Hire the Best Epic Systems Medical Software Specialists
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Experienced RCM & AR Specialist | Revenue Cycle Management | Accounts Receivable | Denial Management | Medical Billing Results-driven Revenue Cycle Management (RCM) Specialist and Accounts Receivable (AR) Specialist with 4+ years of experience optimizing financial performance for healthcare providers. Skilled in medical billing, claims processing, denial management, and payment posting, ensuring maximum reimbursement and reduced revenue leakage. Core Competencies: ✔ End-to-End Revenue Cycle Management ✔ Insurance Claims Submission & Follow-Up (EDI & Clearinghouse) ✔ Denial & Rejection Resolution (Appeals & Corrections) ✔ AR & Aging Report Analysis ✔ Patient Billing & Payment Posting ✔ Compliance with HIPAA & CMS Regulations ✔ Proficiency in EHR/EMR Systems (e.g., Epic, Cerner) Passionate about improving cash flow, reducing AR days, and enhancing revenue integrity through meticulous claims management and process improvements. Adept at collaborating with cross-functional teams to streamline billing operations and boost financial outcomes. I have a strong expertise in handling workers' compensation and PIP claims and appeals, with a significant portion of my experience focused on orthopedic surgery and trauma cases. My extensive knowledge and skills enable me to effectively manage denials in the AR cycle and appeal claims denied for any reason, adhering to NCCI guidelines. I excel at streamlining the revenue cycle for both groups and individual providers, ensuring efficient and accurate processing. I am adept at managing heavy workloads and multitasking effectively. Additionally, I have experience with a variety of provider software applications, including AdvanceMD, ModMed, NextGen, PMD, ECW, Isalus, ClaimMD, Trizetto, Epic, and Lytec.

I am an experienced Medical Billing specialist with hands-on work in claim entry, payment posting, and denial management. My key skills: Medical Claim Entry - CMS 1500 & UB04 Payment Posting & ERA/EOB Insurance Verification & Eligibility Denial Management & AR Follow-up HIPAA Compliance I am detail-oriented, accurate, and committed to delivering clean claims with fast turnaround time. Let's connect to discuss your billing needs.

Certified Professional Medical Biller | 8+ Years of Specialized Experience in U.S. Healthcare With eight years of experience as a Medical Biller, AR Specialist, Denial Management Expert, and Credentialing Specialist, I consistently improve revenue cycle performance and ensure faster, cleaner reimbursements for healthcare practices. 🏆 Proven Practice Growth :Built efficient billing workflows for new practices, ensuring clean claims and strong early financial performance. 🤖 Process Optimization & Automation :Implemented EDI/EFT, automated eligibility checks, and streamlined billing processes to reduce errors and speed reimbursements. 🚀 Revenue Enhancement Boosted monthly revenue through accurate coding, modifier usage, aggressive AR follow-up, and timely appeals. 📞 Transparent Communication :Clear, timely updates on claims, payments, AR status, and follow-up actions. 💳 Payment Posting Excellence :Accurate payment posting, adjustments, denial posting, and underpayment identification. ✨ High Clean-Claim Rate :Improved clean-claim rate through detailed verification, coding accuracy, and payer-specific compliance. 🛡️ HIPAA Compliant :Full adherence to HIPAA standards and secure data handling. ➤Medical Billing Services Eligibility & benefits verification (portal + phone) Patient demographics, insurance setup, charge entry & payment posting Claim submissions (primary, secondary, tertiary) Status checks via payer portals, IVR, and live agents On-call appeals and reprocessing requests ICD-10, CPT, HCPCS review using EncoderPro Expert Superbill review & corrections Filing payer appeals with supporting documents Daily, monthly & annual AR/financial reporting Patient billing support ➤ AR & Denial Follow-Up Expertise Proactive claim status follow-up with all major payers Skilled denial review and appeal preparation AR aging reduction and reimbursement optimization Corrected claims for DX/modifier/billing issues Underpayment identification and dispute resolution Expert communication via phone, portals, and payer systems Detailed documentation and AR reporting 100% HIPAA-compliant workflow ➤Credentialing Services Start-to-end provider credentialing CAQH setup, updates & attestation PECOS & EPACES enrollment NPPES updates (NPI creation/modification) Filing payer applications & re-credentialing License & affiliation verification Pre-checks & onboarding support Contract review & negotiation ➤ Specialties Physical Therapy | Chiropractic | Acupuncture | Behavioral Health | Podiatry | Cardiology | Skilled Nursing Facility | Dermatology | Emergency Medicine | Endocrinology | Family Practice. ➤ Billing Software (PM/EHR) eClinicalWorks (ECW) | AdvancedMD | Raintree | Practice Fusion | IntakeQ | SimplePractice | ClaimMD | CareCloud | WebSoft | TherapyNotes | Office Ally | Waystar ➤Additional Experience Strong knowledge of ICD-10 updates, LCD rules, CPT/modifier accuracy, and insurance benefit structures Credentialing experience across TX, NY, NJ, CA, NV, AZ, MA, PA, WA, FL, MI, OH, and more Skilled with EMR/EHR platforms: Epic, ShareNote, PIMSY, Emdeon/Change Healthcare, TriZetto, Waystar, Optum, Kareo, Availity, etc. Proficient with: Google Workspace, Outlook, SharePoint, Excel, PowerPoint, Word, OneDrive My work hours are flexible, and I am committed to strengthening your revenue cycle with accuracy, consistency, and dedication. Thank You Danish Azad

