Usman Darbar
Medical Billing & Insurance Specialist
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About
Detail-oriented and results-driven professional with 4 years of experience in medical billing and insurance, along with 1 year in international sales. Possessing a solid academic foundation in Accounting and Finance, with a strong skill set in operations, MS Office, and Google Suite. Seeking a position in operations where I can leverage my skills in process optimization, data analysis, and cross-functional collaboration to contribute to organizational success.
Experience
Medical Billing & Insurance Specialist - inventurus knowledge solutions
(2024-04)
- Eligibility verification: Confirming that the patient has valid insurance coverage by verifying policy status and coverage limits
- Insurance verification: Ensuring that the patient understands their financial responsibility by collecting details about their insurance eligibility and benefits
- Assessing medical necessity: Reporting the appropriate diagnosis codes and explaining why the service is required
- Ensuring accurate coding: Using the proper CPT code(s) for all treatment options
- Getting preauthorization for all procedures: Seeking prior authorization for all procedures, not just complicated ones
- Submitting detailed information: Providing the insurance company with medical records, diagnostic reports, treatment plans, and estimated costs
Medical Billing & Insurance Specialist - Infinx Healthcare Services Pvt Ltd
(2021-06 - 2024-04)
- Getting preauthorization for all procedures: Seeking prior authorization for all procedures, not just complicated ones
- Submitting detailed information: Providing the insurance company with medical records, diagnostic reports, treatment plans, and estimated costs
- Managed patient records and insurance documentation in compliance with privacy laws and company policies
- Analyzed billing data to improve claim accuracy, and provided detailed reports for financial planning.
International Sales Representative - Imetrix Solution PVT ITD. - Navi Mumbai, Maharashtra
(2019-11 - 2021-01)
- Managed international client accounts and developed strategies to increase sales across multiple markets.
- Communicated effectively with international clients to negotiate terms, finalize contracts, and maintain long-term relationships.
- Collaborated with the marketing and logistics teams to ensure smooth order fulfillment and customer satisfaction.
- Achieved a 20% increase in sales volume by identifying new market opportunities and tailoring sales pitches to different regions.
Education
Bachelor in Accounting and Finance - Accounting and Finance - Mumbai University (2019 - 2022)