Kaleemullah M

About Kaleemullah M

Experienced Client Partner with a demonstrated history of working in the outsourcing/offshoring industry. Skilled in US Healthcare Provider Operations, Provider Management, Provider Credentials, Provider Enrollment, Data management, Medical Billing and RCM. Strong Operational Team Management Skills with six plus years of US In depth Provider Relations experience with a BCA focused in Computer Application from C Abdul Hakeem CollegeWorked with Multiple Clients US Based Projects supported many projects within a deadline commitment for Operations Team.Worked with multiple strategic Insurances (US Region)Responsible for end to end cycle of negotiation and post negotiation activitiesDoing regular follow-ups by Interacting with clients to ensure the deal is closed profitably in a timely mannerClient Management – Follow up on updates in daily bases and focused on client expectationsTeam Sprit, Ability to adopt & learn new technologies.

Experience

1. Client Consultant

   Smarter Technologies

   Aug 2021 — Present

   Hands on experience in working as a team mentor with a head count of 15- Conducting Daily huddle to Team and whenever necessary- Ensure team achieves both Internal and Client SLA in terms of quality as well productivity- Focused on New Directives and SOP’sProviding the required mentoring to the new joiners of the process- Hands on experience in Epic and Athena and Citrix Tools- Optimizing organizational processes, quality measurement system to maximize businessresults- Taking complete ownership of the assigned AR inventory and DIS Reduction Plan- Providing quality work doing peer audit, meeting the client SLA- Rebilling Insurance and Patient- Regular follow up on denied claims- Physician Billing- Claims Authorization- Working on Appeals using various forms and Claim Submissions when required- Routing Claims to desired department based on final status- Maintaining the reports, analysis, finding out issues, escalating issues, suggestingresolutions

Education

• Islamiah Boys Higher Secondary School, Melvisharam

  Computer Science

  2006 — 2013

• Seema English High School, Banglore

  School , Student

  1999 — 2005

• SRM Institute

  DCA , Computer Application

  2012 — 2012

• C Abdul Hakeem College

  BCA, Computer Application

  2013 — 2016

Skills

• Html
• Software Installation
• Visual Basic
• Javascript
• Microsoft Office
• Open Source Software
• Sql
• Microsoft Powerpoint
• Customer Service
• Mysql
• Gimp
• Public Speaking
• Microsoft Word
• C++
• C
• Microsoft Excel
• Software Testing
• Windows
• Teamwork
• Java
• Css
• Tally Erp