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500+ provider applications approved, spanning commercial payers (Aetna, Cigna, BCBS) and government programs (Medicare, Medicaid), most cleared on the first submission. I'm a Credentialing Specialist and Medical Virtual Assistant, Rising Talent on Upwork, based in the US and working Eastern time. CREDENTIALING & PROVIDER ENROLLMENT ▪ CAQH Setup & Maintenance: Profile creation, ongoing updates, and re-attestation so nothing lapses. ▪ Payer Enrollment: Initial enrollment and revalidation across commercial carriers and government programs (Medicare, Medicaid), with a track record of first-time approval on most applications. ▪ Recredentialing: Proactive tracking of expiration and revalidation dates so providers stay in-network without gaps. ▪ Active Follow-Up: Direct payer communication until an application is actually approved, not just submitted. MEDICAL VIRTUAL ASSISTANCE ▪ Verification of Benefits: Confirming deductibles, copays, and coinsurance before a patient is seen. ▪ Prior Authorizations: Tracked end-to-end to prevent treatment delays or denials. ▪ Patient & Provider Scheduling: Calendar management across major EHR platforms to keep provider time optimized. Based in the US, Eastern time zone, so provider enrollment calls and patient scheduling happen in real time, not queued for the next business day. If a provider is stuck mid-enrollment or a CAQH profile has lapsed, send me a message and tell me where things stand.

98% clean claim rate. AR backlog under 50 days. That's the standard I hold on my current contract, and it's why practices keep me on past the first month. I provide Medical Billing, Revenue Cycle Management, and Provider Credentialing for US healthcare practices, medical clinics, and mental health providers, covering everything from claims and denials to VOBs, prior authorizations, and full credentialing. I'm US-based, so patient and payer calls happen in your time zone, not on a delay.. CORE CAPABILITIES & REVENUE SOLUTIONS 1. Revenue Cycle Management & Medical Billing Services ▪ Clean Claims Submission: Expert handling of medical billing systems, clearinghouse scrubbing, and error resolution. ▪ Denial Management & AR Follow-Up: Aggressive tracking of unpaid insurance claims to recover outstanding revenue cycle solutions. ▪ Patient Financials: Upfront insurance verification, copay tracking, and managing prior authorization protocols. 2. Provider Enrollment & Credentialing Services ▪ CAQH Credentialing: Rapid profile setups, re-attestations, and complete profile maintenance. ▪ Payer Network Enrollment: Strategic insurance credentialing for therapists and doctors across major commercial payers (Aetna credentialing, Cigna, BCBS) and government networks (Medicare/Medicaid). ▪ Facility & Provider Onboarding: Complete healthcare credentialing and physician credentialing services to get providers in-network quickly. 3. Medical Administration & Virtual Assistant Services ▪ Verification of Benefits (VOBs): Meticulous insurance verification to confirm patient deductibles, copays, and coinsurance ▪ Prior Authorizations: End-to-end medical authorizations tracking to prevent insurance rejections before treatment ▪ Patient Calling & Relations: Professional patient outreach for billing inquiries, appointment reminders, and follow-ups. ▪ Patient Scheduling: Seamless calendar and appointment scheduling across major EHR platforms to optimize provider time. MEDICAL BILLING SOFTWARE & PLATFORMSEMR/EHR Systems: Kareo | Epic | eClinicalWorks | Practice Fusion | DrChrono | WebPT Portals & Clearinghouses: CAQH ProView | PECOS | Availity | Optum Send me a message with where your claims or credentialing stand, and I'll tell you honestly what it'll take to fix it.

HIPPA-Compliant Medical Virtual Assistant-RN proficient in EMR/EHR data entry, medical records retrieval + tracking, patient intake, calendar management and Personal Injury legal support. Improving workflows while saving practices hundreds of admin hours per month. Healthcare providers, health tech start ups and Personal Injury firms bring me onboard when administrative tasks are falling behind operations. I’m a Registered Nurse and Certified Case Manager with 15+ years of clinical and healthcare administrative experience; HIPAA compliant intake, EHR data entry, and case management workflows, done the right way. Support for healthcare providers: * Patient intake * Appointment scheduling * EHR/EMR data entry * Insurance verification * Prescription refill management * Inbox management * Quality Assurance Management Support for healthcare providers tech start ups: * SOP development * Workflow optimization * Data entry * App/EMR testing + validation * Calendar management * Data Annotation * Quality Assurance Management Support for PI firms: * Medical record summaries * Medical records retrieval + tracking * Case Management * Case intake Healthcare Content Writing I write for health tech companies, digital health startups, and clinical organizations that need content their audience can trust: SEO-optimized clinical blog content, patient education materials, white papers and thought leadership, UX copy for health apps and patient portals, and case studies or service pages for healthcare businesses. If your team needs someone who can move between clinical accuracy and operational execution without a learning curve, let’s talk about what you’re working on.

With over 6 years of hands-on experience in medical billing and coding, I specialize in optimizing revenue cycle management for healthcare providers. I ensure precise coding, prompt claim submissions, and maximized reimbursements all while maintaining strict HIPAA compliance and staying current with evolving industry standards. Whether you're a solo provider, a multi-specialty clinic, or a large healthcare facility, I deliver customized solutions designed to boost your financial outcomes and minimize claim denials. My Services Include: ✅ Medical Coding: Proficient in ICD-10, CPT, and HCPCS across a wide range of specialties ✅ Billing & Claims Submission: Accurate and timely submissions to ensure maximum reimbursement ✅ Revenue Cycle Management: Comprehensive solutions from patient intake to payment posting ✅ Denial Management: Analyze, correct, and prevent claim denials to improve cash flow ✅ Insurance Verification: Confirm eligibility and benefits upfront for smoother billing ✅ Audit & Compliance: Thorough reviews to ensure coding and billing meet regulatory standards Tools & Platforms I Use: 💻 Billing Systems: Athenahealth, Cerner, Epic, Kareo, AdvancedMD, NextGen, eClinicalWorks 💻 Coding Software: Optum360 Encoder Pro, 3M CodeFinder 💻 Payer Portals: Aetna, UnitedHealthcare, Medicare, Medicaid Why Work With Me? 🩺 Certified Professional with a strong foundation in medical billing and pharmacy ⏱️ Detail-Oriented: Proven ability to reduce errors and streamline workflows 📈 Results-Focused: Helped clients increase reimbursement rates and decrease claim rejections 🤝 Client-Centered: Dependable, responsive, and committed to excellence Let’s Connect: Looking to improve your billing and coding processes? Let me handle the complexities so you can focus on what matters most patient care. Contact me today to get started!