experience in managing various medical specialties, in which concurrently oversaw 3 to 4 different doctors' clinics.
  • My responsibilities included AR follow-ups, overdue task management, and denial resolution.
  • Prepared daily claims allocation files and overdue task reports as part of my routine tasks.
  • Specialized in resolving High Aging Claims (120+ days).
  • Consistently maintained weekly team reports and client reports.

Gebbs Healthcare Solutions
Navi Mumbai

AR Associate
10.2017 - 06.2019

Job overview

  • Accumulated knowledge in various areas, including Denials, Rejections, Payment Posting and Appeals, with particular focus on Denials as primary area for prominent resolution.
  • Maintained daily allocation reports.
  • Prepared Client Report for daily and weekly review with 100 % accuracy.
  • Served as Line Trainer for 9 months, responsible for training new employees.
  • Conducted software training and on-the-job training assessments for new team members.
  • Furthermore, I had opportunity to lead and manage Cerner Process Team for duration of 6 months, where I played pivotal role in optimizing operational efficiency and team performance.
  • Overseeing team of 20 employees, providing guidance, support, and mentorship to ensure team cohesion and productivity. Implementing strategic process improvements that resulted in noticeable increase in productivity and reduction in errors.
  • This experience allowed me to hone my leadership, team management, and problem-solving skills, contributing to team's overall success and achievement of key performance metrics.

Education

Satyagraha College
Kharghar, Navi Mumbai

Bachelor of Science from IT
08.2017 - 2020.11

ICLES Motilal Jhunjhunwala College
Vashi, Navi Mumbai

HSC
07.2012 - 2014.06

Skills

    Time management skills

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Software

Photoshop

HTML

MS Word

Advanced Excel

MS Powerpoint

Salesforce

SAP

Trizetto (TPS)

Availity

Optum

Navinet

Timeline

RCM Executive

EClinicalWorks Pvt Limited
07.2021 - 10.2022

AR Associate

Bizmatics INC Pvt Limited
06.2019 - 07.2021

AR Associate

Gebbs Healthcare Solutions
10.2017 - 06.2019

Satyagraha College

Bachelor of Science from IT
08.2017 - 2020.11

ICLES Motilal Jhunjhunwala College

HSC
07.2012 - 2014.06
Mohammed Faiz MullaRCM Executive (US Healthcare) / Insurance Coordinator