Open to opportunities

Dr Syed Muhammad Akber

@drsyedmuhammadakber

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Experienced healthcare management consultant specializing in medical claims auditing.

United Arab Emirates

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What I'm looking for

I am looking for a role that allows me to leverage my healthcare expertise while fostering a collaborative and innovative work environment.

I am a dedicated healthcare management consultant with extensive experience in medical claims auditing and administration. My career spans over a decade, during which I have honed my skills in coordinating with medical staff, managing budgets, and ensuring compliance with healthcare regulations. I am passionate about improving healthcare processes and delivering quality services to clients.

Throughout my tenure at Affordable Management Consultancy LLC, I have successfully streamlined operations, resulting in a 12% reduction in clinical expenses. My role involved overseeing electronic healthcare records and ensuring accurate billing practices, which are crucial for efficient claims processing. I have also led audit teams at Daman National Insurance Company, where I trained auditors and improved the overall audit process, ensuring adherence to medical ethics and professionalism.

With a strong educational background, including an MBA in Healthcare Administration and multiple certifications in medical coding and auditing, I am well-equipped to tackle the challenges in the healthcare sector. I am committed to continuous professional development and am eager to contribute my expertise to organizations that prioritize quality healthcare delivery.

Experience

Work history, roles, and key accomplishments

Current

Management Consultant

Current

Affordable Management Consultancy LLC

May 2020 - Present (5 years 1 month)

Coordinated with medical staff to ensure healthcare needs were met, assisted in budget monitoring, and governed electronic healthcare records. Ensured accurate billing and compliance with health insurance mandates.

Healthcare Management Medical Billing Electronic Health Records Compliance Monitoring Quality Assurance Team Coordination

Supervisor, Medical Investigation & Audit

Daman National Insurance Company

Sep 2013 - Jul 2018 (4 years 10 months)

Participated in audit planning and execution, managed complex cases, and communicated findings to providers. Led audit teams and ensured compliance with medical ethics.

Audit Plans Compliance Team Leadership Documentation Evidence Based Auditing

Senior Medical Authorization Officer

Daman National Health Insurance Company

Feb 2012 - Aug 2013 (1 year 6 months)

Led the authorization request processing team, monitored productivity, and ensured compliance with medical necessity guidelines for approvals and rejections.

Authorization Team Leadership Compliance Monitoring Productivity

Senior Medical Review Officer

Daman National Health Insurance Company

Nov 2008 - Feb 2013 (4 years 3 months)

Managed daily claims administration, evaluated claims for eligibility, and coordinated with international providers for direct billing.

Team Coordination Process Improvement

Administrative Director

Excellency Group of Companies

Examined organizational efficiency and profitability, provided improvement suggestions, and managed healthcare administration with a focus on reducing expenses and enhancing staff confidence.

Budget Management Team Leadership

Education

Degrees, certifications, and relevant coursework

American Medical Association

Certified Healthcare Medical Auditors, Healthcare Auditing

2017 - 2017

Earned certification as a Certified Healthcare Medical Auditor, validating expertise in auditing healthcare services and compliance.

American Association of Professional Coders

Certified Professional Coder - Payer, Medical Coding

2014 - 2014

Achieved certification as a Certified Professional Coder - Payer, demonstrating proficiency in coding and billing processes within healthcare.

Atlanta University

Master of Business Administration, Healthcare Administration

2010 - 2012

Pursued an MBA in Healthcare Administration, focusing on management principles, healthcare policies, and operational efficiency in healthcare settings.