Hire the Best Billing Specialists
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100% Job Success Top Rated Plus 🦷Results I've Delivered ✔ Reduced insurance A/R by 20–40% across multiple clinics ✔ Achieved a 60% appeal success rate on denied and underpaid claims ✔ Accelerated insurance payment turnaround times ✔ Improved clean claim rates, reducing denials and rework ✔ Increased team productivity through KPI tracking, coaching, and standardized workflow Areas of Expertise ✔HIPAA-Compliant 🦷Revenue Cycle Management ✨Insurance Verification & Eligibility ✨Claims Submission, Tracking & Follow-Up ✨Payment Posting (ERA/EOB) ✨Accounts Receivable (A/R) Management ✨Insurance Aging & Recovery ✨Denial Management, Appeals & Resubmissions ✨Patient Billing & Account Reconciliation ✨PPO & Medicaid Billing 🦷Leadership & Operations ✨Team Leadership, Coaching & Performance Management ✨KPI Development & Performance Monitoring ✨SOP Development & Process Improvement ✨Workflow Optimization & Quality Assurance ✨Root Cause Analysis for Denials & Collection Issues ✨Collaboration with Providers, Office Managers & Administrative Teams 🦷Reporting & Analytics ✨Collection & A/R Performance Reporting ✨Aging Analysis & Recovery Strategies ✨Revenue Trend & Financial Performance Analysis ✨Production-to-Collection Ratio Monitoring ✨Payer Mix & Reimbursement Analysis ✨Action Plans to Increase Collections 🦷Software Proficiency ✨Open Dental ✨Dentrix ✨Dentrix Ascend ✨Eaglesoft 📩Let's connect and discuss how I can help your practice achieve stronger financial performance

3 years full-time Customer Service Representative for Anthem of CA. 3 years full-time Accounts Receivable Specialist 2 years full-time Eligibility and Benefits Verification Specialist Major Insurance Companies handled and locations: * Medicare Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Medicaid Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian / Wellcare, Molina Healthcare Inc., UnitedHealth Care * ChampVA, Tricare East, Tricare West, Tricare for Life, Medical Billing Specialization: 1. Accounts Receivable on ENT, Speech Therapy, Behavioral Health (Mental Health and Substance Abuse) 2. Processing of Insurance Claims 3. Claims Creator, follow up on Claims, Sending Appeals for Denied Claims 4. Posting payments of Insurance Companies and Patients to Providers (physicians, clinics, etc.) 5. Comprehensive monthly reports on payments, rejected claims, pending claims. 6. Assess the eligibility of patients for insurance claims or benefits. 7. Providing solutions for Health Care Providers in order for insurance claims to be approved and paid. 8. Team leader for a group of Medical Billers to make sure all claims are posted before the deadline, payments are posted on time, and appeals are processed quickly. 9. Verification of patient's eligibility and benefits 10. Verification of the provider's participating status with the patient's plan Customer Service Specialization: 1. Handling Customer Service for BlueCross and BlueShield providers. 2. Quotation for eligibility and benefits of patients. 3. Providing information for claims process inquiry, claims status, and claims denials. 4. Processing Appeals for Denied Claims. 5. Providing easy communication between Health Care Providers and Medical Billers. Billing Software Experience: * Phicure * Citrix * Trizetto * Company-owned Electronic Health Record (EHR) and Practice Management Systems (for WRS Health) *Kareo With proven ability to collect and manage information efficiently and accurately. Can manage multiple assigned tasks and prioritize according to the level of urgency. Excellent written and verbal communication skills and a team player enjoying work and learning process. Conscientious in time management to make sure all deadlines are met beforehand. Willing to be trained for specific programs your company may be using. Above else, all data I come across are handled with utmost privacy and security. Contact me for full-time or part-time projects. I am available (and I prefer) to work during US business hours and can be flexible with any US time zones.

