Hire the Best EDI Specialists
in Pakistan

Experienced Electronic Data Interchange Specialist/Analyst with a demonstrated history of working in the computer software industry. Skilled in Electronic Data Interchange (EDI), VB.Net, C#, JavaScript, Angular, SQL, ASP.Net MVC, Web API, SQL Server, jQuery, Angular JS, C#, JSON, and XML. and Requirements Analysis. I am very well skilled in the EDI field to integrate with custom ERP solutions, I've done it for many clients. -HL7 EDI and Healthcare Experience. - I have the complete expertise to manage EDI software including Mapper and mappings with ERP systems. - I have EDI documents understandings and worked with the MOST POPULAR brands like Wayfair, Amazon, Walmart, Target, etc maps (850, 855, 856, 810, 846, 870, 812, 753, 754, 860, 864, 865, 824, 832, etc). - I am having working experience with well-known Managed EDI services companies like Commerce Hub, DI Central, SPS Commerce, DSCO, ecUtopia, and many more, I know very well their processes to set up a new trading partners with them also have expertise with these companies testing scenarios. - I also have expertise in the EDIFACT format. - I worked with 70+ world-famous brands, like Wayfair US-UK, Amazon, Target.com, American Signature, Kohls, Neiman Marcus, Rugs Direct, Rugs USA, Home Depot, Zola, Zulily, Bed Bath & Beyond, Bluestem, Blooming Store, BJs, Macys.com, Costco, Cymax, Home Goods, Houzz, JCP, Lowes, KMart, Mink, Nebraska, OKL, Overstock, PIER1, Polo, QVC, Sears.com, SAKS, TJX, Walmart and many many more. - Certification for v5010 EDI Transactions (837p, 835 and 270). - ERP and EDI transaction through translation X12 to a flat file and flat files, CSV files to X12 EDI.

💼 Chartered Management Accountant | Expert Bookkeeper | Financial Analyst | Billing Expert | EDI Expert With 7+ years of proven experience providing end-to-end accounting and financial management services for clients across the USA, UK, Canada, and Australia, I help businesses stay financially organized, compliant, and profitable. I’m a Chartered Management Accountant with deep hands-on expertise in: ✅ Bookkeeping & Accounting (accurate, timely, and compliant) ✅ Accounts Receivable (AR) & Accounts Payable (AP) Management ✅ Financial Analysis & Reporting – including vertical & horizontal analysis, trend reports, and comparative financial statements ✅ Cost-Benefit Analysis & Cost Optimization Strategies ✅ Budgeting, Forecasting, and Cash Flow Management 💻 Software Proficiency: QuickBooks Online (QBO) | Xero | NetSuite | Microsoft Dynamics Business Central | AppFolio | Buildium | and many more My approach is simple — I combine technical accounting expertise with strategic financial insight to help you make data-driven decisions that improve profitability and efficiency. Whether you need ongoing bookkeeping support, financial clean-up, or in-depth business analysis, I deliver accurate, timely, and actionable financial solutions tailored to your goals.

EDI Analyst & Dynamics 365 Solution architect. EDI Integration Consultant: Working as an EDI consultant for last 4 years, worked on EDI X12 families, Commerce family(850, 855, 856, 910, 846, 997), Logistc(204, 990, 214, 210). Integration of trading partners with ERP(D365 F&O, D365 Business Central, NetSuite or custom ERP). Worked on different file formats including XML, JSON, Flat file, and CSV. Understanding of EDI specification files, experienced in analyzing customer EDI according to Specification. Communication channels e.g. AS2, SFTP, Rest API, Azure Blob storage etc. Dynamics 365 CE & Power platform: Working as a Solution architect, getting engaged with Customers to discuss business requirement and practically business processes. Based on business requirements, creating Dynamics 365 CE functional design document & technical solution design document. Implementation with Agile process, writing stories and development process. Working on following activities: 1. Sales, Customer service, marketing, field service. 2. Customizations 3. Processes (Business process flows, Workflows, Custom workflows, Plugins, Actions) 4. Webresources - JavaScript 5. Integration of Dynamics 365 apps with third party software using out of box apis and custom apis. Total of 10 years of experience working on Electronic data interchange and Microsoft techstack including C#, .NET, SQL Server database, Azure services, Microsoft Dynamics 365, API Integration etc.