Hasham Qasim Medical Biller | Efficient Claims Processing | Detail-Oriented | HIPAA Compliance Introduction: Highly skilled and dedicated Medical Biller with 6+ years of experience in accurately processing medical claims and optimizing revenue cycle management. Adept at navigating complex healthcare billing systems and ensuring compliance with industry regulations. Seeking to leverage expertise to contribute to the financial success of a reputable healthcare facility. Professional Experience: Medical Biller, Team lead and Billing Supervisor In Two Medical Billing Companies Successfully processed and submitted medical claims, resulting in an average claims acceptance rate of 99%. Conducted thorough insurance verification and eligibility checks, reducing claim denials by 99%. Proficiently posted payments, reconciled accounts, and resolved billing discrepancies, leading to improved cash flow. Medical Billing Specialist, Multispecialty Managed a high-volume workload, efficiently processing claims. Collaborated with healthcare providers and insurance companies to resolve billing inquiries and expedite payments. Skills and Expertise: Claims Processing: Efficiently handle claims submission, follow-ups, and appeals to maximize revenue generation. Insurance Verification: Thoroughly verify patients' insurance coverage to minimize claim rejections and delays. Payment Posting: Accurately post payments and adjustments while reconciling accounts for precise financial reporting. Denials Management: Identify claim denials, analyze root causes, and implement effective solutions to ensure prompt resubmission and reimbursement. Specialities work on Dentacity Pathology Chiropractic Mental Health Community Support Peer Support Service Home Care Home Health Agency Pediatric Podiatry Surgery center Radiology Medical Billing Software: Experienced in using industry-leading billing software i.e EPIC Reflection Web soft Allscripts Practice HER Advance MD Chirotough Desktop\ Cloud Point Click Alora EzClaim Tebra Jane Therapynotes Office Ally eCW Adept at safeguarding patient information and maintaining strict compliance with HIPAA regulations. Communication and Team Collaboration: Strong communication skills, both written and verbal, fostering positive relationships with patients, healthcare providers, and insurance representatives. Collaborative team player, working closely with staff and administrative teams to optimize billing procedures and resolve financial issues.

Medical Billing & RCM Specialist | 7+ Years | Certified in Medicare 837P & CMS-1500 I help healthcare practices improve cash flow, reduce aging A/R, and achieve higher reimbursement accuracy. With over 7 years of medical billing and RCM experience, I manage the complete billing cycle with precision—from insurance verification to clean claim submission, denial resolution, and detailed financial reporting. I’ve worked with practices in Internal Medicine, Pain Management, Nephrology, Chiropractic, Occupational Therapy, Physical Therapy, and Speech Therapy, delivering consistent results and long-term support. Core Services Patient eligibility & insurance benefit verification Full demographics and charge entry Claim submission (primary, secondary, tertiary) Accounts receivable analysis & clean-up Strong A/R follow-up (portals, IVR, insurance calls) Denial management, resubmissions, and corrective actions Payment posting & adjustments Patient billing and statements Daily, monthly & annual financial reporting Technical Skills & Tools eClinicalWorks (ECW) Medical Mastermind Encoder Pro Expert Clearinghouses & payer portals ICD-10, CPT & HCPCS coding IVR systems, insurance portals, ERA/EOB processing Why Clients Hire Me 100% Job Success Top Rated 7,000+ lifetime earnings on Upwork 1,300+ hours worked with U.S. healthcare providers Consistent communication & high availability Accurate work, fast turnaround, and dependable follow-through If you need a reliable and detail-oriented medical biller to strengthen your revenue cycle and reduce claim backlogs, I’m available to support your practice.

I have over 14+ years of experience in the US healthcare system RCM, I specialize in providing top-notch front office, medical billing, medical coding, credentialing, and virtual assistant services. Here's why you should consider hiring me As a certified medical biller & coder, I bring a wealth of knowledge. From patient scheduling to financial reports, I'm equipped to handle all aspects of revenue cycle management. ✔Comprehensive Services: Whether it's patient demographic entry, charge entry, eligibility verification, or claim submission, I've got you covered. I also excel in denial management, accounts receivable follow-up, and payment posting, ensuring your revenue stream remains healthy and optimized. ✔Specialized Knowledge: With experience across various medical specialties, including Internal & Family Medicine, Podiatry, Pediatrics, cardiology, orthopedics, and more, I understand the unique challenges and requirements of different practice areas. ✔Compliance and Efficiency: I stay up-to-date with HIPAA regulations and compliance standards. My proficiency in EMR software and other industry tools ensures streamlined operations and maximum efficiency for your practice. ✔Personalized Approach: I believe in providing customized solutions tailored to your specific needs. Whether you need daily, monthly, or annual financial reports, or assistance with credentialing and appeals, I'm here to support you every step of the way. ✔Proven Track Record: With a background in team leadership and a track record of success, I have the expertise and dedication to deliver results that exceed your expectations. Let's discuss how our services can benefit your practice and help you achieve your goals. Send me a message, and we can talk. RCM Softwares: Advanced MD Kareo / Tebra Office Ally Simple Practice Chirotech eClinicalWorks Medent Athena ECW SammyUSA Therapy Appointments Candid Healthie NextGen Practice Fusion 𝗖𝗹𝗲𝗮𝗿𝗶𝗻𝗴 𝗛𝗼𝘂𝘀𝗲𝘀: Waystar Change Healthcare Office Ally Trizetto Zirmed Medical Specialties. • Internal & Family Medicine • Pediatrics • Podiatry • Cardiovascular • Urology • Nephrology • Dermatology • Labs • Orthopedics • Emergency Room