Pattan Mohammad Rafi
Deputy Billing Manager
KENYA
Summary
To join an established business where my medical billing skills, customer service skills, knowledge, analytical skills, training/instructing skills and problem solving capabilities will contribute to the profitability and efficiency of team.
Overview
9
9
years of professional experience
2
2
Certifications
Work History
Deputy Manager Billing
Lifecare Hospitals
04.2023 - Current
- Oversee the billing process and ensure accurate and timely invoicing of clients
- To coordinate with pricing cell and IT for HIS integration and development related issues
- Manage a team of billing specialists and provide leadership and support as needed
- Develop and maintain billing policies and procedures to ensure compliance with regulatory requirements
- Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals
- Review and analyze billing data to identify trends and areas for improvement
- Collaborate with other departments, such as finance and customer service, to ensure smooth and efficient billing operations
- Respond to billing inquiries and resolve billing issues as needed
- Prepare and present billing reports to senior management
- Advise staff on proper, legal parameters for collections practices
- Admission files audit
- Billing audit
- Monitors reports to ensure clean claims submissions
Billing Executive (Promoted as Insurance & Corporate Manager)
Manipal Hospital
07.2021 - 03.2023
- Manage daily operations of billing & insurance department.
- Answer customer questions regarding problems with their billing.
- Developed strong relationships with patients thru strong communications and effective follow up.
- Work with providers to ensure that correct diagnosis/procedure codes are reported to third party insurance.
- Contact insurance companies to check on status of claims payments and denials, write appeal letters for claims when necessary.
- Looking after all insurance and billing queries.
- All Insurance Estimations with proper guidance.
- Handling all Corporate patients (ECHS, NAL, IOCL, NIMHANS, BHEL, KSFC) and other corporates.
- Successfully handled all the billing+ insurance within the company.
- Processing and getting for pre auth and discharge approvals.
- Looking after Dispatch queries.
- Awards given by Manipal Hospitals -
- PRIDE AWARD
- On 2021.
- Awards given by Manipal Hospitals
- APPRICIATION AWARD
- On 2022.
Executive Domestic & International Billing & Operations
Aster RV Hospital
02.2020 - 07.2021
- Registration.
- OP billing.
- IP billing.
- Queries handling.
- Admission.
- Discharges of Daycare and Inpatient.
- Maintaining TAT for admission and discharges.
- Handling Operational Issues.
- Outstanding Follow-up and collection of payments.
Executive Domestic Billing & International Billing
Cytecare Cancer Hospitals
07.2019 - 02.2020
- Handled everything in Domestic cash and all insurance patients.
- Done as Night MOD.
- Handling collection and depositing to Bank.
- Maintaining all Records and Tariff.
- Collection of dollars.
- Corporate discharges.
- Outstanding follow up.
- Estimations.
Executive International Billing
HCG Hospital (HealthCare Global Enterprises Ltd)
08.2017 - 07.2019
- Handled all in-patient and outpatient Billing for International Patients.
- Handled Dollars.
- Revenue Closure.
- Maintained the record of HCF Payments.
- International Patient Coordination.
- Maintaining the all bill summaries.
- Handled all cash and Insurance patients.
- Handled Insurance Queries like Surgery Estimation, Pre-auth queries and Denial Management.
- Generating Monthly Discount Reports.
- Handled Discharge related patient queries smoothly without effecting to the goodwill of the organization.
- Outstanding Follow-up and collection.
- GOP Follow-up.
Education
MBA - HR & FINANCE
SRI VENKATESHWARA UNIVRSITY (SVU)
01.2020 - Current
Bachelor's Degree - COMMERCE
BHARATHI DEGREE COLLEGE
ANDHRA PRADESH 06.2014 - 01.2017
Pre-University - Commerce
Board of Intermediate Education
PILER SSLC - School
Board of Secondary Education
Skills
Professional Billing
Insurance Billing
Team leadership
Customer relationship management (CRM)
Hospital software
Operations management
Cost control
Passport Number
P3411515, 06/28/26
Personal Information
- Father's Name: P Sathar Saheb
- Date of Birth: 06/19/97
- Marital Status: Married
Certification
Awards given by Manipal Hospitals PRIDE AWARD on 2021
Timeline
Deputy Manager Billing
Lifecare Hospitals
04.2023 - Current
Billing Executive (Promoted as Insurance & Corporate Manager)
Manipal Hospital
07.2021 - 03.2023
Executive Domestic & International Billing & Operations
Aster RV Hospital
02.2020 - 07.2021
MBA - HR & FINANCE
SRI VENKATESHWARA UNIVRSITY (SVU)
01.2020 - Current
Executive Domestic Billing & International Billing
Cytecare Cancer Hospitals
07.2019 - 02.2020
Executive International Billing
HCG Hospital (HealthCare Global Enterprises Ltd)
08.2017 - 07.2019
Bachelor's Degree - COMMERCE
BHARATHI DEGREE COLLEGE
06.2014 - 01.2017
Pre-University - Commerce
Board of Intermediate Education
SSLC - School
Board of Secondary Education