MOHAMMED SAALEM SHAIKH
Quality Specialist
Mumbai
Summary
Seeking a position where my extensive experience will be further developed and utilized with strong interpersonal, organizational, leadership skills and an award-winning educational background with a keen ability to multitask a variety of challenges and responsibilities. Looking for a position where i can integrate strategies to develop and expand the market unit of the business in a better ways.
Overview
7
7
years of professional experience
Work History
Quality Specialist
Health Prime Services Pvt Ltd.
4 2022 - Current
- Implement and monitor, preventative and corrective actions to maintain quality assurance standards
- Conduct weekly briefing with the team to share areas of improvement
- Led inspection meetings, liaising with representatives from appropriate departments to establish action plans
- To work with personal information and maintain patient confidentiality
- Identify and retrieve defects within the production process
- Facilitate day-to-day quality inspections and maintain related documentation
- Perform BQM to ensure individual level performance improvement
- Develops materials and process documentation to provide training
- Perform RCA and provide inputs to operations on training and refresher requirements.
Senior Account Receivable Associate Facilities
Gebbs Health Care Solutions Pvt Ltd.
10.2020 - 01.2022
- Identify billing errors and resubmit claims to ensure
- Follow up on payment errors, low reimbursement and denials
- Review insurance EOB's and initiate appeals as necessary
- Acquire demographic reimbursement data for patient care
- Maintained medical record and revenue cycle activities
- Inspected claims status as per their suspension and denials
- Enhanced and strengthened relationships with new and existing accounts to drive revenue growth
- Supported the team in process improvement initiatives
- Follow Health Insurance Portability and Accountability Act 1996 (HIPPA).
Warehouse Assistant ( Acting Supervisor )
Amazon Warehouse
02.2017 - 03.2018
- Received, Moved, Ensured and Stored Incoming goods
- Packed and labeled products before they are dispatched
- Picked, packed and dispatched high-volume orders, consistently exceeding warehouse performance targets
- Ensured the goods are correctly received or dispatched in accordance within established service standards
- Reported issues and damages to senior warehouse staff, enabling prompt and effective resolutions
- Responsible for all breaches related to logistics operations
- Responsible for Handling Staffs, Equipment's, Customer queries and Complain.
Education
Bachelor's In Management Studies -
Mumbai University
Higher Secondary School Certificate - undefined
Maharashtra State Board
Secondary School Certificate - undefined
Maharashtra State Board
Skills
Communication Skillsundefined
Accomplishments
- Awarded as the best team player while working in the operations department
- Achieved high flyers during the pandemic for the resolution of high dollar value claims
- Attended Seminars under the guidance of Six Sigma Certified
- Always being an assistance to the operations teams
- Awarded with appreciation by the operation team while assisting with solutions to various tasks
- Facilitated the operations department being a quality person due to backlog issues
- Acquiring downloads from the client. Analyzing and cascading to the operations team.
Personal Information
- Date of Birth: 07/09/1997
- Nationality: Indian
- Marital Status: Married
- Hobby : Learning, Web Surfing, Listening Music
- Known Languages : English, Hindi, Marathi & Urdu
- UAE Mobile No: 0556178699/0522588852
- Passport : Yes.
Projects
Eligibility And Benefits Verification: 30 Days
Where i use to check the patient eligibility and benefits information through website.
After cross verification tasking that query to responsible department for the next step.
Resolution On Client Escalations: Depend upon the escalations
Identified and resolved the client escalations which results in the revenue of client for around $10,000.
Preventive Measures For Enhancing The Quality: 60 Days
Perform various functions to enhance the quality of the process and for it's smooth functioning.
Disclaimer
I hereby declare that all the above mentioned information given by me is true and correct to the best of my knowledge and belief.
Timeline
Senior Account Receivable Associate Facilities
Gebbs Health Care Solutions Pvt Ltd.
10.2020 - 01.2022
Warehouse Assistant ( Acting Supervisor )
Amazon Warehouse
02.2017 - 03.2018
Quality Specialist
Health Prime Services Pvt Ltd.
4 2022 - Current
Bachelor's In Management Studies -
Mumbai University
Higher Secondary School Certificate - undefined
Maharashtra State Board
Secondary School Certificate - undefined
Maharashtra State Board
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