MT
Mohammad Tahezeeb
Senior Denial Management Specialist at 3AG Solutions
United Arab EmiratesWork Experience
Senior Denial Management Specialist
3AG Solutions
Feb 2023 - Present -1 yr, 11 months
- Job Details:Managed a part of team of 10 denial management specialists to secure payments more than $2.5 million every month on aged inpatient accounts. Managed another part of team of 10 claims officers to resolve claims that were denied by federal and state insurances due to enrollment issues. Trained staff to resubmit claims with denials related to coding, patient demographics, coordination of benefits and initial level billing issues.
3AG Solutions
Oct 2022 - Feb 2023 -4 months
- Job Details:Prepared detailed reports of updated guidelines and provided recommendations to operations team and client for process improvements. Provided training and support to staff on quality standards and best practices per client and regulatory compliance.
3AG Solutions / Omega Healthcare Pvt Ltd.
Nov 2018 - Feb 2023 -4 yrs, 3 months
- Job Details:Resubmitted corrected claims and appeal letters, ensuring resubmission within the insurance deadlines. Analyzed denied claims and identified the root causes for non-payment or partial payment. Monitored claim status via insurance portals and updated the system with resubmission details.
Education
Bachelor's Degree in Financial Management & Taxation
upendra pai memorial collegeJan 2015 - Jan 2018 - 3 yr
Skills
- Adaptability
- Claims resubmission & follow-up
- Insurance verification & pre-authorization
- Denial analysis & appeals management
- Reimbursement strategies
- Healthcare compliance & regulatory guidelines
- Data Analytics & Reporting
- Revenue Cycle Management (RCM)
- Root cause analysis and resolution
- Effective communication
Languages
Hindi
FluentUrdu
FluentEnglish
Advanced