Mohammed Ishaque

Technical Expertise: Over 2 years of hands-on experience in cloud platforms, programming, and DevOps.

Healthcare Billing Excellence: Dedicated Customer Support professional with 3+ years of experience as an AR Associate in the US healthcare industry. Proven expertise in managing accounts receivable processes, resolving billing inquiries, and ensuring compliance with healthcare regulations. Adept at providing excellent customer service while maintaining a strong focus on accuracy and attention to detail.

Adept at collaborating with cross-functional teams and leveraging technical skills to deliver optimal business outcomes.

Senior Associate KPO at Atos Syntel International Pvt Ltd (2024-03 – Present)

Working as a Senior Associate handling hospital claims for Texas and Florida clients with focus on resolving top-dollar and higher-dollar accounts.

• Working as a Senior Associate handling hospital claims for Texas (TX) and Florida (FL) clients
• Focused on resolving top-dollar and higher-dollar accounts as a priority, ensuring maximum recovery and timely resolution
• Managed medium- and low-dollar accounts as secondary priorities, maintaining efficiency across all claim categories
• Achieved a consistent 100% production target while maintaining 98% quality standards, ensuring accuracy and efficiency in claim processing
• Conducted root cause analysis to identify denial trends and implemented corrective measures to minimize future issues
• Prepared appeals and tracked their status to ensure claim reprocessing and payment success
• Enhanced hospital reimbursement processes by ensuring accurate and timely claim submissions
• Mentored new hires in denial management workflows, improving team efficiency by 20%

AR Associate at Hiba Business Solutions Pvt Ltd (2021-08 – 2024-03)

Worked for a US healthcare company in the US shift, managing accounts for Illinois and California clients with expertise in end-to-end physician billing.

• Worked for a US healthcare company in the US shift, managing accounts for Illinois (IL) and California (CA) clients
• Achieved 100% production targets while maintaining 98% quality standards, ensuring accuracy and timely processing of claims
• Led a team of 4 employees, providing guidance, support, and performance monitoring to ensure optimal results
• Specialized in end-to-end physician billing using the CMS 1500 form, handling all aspects from claims submission to final payment
• Successfully reimbursed over 10,000 claims for COVID PCR and Antigen tests, ensuring compliance with payer guidelines and maximizing reimbursements
• Expertise in handling provider portals and websites to retrieve claims, check benefits and eligibility, and obtain required information to process claims efficiently
• Managed a portfolio of over 1,000 healthcare accounts, ensuring timely payments and resolving discrepancies
• Negotiated with insurance providers to secure reimbursements, recovering $500,000 in underpaid claims
• Delivered exceptional customer service, resolving 98% of client queries on the first contact

Bachelor's degree in Computer Science / IT – C. Abdul Hakeem College of Arts and Science (Autonomous) (2021-05)

Certification Program in Advanced Certification in Cloud Computing and DevOps – IITM (Intellipaat) (2023 – 2023)