Saqib G.
IslamabadPakistan
100% Job Success
Top Rated Plus

Certified Credentialing and Enrollment Specialist I Medical Billing I

Hello, I extend my best wishes for your well-being and health. My name is Saqib Gardezi, and I specialize in practice revenue recovery, credentialing and medical billing services with 99.9% successful result . Also, I am providing comprehensive credentialing services for all specialties like mental health and substance use disorder, dental, emergency rooms, diagnostic laboratories, home health and hospice, primary care physician and specialist clinics with a decade of experience in various states. My focus is on securing 100% in-network approvals with all insurance companies across any state, all at competitive rates. I am a research analyst ✅Medical Billing and Coding I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I have great experience working on the below-mentioned functions of Medical billing. ✅Patient Registration ✅Insurance Verification ✅Pre Authorization Request and verification ✅Charge Posting / Superbill review ✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier ✅Fixing Rejected Electronic claims ✅Checking clearinghouse reports (Phicure, Trizetto, availity and Navinet) ✅Provider PIN calling (for verifying provider TAX id, NPI, and billing address) ✅EOB and check search via websites and batches ✅Payment Posting of Insurance and Patient ✅AR Follow up on denied claims via call or websites ✅Appeal project ✅Collection / Refund / Over-Payment ✅Scheduling new patients Project Specialization ✅Credentialing & Enrollment Experience Practice and provider credentialing, re-credentialing with all US government, commercial, managed-care payers/insurances of any provider or practice specialty. ✅Medicare, Medicaid, Medicare & Medicaid plans and commercial insurance and plans enrollment ✅Follow up on submissions of all enrollment every week ✅Getting Type 1 and Type 2 NPI through NPPES registry ✅ERA and EFT enrollments ✅Contract negotiations and fee schedule settlements ✅CAQH up to date, NPPES up to date and weekly track the issues and communicate with front office and providers. ✅Provider Directory maintenance ✅Maintain spreadsheet with following dates tasks regarding progress enrollment follow-up. ✅Daily & Weekly basis provider communication regarding enrollment concerns, missing information, and latest updates on enrollments. ✅Providers and NP’s/PA’s Hospital affiliation paper work and approval with any of desired hospital ✅Software Experience (PM and EMR) Work Experience of Software I have work experience with the below software mentioned in medical billing. I have excellent grasping power, so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software. 1. Waiting Room Solutions 2. AdvancedMD 3. Zen desk 4. Xifin 5. Phicure 6. Trizetto 7. EZ Claim 8. Office Ally 9. Kareo 10. Simple Practice 11. Care Cloud 12. Brightree 13. Collaborate MD 14. Ipatient Care 15. Limbs ✅Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna 7. Molina (Medicare, Medicaid and marketplace plans) 8. Tricare 9. ChampVA 10. Humana 11. Guardian 12. Oxford 13. Workers Compensation Ability to control multiple assignments and tasks by identifying their level of importance • I have the ability to listen, writing and speaking effectively. • I have excellent interpersonal abilities that help me maintain a good relationship between my employer and colleagues. I am willing to be trained and open to learning new things. I am a fast learner and self-motivated. Looking forward to working with you
Work history

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Skills

Skills

  • Electronic Funds Transfer
  • Medical Mastermind Medical Billing Services
  • Medical Report
  • Medical Procedure Coding
  • Software
  • Medical Referrals
  • Telemedicine
  • Insurance
  • Insurance Claim Submission
  • Insurance Verification
  • Legal Practice Management

Get started working with Saqib quickly with these predefined projects.

Get started working with Saqib quickly with these predefined projects.

You will get Practice and provider Credentialing/Enrollment within 2 months on fast pace

From $4,000
70 days delivery

You will get ipatient care software billing, coding and denial management services

From $600
30 days delivery

You will get Kareo Expert Medical Billing, denial management and rejections

From $600
30 days delivery

You will get Diagnostic Lab Billing I Payment Posting I Denial actions I Credentialing

From $800
15 days delivery