IA
Ijaj Ahmed
Senior Executive AR and Analyst
Dubai, United Arab EmiratesWork Experience
Senior Executive AR and Analyst
AGS Health Private Limited
Mar 2024 - Nov 2024 -8 months
United Arab Emirates
- Job Details:Supervised a team of 10 claims specialists, providing guidance on complex claim resolution and payer communication strategies. Conducted training sessions for junior staff on effective claim follow-up practices, billing error prevention, and payer escalation procedures. Resolved high-value or escalated claims by liaising with payer representatives, resulting in expedited payment and increased revenue recovery. Ensured compliance with insurance payer policies, HIPAA regulations, and industry standards across all claim processing activities. Expert in using claims management software Epic to process, track, and resolve claims efficiently. Ensured timely follow-ups on outstanding claims, reducing accounts receivable aging.
Allysmart Business Solutions
Aug 2021 - Mar 2024 -2 yrs, 7 months
United Arab Emirates
- Job Details:Contacted insurance payers to obtain status updates on claim submissions, ensuring timely resolution of outstanding claims. Verified claims adherence to payer policies and addressed discrepancies to prevent denials. Conducted thorough verifications of insurance coverages, ensuring accuracy of policy details and eligibility for services rendered. Analyzed and resolved various claim denials, including eligibility, coding, authorization, and coverage-related rejections. Conducted timely follow-ups with payers to appeal and overturn denied claims.
Education
Bachelor's Degree in Marketing and Systems
Madras UniversityJan 2021 - Jan 2023 - 2 yr
Bachelor's Degree in General
Jamal Mohamed CollegeJan 2018 - Jan 2021 - 3 yr
Skills
Languages
English
BeginnerTamil
Beginner