Hire the Best eClinicalWorks Specialists
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Are you a healthcare provider or practice looking for seamless Revenue Cycle Management (RCM), accurate medical billing, or credentialing support? With over 12 years of experience in the healthcare industry, I specialize in helping providers maximize revenue, reduce claim denials, and ensure compliance with payer requirements. I have worked extensively with private practices, clinics, and healthcare organizations to streamline their billing operations, AR follow-up, credentialing, and EHR management. My focus is to deliver timely, error-free, and result-driven services that improve cash flow and let you focus on patient care. ✅ My Core Services: Eligibility & Benefits Verification Medical Claim Billing (HCFA 1500 & UB-04) Payment Posting & Reconciliation AR Follow-up & Denial Management Old A/R Recovery (support for aging claims still unpaid) Provider NPI Setup (Individual & Group) Credentialing & Enrollment (Medicare, Medicaid, Aetna, Cigna, BCBS, Anthem, etc.) EFT & ERA Enrollment Practice Software & Clearinghouse (EDI) Enrollment Reporting & Analytics (Aging, Collections, Practice Performance – weekly/monthly) 📊 Software & Clearinghouse Expertise: Office Ally Platinum Gateway EDI (Trizetto) Insynch Simple Mate eClinicalWorks (eCW) WebPT & Therabill (currently active) 🌟 Why Work With Me? ✔️ 12+ years of hands-on RCM & billing experience ✔️ Proven track record of reducing denials & improving revenue ✔️ Detail-oriented, reliable, and HIPAA-compliant ✔️ Skilled in full-cycle billing & practice management ✔️ Strong communication and client-focused approach Whether you’re a new practice needing credentialing and setup, or an established provider looking to streamline billing and recover unpaid claims, I can help you achieve measurable results. 📩 Let’s connect to discuss how I can support your practice’s growth and revenue success.

If your AR is aging past 90 days or claims keep getting denied, that's revenue you've already earned sitting on the table. I recover it. 13+ years in medical billing and RCM, 100% Job Success Score, and my focus is aged AR, denial resolution, and payer appeals for US healthcare providers. Most of the time the issue isn't that nobody's following up on claims, it's that the follow-up isn't matched to the actual payer and denial type. So I dig into why claims are stuck before I start working them, not just push the same appeal template at everything. Some recent work: - Took a Texas psychiatric practice's outstanding AR from $250K down to $45K in about 3 months without a single write-off. - Caught BCBS Texas's downcoding of 99214 to 99213 (effective 7/1/2026) and got those claims paid at the correct level through appeals. - Recovered over $15,000 from AR that had been sitting 90+ days for a multi-specialty clinic, and for a non-profit community hospital in Montana where 61% of AR was over 180 days old, I got the aged AR down by 25%. Day to day I handle charge entry, claim submission, eligibility and insurance verification, payment posting, AR follow-up, denials, and appeals, along with clean claim submission on the front end so fewer denials happen in the first place. I also do credentialing and provider enrollment work, CAQH setup and maintenance, PECOS enrollment and revalidation for Medicare, and enrollment with Medicaid and commercial payers. Recently did this for a medical group in NY, and I'm currently handling it for a psychiatric group in Texas across Medicare, Medicaid, BCBS, and UHC. Most of my work has been in behavioral health and mental health billing, psychiatric therapy practices, independent labs, and internal medicine, plus general multi-specialty and community hospital accounts. Software-wise I've worked in AdvancedMD, Tebra, eClinicalWorks, athenahealth, Epic, SimplePractice, TherapyNotes, and PracticeQ/IntakeQ, and I'm comfortable with clearinghouses like Office Ally, Availity, Change Healthcare, and Waystar. On the payer side I'm in and out of Availity, UHC, Cigna, Optum, Payspan, ECHO, Humana, Molina, the Medicare MACs (CGS, WPS, Palmetto, Noridian), and various state Medicaid portals regularly. For calls and check-ins I use whatever the practice already runs on - Spruce, Zoom, Teams, Google Meet, Slack, doesn't matter to me. I also build out the reporting side using Excel and Google Sheets, turning raw claims data into something a billing team can actually act on. One example: I broke down 1,189 line items of CPT 87798 claims into a payer-level denial summary that showed exactly where the problems were coming from. That's really where the billing experience and the data work come together for me - I keep an eye on clean claim rate, net collection, AR days, denial rate, first-pass yield, the numbers that actually tell you where revenue is leaking. I work CST hours, 8AM-5PM, so you're not waiting overnight for a reply. If you're dealing with aging AR, a pile of denials, or just a billing backlog you haven't been able to get ahead of, send me a message with a quick rundown of your setup and I'll give you an honest take on what's going on and what I'd fix first.