Hi, I am a HIPAA compliant medical biller. As a HIPAA-compliant Medical Billing Specialist, I have accumulated five years of extensive experience in the US healthcare industry. My primary goal is to provide you with a one-stop-shop for all your medical billing needs. Here's what I offer: Specialization: • Insurance Verification (Benefit Verification) • Medical Billing • Medical Scribing • Appointment Setter/Scheduler • Microsoft Office expert • Chat/Email Support • Data Entry • Medical Transcription Tools: • Typing speed of 35-50 wpm • MS Office, Excel, Google Docs, Spreadsheet, Dropbox, Basecamp Job Responsibilities: • Patient Registration and Demographics/Insurance Information • Verification of patient eligibility and benefits • Creation and submission of clean claims to insurance companies • Obtaining prior and retro authorizations for services • Payment posting from ERA/EOB/websites, as well as patient payments • Denial management • Aging report/Follow-up/Appeals • Customer service and administrative assistance • Handling patient calls regarding payments and billing records • Sending invoices to different offices and clients • EDI 835/837 enrollment Specialties: • Urgent care, Pediatrics, Chiropractic, PT, Psychiatric, Mental Health, Home Health, Family Practice, Internal Medicine, Cardiology, Radiology, Oncology, Pain Care/Management, Registered dietitians Medical Billing software: • AdvancedMD, Dentrix, Kareo, Officially, ECW, CureMD, Athena, Practice Fusion, Practice Suite, Advancedmd expert, TheraNest, Greenway Intergy, Practice Fusion, Therapynotes, Headway, Alma, Candid, Healthie EHR/EMRs: • Practice Fusion, Ecw EHR, Advanced MD, WebPT Insurance web portals: • CGS, WPS, Palmetto GBA, Noridian, Novitas, Navinet, Availity, UHC, Cigna, Optum, Payspan, Humana, Molina Healthcare, Health First, HRSA uninsured, NGS Connex Skills: • ICD-10, CPT, HCPCS codes & Medical Terminology • Medicare & Medicaid Guidelines • Payer Reimbursement Characteristics & Billing Policies • Medical Documentation Review & Auditing • Daily/Weekly/Monthly/Quarterly Reconciliation • Ability to perform well with little supervision I am confident that my professional experience and skills can help take your business to the next level and accomplish your objectives as a client. I am committed to delivering projects thoroughly and within the given timelines, and I look forward to the opportunity to work with you. Thank you for considering my services! Sincerely, Muhammad Faran

