Ubaid Ur Rehman

• Evaluate and monitor provider's performance and financial performance of contracts.
• Schedule and coordinate partnership meetings with hospital insurance/ RCM teams.
• Oversee provider relations representatives assigned to territories.
• Review and develop provider networks to meet ongoing membership needs including but not limited to;

- Networks Strategy.

- Provider Identifications.

- Relationship development.

- Contract Negotiation and execution.

• Develop and maintain a provider manual and provider services policies.
• Orient and train providers regarding the company's operation
• Conducting monthly meetings with providers to ensure smooth contractual partnerships with groups.

• Assist the Insurance Coordinator to source insurance approvals.
• Contact Insurance companies for verbal approvals as required.
• Provide advice on insurance policies and coverage to clients.
• Prepare cost estimates for various out-patient and in-patient cases.
• Establish and maintain the approval files for smooth resubmissions.
• Assist the Insurance Manager to manage reconciliation-related issues.
• Review pending cases and follows up on these to ensure swift resolution.
• Communicate between doctors and Insurance Companies when required.
• Updating Insurance Manager about denials/issues from Insurance companies.
• Coordinate with external and internal clients for approval-related information.
• Review and distribute the pre-approvals to concerned departments effectively.

• Prepared financial statements, footnote disclosures and management letter.
• Appropriately conducted digital and manual audit using EY canvas & Helix.
• Assisted teams with engagement administration including audit programs.
• Applied technical skills and completed audit tasks under tight deadlines.
• Accomplished segments of audits, compilations, verification and reviews