✅ Top Rated Plus | Medical Billing & RCM Specialist ✅ 10+ Years Experience | Denials, Appeals & AR Recovery ✅ Outpatient Clinics | Medicare, Medicaid & Commercial Payers ✅ Recovered ~$50K from Denied BCBS Claims (Behavioural health Upwork Project) I help Physical Therapy, Mental Health, and outpatient clinics get paid accurately and on time by fixing denied, underpaid, and aging claims. With 10+ years of hands-on experience in U.S. medical billing and Revenue Cycle Management, I specialize in denial management, appeals, and AR follow-up, especially with Medicare, Medicaid, and commercial payers. Recently, I helped a Florida mental health clinic recover approximately $50,000 from 2024 denied claims through structured appeals and aggressive payer follow-up. How I Help Providers Improve Collections ✔ Full Revenue Cycle Management or task-based support ✔ Insurance eligibility & benefits verification ✔ Charge entry & clean claim submission ✔ Payment posting (ERA/EOB) ✔ Denial analysis, appeals, and AR follow-up (30 / 60 / 90+ days) I focus on finding the root cause of denials, correcting payer-specific issues, and following through until payment is received. Proven Results ✔ Recovered unpaid and denied claims through structured appeal processes ✔ Reduced aging AR by identifying payer and billing workflow issues ✔ Improved cash flow for Physical Therapy and Behavioral Health clinics ✔ Secured faster reimbursements from Medicare, Medicaid, and BCBS plans Specialties I’ve Worked With ✔ Physical Therapy & Orthopedics ✔ Mental & Behavioral Health ✔ Urgent Care / Walk-in Clinics ✔ Family & Internal Medicine ✔ Pulmonary & Primary Care Billing Systems & Knowledge EMRs / PM Systems: eClinicalWorks · Athena · Kareo/Tebra · Prompt EMR · CollaborateMD · AdvancedMD · Practice Fusion · Practice Suite · officeAlly Expertise: CPT · ICD-10 · HCPCS · Insurance guidelines · HIPAA-compliant workflows Why Clients Choose Me ✔ Strong track record with denials & appeals ✔ Detail-oriented and highly organized ✔ Clear communication and consistent follow-up ✔ Comfortable with both short-term AR cleanup and long-term RCM support Next Step If you’re dealing with denied, underpaid, or aging claims, message me. I’m happy to review a few claims and discuss how I can help improve your collections.

Healthcare API & OpenEMR specialist helping clinics and SaaS platforms build secure, scalable backend systems. Expert in Laravel, OpenEMR customization, SSO/Auth0, Cliniko API, and Xero integrations. I help healthcare organizations, clinics, and SaaS companies build secure, scalable, and reliable backend systems that streamline operations and support growth. With extensive experience in healthcare technology, I specialize in integrating and customizing platforms such as OpenEMR, Cliniko, and eClinicalWorks, while developing robust APIs and authentication systems that meet modern security standards. My expertise spans Laravel, PHP, REST APIs, OAuth, Auth0, and healthcare data workflows, enabling me to deliver solutions that are maintainable, compliant, and ready for production environments. What I Can Help You With Healthcare Software Development ✔ OpenEMR customization, module development, and integrations ✔ Cliniko API integration and workflow automation ✔ eClinicalWorks integration solutions ✔ Healthcare workflow optimization and automation ✔ HL7 and FHIR-based healthcare data exchange Backend Development (Laravel & PHP) ✔ Custom REST API development ✔ SaaS backend architecture and implementation ✔ Database design and performance optimization ✔ Scalable microservices architecture ✔ Secure backend systems and API integrations Authentication & Security ✔ Single Sign-On (SSO) implementation ✔ Auth0 integration and configuration ✔ OAuth 2.0 and OpenID Connect solutions ✔ Multi-tenant authentication systems ✔ Role-based access control (RBAC) Third-Party Integrations ✔ Xero API integration ✔ Accounting and payment platform integrations ✔ Zapier automation workflows ✔ Custom third-party API integrations Healthcare Domain Expertise Having worked with healthcare platforms and clinical workflows, I understand the importance of: ✔ Patient data security and privacy ✔ EHR/EMR workflows and interoperability ✔ Secure authentication and access management ✔ HIPAA-aware system architecture ✔ Reliable integrations between healthcare applications Why Clients Choose Me ✔ Strong experience with healthcare technology platforms ✔ Secure, scalable, and production-ready solutions ✔ Clean, maintainable, and well-documented code ✔ Clear communication and proactive updates ✔ Long-term partnership mindset and dependable support Proven Track Record ✔ Delivered $14K+ healthcare and SaaS development projects ✔ Successfully customized and integrated OpenEMR for multiple clients ✔ Built Cliniko integrations and workflow automation solutions ✔ Completed 600+ hours of backend development projects ✔ Developed customer portals, dashboards, and API-driven applications Whether you need OpenEMR customization, healthcare API integrations, Auth0 implementation, or a scalable Laravel backend, I can help you build a secure and reliable solution that supports your business goals