Hi! I’m a Revenue Cycle Management (RCM) Specialist with 6+ years of hands-on experience in medical, dental, and behavioral health billing. I help U.S.-based healthcare providers improve cash flow, reduce denials, recover aged AR, and maximize insurance reimbursements. I specialize in end-to-end medical billing, including eligibility verification, authorization, charge entry, claim submission, rejection management, payment posting, denial resolution, appeals, and AR follow-up. 🔹 My Core Services Medical Billing & Claims Eligibility & benefits verification Prior authorization and referral follow-up Charge entry and claim submission CMS-1500 / UB-04 billing Clearinghouse rejection resolution Corrected claims and resubmissions ERA/EOB payment posting and reconciliation Credentialing/Enrollment ERA EDI setup Denial Management & Appeals Denial analysis and root-cause identification Timely filing, authorization, eligibility, coding, modifier, POS, and medical necessity denials Corrected claims, reconsiderations, and appeals Medical record/documentation review Payer follow-up and escalation AR Management 30/60/90+ day AR follow-up Unpaid and underpaid claim resolution Secondary/tertiary claim follow-up Insurance calls and payer portal research AR cleanup and revenue recovery Denial trend analysis Coding & Billing Review CPT, HCPCS & ICD-10-CM Modifiers and diagnosis pointers POS and billing accuracy Documentation compliance Pre-submission claim review 🏥 Specialty Experience Internal Medicine | Cardiology | Neurology | Physical Therapy | Podiatry | Gynecology | Pediatrics | Behavioral Health | Psychiatry | Urgent Care | Chiropractic | DME | Home Health | Multi-Specialty Practices 💻 Software & EHR Experience AdvancedMD | eClinicalWorks | Athenahealth | Kareo/Tebra | TherapyNotes | SimplePractice | Nextech | TheraNest | PracticeSuite | CareCloud | Practice Fusion | DrChrono | Axxess | Alora Clearinghouses & Payer Portals: Availity | Office Ally | Waystar | TriZetto | Change Healthcare Insurance Experience: Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare | Humana | TRICARE | Molina | Anthem | Workers’ Compensation | Commercial Plans 📊 Results & Strengths ✅ 96–98% clean claim acceptance rate ✅ 6+ years of U.S. healthcare billing experience ✅ Strong denial prevention and revenue recovery skills ✅ Experienced in aged AR cleanup and payer escalation ✅ Detailed claim tracking and follow-up ✅ HIPAA-compliant billing practices ✅ Reliable, detail-oriented, and results-driven I don’t just submit claims—I manage the entire revenue cycle from eligibility and claim submission through denial resolution, AR follow-up, appeals, and final payment. If you need a reliable billing professional who can reduce denials, recover outstanding AR, and improve your overall revenue cycle, I’d be happy to work with you.

A result-oriented HIPAA Certified professional with 10+ years of experience in USA healthcare Industry (Medical Billing), Self-Starter, very Dedicated, Attentive, Quality-focused, Result-Oriented, Upwork Professional, provides best-in-class, end-to-end Medical Billing/Eligibility and Benefits Verification/AR/Denials/Rejections/Coding services, as a US Healthcare, MBA with 8+ years of experience in Medical Billing (Revenue Cycle Management) Domain and handled lot of different specialty practices, and worked on number of Practice Management Softwares, and also worked on Medical Coding of ICD-9 & ICD-10 CM, CPT-4, HCPCS, and Modifiers. Also using all the tools like AMA's ICD-10, Optum Encoder Pro Medical Coding Software to work on ICD-10 CM codes. Expert in Data-Entry services, .pdf conversion, Office Management, Database management. Extremely productive and effective in a high volume, high stress, environment. Provides excellent customer service in a TAT (Turn-Around Time), meeting all SLAs (Service-Level Agreements), and positively contribute to give the out-of-the-box solutions as a Healthcare Consultant to clients/customers in their business growth. Ability to quickly learn, adapt, accurate and efficient in the work, as always focus on quality of services. and provides unique business ideas, where we have always the scope of improvement. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patients health benefits from insurance carriers website and Via Phone. - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Government payers, Managed care and Commercial Insurances (Aetna, BCBS, Cigna etc.) - Patient billing inquiries as per received information from your office - To check claim status from insurance auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD-9 CM, ICD-10 CM, CPT-4 and HCPCS Coding and/or review - Monthly and annual reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - EDI/ERA/EFT setup - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the correct 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 (c). Specialties - Orthopedic Surgery - Home Health & Hospice - Cardiology - Internal Medicine - Anesthesia - Ophthalmology - Psychiatry - Oncology - Chiropractic Services - Therapy (Physical, Occupational, Speech) (d). Credentialing and provider enrollment with Govt./Commercial insurances Although I do not limit myself within these boundaries. Please feel free to contact me with your project outline or with any questions regarding my past work experience - I just may have the skill-set that can help you to make your project a success!