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Medical Billing & Coding -PB/HB | Clinical Documentation | Denial Management | Revenue Integrity | Health Information Management (HIM) With 12+ years of experience in Revenue Cycle Management (RCM), I support healthcare organizations in improving reimbursement, optimizing revenue cycle operations, and maintaining compliance throughout the billing lifecycle. My experience includes Professional and Hospital Billing (PB/HB), denial management, appeals, accounts receivable (AR) recovery, coding support (ICD-10-CM, CPT & HCPCS), Clinical Documentation Improvement (CDI), Health Information Management (HIM), payer policy analysis, reimbursement analysis, and process improvement. I have worked with providers, billing teams, and healthcare organizations to analyze reimbursement challenges, resolve claim issues, improve workflows, and support efficient revenue cycle operations. I value accuracy, collaboration, and practical solutions that help organizations improve financial performance while maintaining regulatory compliance.

I am a Medical Billing Specialist with over 10 years of experience providing comprehensive billing services for Healthcare Providers, including Physician Practices and DME companies. I specialize in Revenue Cycle Management (RCM) and have a strong track record of improving billing efficiency, reducing claim denials, and accelerating reimbursements. My core expertise includes: • Patient Demographics Entry and Data Management • Eligibility and Benefits Verification (via phone and payer portals) • Charge Entry and Claims Submission with ICD-10 and CPT coding compliance • Payment Posting • Accounts Receivable (A/R) Follow-Up and Denial Management • Provider Credentialing and Enrollment I am proficient in leading medical billing platforms such as Brightree, Tebra (formerly Kareo), CareCloud, CollaborateMD, SimplePractice and Revenue Performance Advisor (RPA). I am known for my attention to detail, accuracy, and efficiency, which helps healthcare providers streamline their billing operations and maximize revenue. I also bring strong communication and collaboration skills to ensure smooth coordination with providers, staff, and insurance representatives. My goal is to deliver reliable, accurate, and efficient billing support that strengthens the financial performance of every practice I work with

Hello! I am a Medical Billing and Revenue Cycle Management (RCM) professional with 8+ years of experience supporting healthcare providers, clinics, and multi-specialty practices within the U.S. healthcare system. My work focuses on managing the entire billing cycle in a structured and accurate way — from patient eligibility and charge entry to claim submission, denial resolution, and payment follow-up. I aim to help healthcare practices maintain steady cash flow, minimize claim rejections, and ensure compliance with insurance and CMS billing standards, including proper ICD-10 and CPT usage. Throughout my career, I have handled both independent responsibilities and team-based operations, including workflow coordination, high-volume billing accounts, and communication with insurance payers across different specialties. 🚀 Areas of Expertise I provide full-cycle Revenue Cycle Management services, including: • Complete Medical Billing Operations • Insurance Eligibility & Benefits Verification • Clean Claim Submission (CMS-1500 / UB-04) • Denial Management, Appeals & Claim Corrections • Accounts Receivable (AR) Follow-up and Aging Management • Payment Posting and ERA/EOB Reconciliation • Prior Authorization Processing and Referral Handling • Provider Credentialing and Enrollment (CAQH, PECOS) • ICD-10, CPT, and HCPCS Coding Support • HIPAA-Compliant Data Handling and Documentation 🏥 Healthcare Experience I have worked with a wide range of specialties, including: Internal Medicine | Family Practice | Behavioral Health | Psychiatry | Psychology Dermatology | Cardiology | Orthopedics | Podiatry | Physical Therapy Urgent Care | Laboratory Services | DME | Pain Management | Telehealth Workers’ Compensation and No-Fault (PIP) Billing I am also comfortable adapting to new specialties and workflows quickly based on client needs. 💻 Systems & Software Experience eClinicalWorks | Kareo/Tebra | AdvancedMD | NextGen | Office Ally Athenahealth | ModMed | CollaborateMD | DrChrono | Medisoft TherapyNotes | Practice Fusion | SimplePractice 🌐 Insurance & Payer Knowledge Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare Humana | Tricare | Molina Healthcare | Commercial and State Insurance Plans 📊 What I Have Achieved In my professional experience, I have consistently contributed to: • Increasing clean claim rates through accurate billing review • Reducing outstanding AR by improving follow-up processes • Strengthening revenue cycle performance for healthcare practices • Supporting billing teams with training and workflow improvements • Assisting with successful credentialing and payer enrollment processes 💡 What You Can Expect ✔ Reliable and accurate billing support ✔ Strong understanding of U.S. insurance and CMS guidelines ✔ Focus on reducing denials and improving reimbursements ✔ Organized workflow and clear communication ✔ Commitment to improving overall revenue cycle performance.

