Baber A.
Karachi, Pakistan
98%
Job Success
Top Rated Plus
Medical Billing Insurance AR & Verification & Credentialing
$12.00/hr
Greeting,
Certified HIPAA professional and Certified professional biller from AAPC and working in the medical billing Industry since 2014. I have 9 years of diversified experience dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centers, Hospitals (Profane - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centers and other solo practices.
CERTIFICATIONS: -
1. CPB (Certified Professional Biller)- AAPC
2. CPC (Certified professional coder)- AAPC
3. CCS- AIHMA
4. HIPAA Certification
5. Advance Excel and pivot
Skill Set and core Expert Area:-
-Account Receivable specialist
-Medical research writer, QA, and Regulatory pharmacist,
• Patient demographic entry
• Charge Entry in billing software
• Eligibility verification with payers
• Medical claim scrubbing.
• Claim submission to payers
• Primary, Secondary and tertiary payers claim to process.
• Denial Management, Emails, and calls handling
* Insurance and eligibility verification
• Account Receivable follow up
• Payment posting and adjustment management
• Patient billing for patient’s responsibility
• Customized financial reports.
• Scheduling calendar
I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances.
Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, Next Gen, Cerner, Practice Fusion, Ms. Office, Ms. Excel, ECW, JANEAPP, ADVANCEMD, DENTRIX, OPENDENTAL, CRITERION, THERANEST, SIMPLE PRACTICE, OFFICEALLY, AVAILITY and many others
Medical Billing :
I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up.
Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care.
Expertise:
#Account receivables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM
a) Medical Billing Services includes the following:-
- To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.
- Create appointments on scheduler while receiving patient calls
- Full patient demographics and charge entry
- Insurance claims submission (primary, secondary or tertiary)
- Accounts receivable analysis with corrective and preventive actions and decision making for Collections
- Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)
- Patient billing inquiries as per received information from provider office
- To check claim status from insurance, websites, auto-response unit, and via live calls.
- To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge
- ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding
- Daily, Monthly, and annual AR Financial reports preparation
- Custom reports where required
- Patient billing as per instructions
- Credentialing guidelines
- Consulting/Training
- Superbill review
- Appeals
(c). Specialties
Anesthesiology
Cardiology
Chiropractic
Dermatology
Emergency Medicine
Endocrinology
Family Practice
Gastroenterology
General surgery
Geriatrics
Gynecology and obstetrics
Internal Medicine
Pneumology
Orthopedic
Otolaryngology
Pathology
Pediatrics
Physical Medicine and Rehabilitation
Physical Therapist
Psychiatry
Neurology
Radiology
Radiotherapy
Rheumatology
Urology
Work history
Medical Credentialing and Billing Consultant
Aug 14, 2023
-
Dec 1, 2023
Private earnings
Medical Billing for acupuncture practice
Nov 4, 2023
-
Nov 24, 2023
Freelancer's response
"Yes disagree because she didn't allow me to add 2 hours and also all the feedback on quality and communication side are ridiculous as I communicate with her timely and…Private earnings
Need Medical Billing Credentialing Services for a Brand New Mental Health Clinic
Dec 27, 2022
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Sep 12, 2023
No feedback given
Private earnings
Acupuncture Practice Insurance Billing Specialist
May 8, 2022
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Jun 20, 2023
"We had Mr. Ali take over our Superbill generation for over one year. He did an excellent job understanding our needs and working with our small office, where communication is…
Private earnings
Build a Insurance Company Database
Feb 22, 2023
-
Mar 19, 2023
No feedback given
Private earnings
DME Billing Specialist for NYC Integra Partners with Bright Tree software
Jun 21, 2022
-
Feb 8, 2023
"I wanted to take a moment to express my gratitude for the exceptional work Baber and his team has done for me over the past few months. Your assistance with…
Private earnings
Healthcare Billing/ Collections Specialist
May 21, 2022
-
Feb 8, 2023
No feedback given
Private earnings
Kareo AR and credentialing
Oct 6, 2022
-
Feb 3, 2023
"Pleasure to work with."
Private earnings
Credentialing follow through for start up practice
Nov 28, 2022
-
Dec 8, 2022
"He is amazing. Super responsive, professional, and knowledgeable. His team is patient and thorough. I would easily choose this freelancer again and again. Three job was completed not only on…
Private earnings
Medical Billing for Durable Medical Equipment Supplier DMEPOS
Jun 9, 2022
-
Oct 1, 2022
No feedback given
Private earnings
Medical Credentialing and Billing Consultant
Dec 1, 2023
-
Present
Job in progress
Private earnings
Insurance AR Specialist
Nov 8, 2023
-
Present
Job in progress
Private earnings
Medical Billing and Coding
Jul 10, 2023
-
Present
Job in progress
Private earnings
Insurance Billing transition from Eclipse to Jane App
Apr 11, 2022
-
Present
Job in progress
Private earnings
Baber A. has more jobs. Create an account to review them
Skills
- Medical Records Software
- Insurance Verification
- Office 365
- Medical Procedure Coding
- Accounts Receivable
- Electronic Health Record
- Revenue Management
- Electronic Funds Transfer
- Preauthorization
Testimonials
Endorsements from past clients
"Baber helped me complete 5 credentialing applications on very short notice. He was professional and very detailed oriented. He is extremely experienced in credentialing. I can't recommend him enough and he will be the first person I contact in the future for all of my medical credentialing (or any other medical paperwork) needs. "
Maura H.
| Practice Owner
Credentialing
Apr 2022