✅ 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!😊

Experienced of working in SAAS platform . I have a good experience in developing Server-less applications and Micro-services using AWS Lambda, AWS API Gateway, AWS Cognito and AWS S3 with serverless framework. Interoperability Solutions CUMC University - New York, ( 2 years project ) ● Connecting Medical university with External Labs and Primary Care clinics ● Mirth connect HL7- ADT, ORM , SIU message transmission ● DFT for daily billing generation ● EMR customisation - Neurology ● Database performance tuning Delaware Diagnostic Lab- Delware, ● Built a LIS system ● Integration with HEX Labs / QUEST Labs ● ORU and ORM messages ● COVID 19 lab - result generation ● Analytics and BI reports - Dashboard Vistacan EMR - Whitefoot clinic - BC Canada, ● EMR integration Pharmacies ● Customisation of EMR with forms ● eRX - with pharmacies ● SMS/Fax services from Clinic to Lab, Pharmacy and Patient AXAOnehealth - Egypt ● Deployed customised EMR solutions for 6 clinic ● Acted as Business analyst to build a comprehensive EMR ● Integration with Egyptian Labs using Mirth Connect and HL7 ● Multi specialty - EMR , Advanced KPI for CDS ● Trained doctors , nurses - gathered requirements - translated to Business needs with tech team. EMR Customization & Integrations ● OpenEMR Customization - ○ Ophthalmology , ○ Neurology , ○ Family Medicine , ○ Dentistry , ○ OBG, ○ Paediatrician, ○ Physiotherapist RCM - Revenue Cycle Management Development ● US Billing cycle - implementation ● Eligibility check using X12 - Real time ● Claim and Billing integration with medicare / medicaid insurance companies ● Dashboard for analytics ● Claim scrubbing ● EDI - integration with Clearing houses in U.S We program entirely on SOA with code structure based on Restful APIs, especially with Cloud based applications (AWS, Azure, Rack space, Google cloud). We work on agile methodology with daily or weekly scrum meeting to meet client’s expectations. I am willing to sign NDA before any proceedings as I understand that the security and confidentiality of your product holds the utmost importance. With deep knowledge of .NET framework including Asp.Net MVC 4/5, .Net Core, Web API, C#, EF, KnockOut, Angular, Bootstrap, HTML5, CSS3, JQuery, SQL, have involved in handling many aspects of the application, including but not limited to performance, scalability, security and designing service oriented architecture following SOLID principles. Expertise in techstack and Industry best practices we follow: * Responsive UI development by using React Js +Redux, React native + Redux, API Service integration, SQLite, Firebase, JSON parsing, web Service. * Advanced analytical skills, in-depth knowledge of the Software Development Life Cycle (SDLC). * ASP.Net, C#, .Net Core, MVC. * Angular 8+, React.JS, JavaScript, jquery. * Secure Rest API calls, session token using OAuth authentication and basic browser authentication. * Ability to create complex RESTful API services with automated documentation using .NET. * Bootstrap, HTML5, LESS, Regular expressions. * Database: MS SQL, SQL Azure, PostgreSQL, MongoDB, DynamoDB and MySQL. * Entity framework, MS Azure App service, Razor Engine, MS WIndows Azure, MS Active Directory, MS Azure blob services. * Writing reusable libraries with proper usage of OOPs, design scalable, loosely coupled and highly testable service-oriented architecture following SOLID principle. * Database design, query optimization, query execution plan review, indexing, normalization/ denormalization, stored procedure, views, SSRS, SSIS and SSAS. * Unit test development for the front as well as back end – Jasmine, Karma, MsTest, nUnit, xUnit, mocking framework – Typemock, moq, rhino * Proficient understanding of code versioning tools – TFS, SVN, Git – Pull/ push/ commit, branches/ shelve changes, etc. * Sprint based delivery and retrospective meetings to improve via effective project management tools like Jira, Trello, Asana, basecamp etc. * CI/CD – Jenkins, AWS, GitLab, DevOps Keywords: web application developer, web app developer, SaaS developer, ERP developer, CRM developer, eCommerce developer, platform developer, MVP developer, startup developer, API developer, marketplace developer, software architecture, database architecture, software engineer, web programmer.