Recover more revenue. Reduce denials. Keep your revenue cycle running efficiently. I'm a Top Rated Plus Medical Billing Specialist with 9+ years of experience supporting U.S. healthcare providers through complete Revenue Cycle Management (RCM). I've worked with private practices, group practices, and multi-specialty clinics to improve collections, resolve denied claims, and maintain efficient billing operations. My Services ✅ Insurance Eligibility & Benefits Verification ✅ Prior Authorization & Retro Authorization ✅ Medical Coding Review (CPT / ICD-10 / HCPCS) ✅ Claim Submission (CMS-1500 & UB-04) ✅ Clearinghouse Rejection Resolution ✅ Payment Posting (ERA / EOB) ✅ AR Follow-up ✅ Denial Management & Appeals ✅ Revenue Cycle Management ✅ Patient Billing & Statements Specialties ✔ Physical Therapy ✔ Pain Management ✔ Primary Care ✔ Family Medicine ✔ Mental Health ✔ Cardiology ✔ Oncology ✔ Home Health ✔ NEMT ✔ Acupuncture Software eClinicalWorks (ECW) Athenahealth Office Ally Kareo / Tebra AdvancedMD Practice Mate Practice Fusion CureMD CollaborateMD Availity Why Clients Choose Me ✅ Top Rated Plus | 100% Job Success ✅ $30K+ Earned | 5,700+ Hours on Upwork ✅ 9+ Years of Medical Billing & Revenue Cycle Management Experience ✅ Expert in AR Recovery, Denial Management & Insurance Claims ✅ HIPAA-Compliant with Exceptional Attention to Detail ✅ Responsive Communication & On-Time Delivery Whether you need ongoing billing support, AR cleanup, denial recovery, insurance verification, or complete Revenue Cycle Management, I can help improve your billing workflow and maximize collections. Let's discuss how I can support your practice.

Medical billing shouldn't slow down your practice or delay your revenue. I help healthcare providers across the United States simplify their billing processes, reduce claim denials, and improve cash flow through accurate Revenue Cycle Management (RCM), medical billing, and provider credentialing. With over 5 years of experience, I have worked with physicians, behavioral health providers, dental practices, laboratories, home health agencies, and multi-specialty clinics, managing every stage of the revenue cycle. Whether you need ongoing billing support or help recovering unpaid claims, I focus on delivering accurate work, clear communication, and measurable results. My services include: Medical Billing & Revenue Cycle Management Insurance eligibility and benefits verification Prior authorization Charge entry Electronic claim submission Payment posting (ERA/EOB) Accounts Receivable (AR) follow-up Insurance claim follow-up Denial management and appeals Aging report cleanup Revenue recovery Patient billing Monthly billing reports Credentialing & Provider Enrollment Individual and group credentialing CAQH profile setup and maintenance PECOS enrollment Medicare and Medicaid enrollment Commercial insurance credentialing NPI registration and updates Provider enrollment Recredentialing and provider maintenance EFT and ERA enrollment I have experience working with Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Optum, Tricare, Molina, and many other commercial insurance payers. I'm also familiar with leading EHR, EMR, and billing platforms including Athenahealth, Kareo/Tebra, AdvancedMD, eClinicalWorks (ECW), Office Ally, Practice Fusion, NextGen, SimplePractice, TherapyNotes, RXNT, Waystar, Availity, and Trizetto. What you can expect when working with me: Accurate and timely claim submission Reduced denials and faster reimbursements Consistent AR follow-up and collections HIPAA-compliant processes Reliable communication and regular progress updates Long-term support for your practice If you're looking for a dependable Medical Billing and Credentialing Specialist who understands the complete Revenue Cycle Management process and is committed to helping your practice improve collections and operate more efficiently, I'd be happy to discuss how I can support your team. Thanks Regards Ahmad R.

Medical Billing Specialist with hands-on experience using Brightree and Availity for insurance verification, claims processing, eligibility checks, prior authorizations, and DME workflows. I help healthcare providers reduce claim denials, speed up reimbursements, and maintain accurate patient records while delivering professional administrative support. My expertise includes: • Brightree • Availity • Insurance Verification • Prior Authorization • Claims Submission • DME Billing • Patient Intake • Medical Records Management • Revenue Cycle Support • Customer Service Why clients hire me: ✔ Accurate and detail-oriented ✔ HIPAA-aware workflow handling ✔ Strong communication skills ✔ Fast turnaround and reliable follow-through If you’re looking for a healthcare support specialist who understands both administrative and billing processes, I’d be happy to help. Aside from Medical VA, I am also doing general transcription and basic bookkeeping.