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I am a Revenue Cycle Management (RCM) Consultant and Medical Billing Specialist with 7+ years of experience in U.S. healthcare billing, accounts receivable management, denial management, and credentialing. I help healthcare providers, behavioral health clinics, private practices, urgent care centers, and multi-specialty medical organizations improve cash flow through medical billing, AR follow-up, claim denial resolution, insurance verification, prior authorization, and payment posting. My core expertise includes: ✔ Medical Billing ✔ Revenue Cycle Management (RCM) ✔ Accounts Receivable (AR) Follow-Up ✔ Denial Management & Appeals ✔ Credentialing & Provider Enrollment ✔ Insurance Verification & Benefits ✔ Prior Authorization ✔ Claims Submission (CMS-1500 / UB-04) ✔ Payment Posting & Reconciliation ✔ Medical Coding Support ✔ KPI Reporting & Revenue Analytics ✔ EHR / EMR Workflow Management I specialize in identifying revenue leakage, aging AR, recurring denials, underpayments, delayed reimbursements, and billing workflow inefficiencies. My services help practices with: * faster collections * lower denial rates * improved clean claim ratio * optimized AR recovery * streamlined credentialing * better revenue reporting * scalable billing operations If you need support with medical billing, revenue cycle optimization, AR cleanup, denial prevention, credentialing, or RCM consulting, I can help improve your financial operations and maximize reimbursements. Let's Connect. Expert RCM Provider | Revenue Cycle Management Expert | Medical Billing Specialist | AR Recovery & Follow-Up Expert | Denial Management Consultant | Credentialing Specialist | Insurance Verification & Prior Authorization Expert | Claims Submission & Payment Posting Specialist | Healthcare Revenue Optimization Consultant |Expert RCM Provider | Medical Billing | AR Recovery | Denial Management Revenue Cycle Management (RCM), Medical Billing, AR Follow-Up, Accounts Receivable Recovery, Denial Management, Credentialing, Insurance Verification, Prior Authorization, Claims Submission, Payment Posting, Revenue Optimization, Healthcare Operations, Billing Workflow, Revenue Reporting, EMR / EHR Support Fractional Billing Director RCM Strategy Consultant Revenue Optimization Partner Healthcare Operations Consultant Billing Process Consultant Revenue Growth Consultant Practice Profitability Expert Claims Denial Prevention Consultant End-to-End RCM Solutions Full Cycle Medical Billing Claims Processing Expert AR Follow-Up Expert Denial Resolution Specialist Payment Posting Specialist Insurance Verification Expert Prior Authorization Specialist Revenue Optimization Consultant Billing Workflow Expert Expert RCM Provider Revenue Cycle Management Expert Medical Billing Expert RCM Consultant Billing Operations Specialist Healthcare Revenue Expert AR Recovery Specialist Denial Management Expert Credentialing Specialist Medical Claims Expert

✅ HIPAA compliant ✅ In-depth & versatile experience ✅ Eligibility/Benefit verification with 97%+ Accuracy ✅ 24 Hours TAT for Charge Posting & Payment posting ✅ Increasing your clean claim ratio above 97% ✅ Identifying & Fixing revenue leakages from claims ✅ Accurate & Transparent work ✅ Daily, Weekly & Monthly productivity reports (The above mentioned are not just my commitments but I have been delivering this for every client I have worked with so far) ☑️ Provider enrolment ☑️ Eligibility & Benefits verification ☑️ Insurance authorization ☑️ Charge Posting & Claim submission ☑️ Fixing clearinghouse rejections ☑️ Payment posting ☑️ Claim follow-ups & Denial Management ☑️ EDI & EFT Enrollments ☑️ Monthly Revenue Cycle Management (RCM) Check-up (Billing Health Check-up) 🌟 WHY CHOOSE ME OVER OTHER FREELANCERS? 🌟 👉 In-depth experience of each of the medical billing tasks 👉 Have worked for multiple specialties 👉 HIPAA compliant with necessary protocols & security parameters in place to safeguard PHI 👉 Accurate & Transparent work 👉 Best services at low-cost 👉 Delivering above the expectations of my clients. 👉 Being extremely responsive and keeping all lines of communication readily open with my Clients. Specialties I have worked for: 1. Internal Medicine 2. Family Practice 3. Allergy & Asthma 4. Behavioural health 5. Neurology 6. Multi-specialty Clinics 7. FQHC Experience: As a Medical biller have worked with 10+ different practices under a Medical billing company Inviting for an Interview would be appreciated as it would help me better understand your requirements & I could customize my offering accordingly. Software/EHR experience - Epic Kareo AdvanceMD Eclinical Works CPS NextGen Trizetto Claim Remedi Thank you for visiting my profile. Hope you have a wonderful time ahead!😊