Hi! I am Christine Borjal, a Registered Pharmacist by profession. I have several years of experience in medically inclined roles, including Nurse Auditor, Pharmacy Technician, Data Entry Specialist, Medical Billing Specialist, and as a Medical Virtual Assistant (Med VA) with US-based clients. Additionally, I have a strong background as a Customer Service Representative (CSR), providing support and assistance to clients in various healthcare-related fields. Here are some of the experience and skills that I have as a; Pharmacy technician | Data Entry Responsible for medication refills, resupplies, and monthly renewals. Interact with nurses for medical issues and telephone reorders. Processing new prescription in accurately and timely manner. Responsible for inbound/outbound calls from different facilities. Knowledgeable in pharmaceutical calculations, Sig codes, Medical abbreviations Enter new patient’s profiles and prescription into medication input software system and Familiarity in EMR system. Medical Billing Specialist Update billing data and medical claims to insurance companies Call insurance companies regarding eligibility, verification and claims follow-up. Collect and review referrals and pre-authorizations, monitor claims for payment, denials, and aging reports. Follow-up on missed payments and resolve financial discrepancies. Examine claims and patient information for accuracy and request any missing information. Utilize web portals, Electronic Medical Records, Maintain billing software by updating rate change, cash spreadsheets, and current collection reports. Post payments from insurance and patients in the software. Nurse Auditor Responsible for managing the Electronic Health Record (EHR). Write reports designed to answer critical questions, solve problems, or support strategic planning to perform clinical data abstraction and utilization functions. Manage reports preparations and analysis which can include any/all the areas of EHR. Virtual Medical Assistant Booking patient appointments, assist providers on schedule and patient requests Answer patient inquiries thru calls, emails, and chat Prepare bills and invoices, and document amounts due for medical procedures and services Coordinate with different departments to resolve issues, ensure the patient’s medical information is accurate and up to date HIPAA Certified Familiar with Electronic Medical Records. Purchasing Specialist Researching medication prices from multiple wholesalers. Comparing costs and availability. Ordering medications and medical supplies. Updating pricing in the catalog/system. Monitoring stock and availability. Coordinating with suppliers regarding backorders, returns, and invoices. Compliant with • HIPPA • Combating Medicare parts C and Fraud, Waste and Abuse • Medicare Part C and D General Compliance Training I’m also proficient at using: • MS Word • MS Excel • MS PowerPoint • MS Teams • Google Meet, Drive, Email, Sheet • Zoom

7 Years of working experience in different Line Of Businesses. Detail-oriented professional with a strong background in medical billing, executive assistance, and customer service. Adept at managing complex billing processes, providing high-level administrative support, and delivering exceptional customer service. Proven ability to handle sensitive information with discretion, streamline administrative operations, and enhance client satisfaction. Known for strong organizational skills, effective communication, and a commitment to achieving operational excellence in fast-paced environments. I am Certified Medical Biller with HIPAA certificate as well.

Top Rated Plus | 100% Job Success | $100K+ Earned on Upwork Are unpaid insurance claims, growing accounts receivable, and delayed reimbursements affecting your practice's cash flow? I help dental practices recover lost revenue, reduce aging AR, improve claim acceptance rates, and maintain a healthy revenue cycle. With over 5 years of specialized dental billing experience and 15,000+ hours worked on Upwork, I have supported private practices, multi-location offices, DSOs, and dental billing companies in maximizing collections and streamlining billing operations. My focus is simple: • Get claims paid faster • Reduce aging accounts receivable • Recover outstanding insurance balances • Improve collection rates • Keep patient and insurance ledgers accurate Services include: ✓ Insurance Verification & Benefits Breakdown ✓ Claim Submission & Insurance Follow-Up ✓ Payment Posting (ERA/EOB) ✓ AR Management & Cleanup ✓ Denial Management & Appeals ✓ Patient Billing & Collections ✓ Treatment Plan Estimates & Preauthorizations ✓ Insurance and Patient Account Reconciliation Software Expertise: Dentrix • Open Dental • Eaglesoft • Denticon • Fuse • Oryx • Dolphin Recent Results: • Increased claim acceptance rates to over 95% • Reduced aging AR by more than 30% • Recovered tens of thousands of dollars in unpaid insurance claims • Improved account reconciliation accuracy and reduced billing discrepancies If your practice needs a dependable dental billing specialist who focuses on collections, AR recovery, and revenue growth, I'd be happy to discuss how I can help!

I help growing healthcare practices stay organized, compliant, and operationally efficient. From credentialing to prior authorizations, I handle the backend so you can focus on patient care. Hi, I’m Bernice, a Healthcare Operations Virtual Assistant with a medical background. I support clinics and private practices with: • Provider credentialing & insurance enrollments • CAQH, NPI updates & registrations • Prior Authorizations (CoverMyMeds & payer portals) • Insurance coordination and follow-ups • Compliance-focused documentation management • Workflow development & SOP creation • Administrative process optimization • Inbox & provider calendar management • Operational support during expansion or onboarding I’m detail-oriented, structured, and comfortable working independently. My goal is simple: keep your operations organized so your practice can grow smoothly. If you need reliable backend support, I’d love to help.