Shumaila Ibrahim

About Shumaila Ibrahim

I have a great experience on rejections claims like Home Health claims rejection, Professional claims rejection, and Hospital claims rejections. Please see below my medical billing background. I have extensive experience in US medical billing (RCM Complete medical billing - Physician billing) have handled & worked on multiple specialties (Internal Medicine, Orthopaedic Surgery, physical therapy, Allergy & Immunology, Anaesthesia, Behavioural Health, Cardiovascular Surgery, Cardiology, Chiropractic, Colon & Rectal Surgery, Critical Care, Dermatology and more) with a proven track record. During this period I have learned a lot of medical billing services skills and contribute to the growth of my skills. Medical Billing Services: Revenue Cycle, Healthcare, Medical Billing, Accounts Receivable, EMR, Health Insurance, Healthcare Consulting, Healthcare Industry, Healthcare Information Technology, Healthcare Management, Hospitals, Managed Care, Management, Medicaid, Medical Coding, Medicine, Mergers, Outsourcing, Performance Improvement, Physician Relations, Process Improvement, Revenue Cycle Management, Start-ups, Strategic Planning, Surgery Our dedicated services include: Fee Schedule Reviews and Analysis Eligibility Verification Assistance with EDI, ERA, and Provider Enrolment Electronic and Paper Claims Submission Account Receivables Management Secondary Insurance Billing Incoming Patient Calls Old Account Receivables Recovery Referral and Authorization Alert Charge Entry – All Specialties Posting of Insurance and Patient Payments Extensive Insurance Follow Up Patient Statement Processing and Mailing Denial Review and Management The appeal of all Denied or Low Paid Claims Management Reports Contact :(87••••••07 Email : i•••@mdzoneglobalsolutions.com Website:

Experience

1. Medical Billing and Coding and Business Development

   Mdzone Global Solutions Llc

   Jan 2021 — Present

   Recently I had worked on dental specialty, internal medicine, orthopaedic Surgery and physical therapy where I was handling their entire billing such as patient demographics entry, charge entry, claims submission, insurance and clearinghouse rejections, insurance verification, AR follow up, denial management, appeals, obtaining Authorization, etc. where I had given 100% accuracy.Let me know if you need any assistance in Medical billing.As per my experience and skills, my services are:• Professional Billing• Dental billing• Institutional Billing• Eligibility and Benefits verification• Electronic and Paper Claims Submission• Prior Authorization approval before services rendered• Rejection Management• Create appointments on scheduler while receiving patient calls• Payment Posting• Full patient demographics and charge entry• Patient Statement Generation• Insurance claims submission (primary, secondary or tertiary)• Credit Balance Services• Provider Credentialing and Enrollment Services• Worker\'s Comp/ No-Fault Billing (HCFA-1500, C4.2)• Tele Medicine & TeleHealth Billing• Lab Billing (UDT Screening and Confirmative)• Revenue Cycle Management, Accounts receivable analysis, Collections, DAR and FTPR• Denial Management by strong follow-up• Handling patient/insurance/attorney calls• Appeals on denials via call, written, fax for reprocessing• Monthly and annual reports preparation• Custom reports where required• EDI setups/agreements within covered entities• Consulting/Training with practice staff• Super Bill Preparation, HIPAA Disclosure Forms, and other forms (where required)I have extensive experience working on healthcare billing software as mentioned below.• CureMD• Advanced MD• Triarq health glo• Allscripts• Collaborate MD• eClinical works• E-thomas• Dr. Chrono• Health fusion• Kareo• Athena ECW• Office ally• Prognocis• Aprima• Medisoft• A lot more learning