Professional Overview With over 20 years of experience in Healthcare Revenue Cycle Management (RCM), I help healthcare providers, physician groups, hospitals, and billing companies maximize revenue, reduce denials, improve cash flow, and streamline billing operations. My expertise spans the entire RCM lifecycle, from patient registration to final payment collection, with a strong focus on process optimization, denial management, AR recovery, payment posting, medical coding, and operational leadership. I have successfully managed large-scale healthcare operations, led cross-functional teams, improved collections performance, reduced aging inventory, and delivered measurable financial outcomes for clients across multiple specialties. Core Competencies ✅ End-to-End Revenue Cycle Management (RCM) ✅ Medical Billing & Coding (ICD-10, CPT, HCPCS) ✅ Accounts Receivable (AR) Follow-up ✅ Denial Management & Appeals ✅ Payment Posting & Reconciliation ✅ Eligibility & Benefits Verification ✅ Charge Entry & Claim Submission ✅ Prior Authorization Management ✅ Revenue Recovery & Underpayment Analysis ✅ Provider Credentialing Support ✅ KPI, Productivity & Quality Management ✅ Team Management & Process Improvement ✅ Practice Management Systems & EHR Platforms Services Offered  # Medical Billing Operations Setup  # AR Cleanup and Legacy AR Recovery  # Denial Analysis and Resolution  # Payment Posting Audits  # Medical Coding Support  # RCM Process Assessment  # Workflow Optimization  # Team Training and SOP Development  # Revenue Leakage Analysis  # Operational Performance Reviews Why Clients Hire Me ✔ 20+ Years of Healthcare RCM Experience ✔ Proven Track Record in Increasing Collections ✔ Strong Knowledge of US Healthcare Payers ✔ Expertise Across Multiple Specialties ✔ Leadership Experience Managing Large Teams ✔ Data-Driven Approach to Revenue Improvement ✔ Focus on Accuracy, Compliance, and Timely Delivery

I Have 14 years experience in medical billing that includes Internal medicine Ambulance,Pathology & Podiatry,Anesthesia etc.Medical billing project is very sensitive project and i completely understand how under the risk on misusing that patient PHI,so i would be 100% follow HIPAA guidelines and apart from that since i have decent amount of experience which help you to give the best results with less billing hours.Iam available 24/7 as a free lancer where i can cover the medical billing right from charge entry till closing the account,I have been exposed to most of the areas in Patient and Insurance Billing such as: 1.Verification of patient eligibility and benefits and identification of correct payers 2.Precertification 3.Charge & Demo entry 4.Claim submission 5.Resolving Clearinghouse rejections and some EDI errors 6.Resolving claim issues and and denials 7.Denial management 8.Appeals 9.Payment posting 10.Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc 11.Interpretation of patient EMR

End to End Medical Billing and soft collections in flat rates. Services include Credentialing, Charge Entry, AR follow up, Denial Management and Reporting (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 - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology

I am Manish Dubey, a HIPAA-certified Medical Biller with 16+ years of experience helping healthcare providers streamline their revenue cycle. Whether you're a solo provider or a large practice, I bring a proactive, detail-oriented, and efficient approach to your billing processes — ensuring faster payments and fewer denials. 🔒 HIPAA Compliance: I am a Certified HIPAA Professional, ready to sign a Business Associate Agreement (BAA) to safeguard patient data and maintain full compliance. Proactive Approach: I prioritize post charges, fix rejections, and post payments efficiently. My proactive approach and attention to detail ensure that billing issues are resolved promptly, maximizing revenue and minimizing denials. Services Offered: Let’s work together to optimize your practice’s billing processes and improve your financial performance. Contact me today to discuss how I can contribute to your success. 🌟 WHAT CAN I DO FOR YOU? 🌟 💼 Medical Billing Services: 📝 Patient demographic entry, Eligibility verification with payers, Charge entry in billing software 📝 Claim submission to payers, Medical claim scrubbing, Primary, secondary, and tertiary payers claim processing 📝 Denial management, Account receivable follow-up, Payment posting and adjustment management, Patient billing for patient responsibility, 📝 Customized financial reports, Scheduling calendar, Data reconciliation, Account management 💼 Software Expertise: ✅EMR/PMS Systems: Kareo, Tebra, Practice Fusion, AdvanceMD, Office Ally, EclinicalWorks, Jane App, Athena Health, Theranest, Allscripts, Practice Mate, Wellsky, Brightree, Practice Suite, ClinicSource, IntakeQ, Ntreatment, DDD ✅Clearinghouses: Office Ally, Availity, Gateway EDI 🏥Specialties I have worked for: 📌 Internal Medicine, General Practice, Family Practice 📌 Surgery, Cardiology, Neurology, Gynecology 📌 Physical Therapy, Speech Therapy, Occupational Therapy 📌 Foot Care, Podiatry, Infectious Disease, Pediatrics 📌 Chiropractic, Nutrition and Dietetics, Urgent Care 📌 Behavioral Therapy, Psychotherapy, Psychiatry 🌟 WHY CHOOSE ME OVER OTHER FREELANCERS? 🌟 👉 In-depth experience of each of the medical billing tasks 👉 Have worked for multiple specialties 👉 HIPAA compliant with necessary protocols & security parameters in place to safeguard PHI 👉 Accurate & Transparent work 👉 Best services at low-cost 👉 Delivering above the expectations of my clients. 👉 Being extremely responsive and keeping all lines of communication readily open with my Clients. Inviting for an Interview would be appreciated as it would help me better understand your requirements & I could customize my offering accordingly. Thank you for visiting my profile. Hope you have a wonderful time ahead!😊 Manish Dubey