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.
Medical Billing & Coding
Insurance Verification
HIPAA
Accounts Receivable Management
Insurance Claim Submission
Electronic Health Record
eClinicalWorks
General Transcription
Microsoft Excel
Microsoft Word
Data Entry
Project Management
Accounts Payable
Appointment Scheduling
Medical Billing
Medical Mastermind Medical Billing Services
Healthcare Management
Aisa Misti D.
Davao, Philippines
$7/hr
5.0
2 jobs
I am a Medical Records Retrieval Specialist with over 10 years of experience supporting healthcare providers, insurance teams, and U.S. law firms with Release of Information (ROI) and chart retrieval requests.
I specialize in requesting, tracking, and retrieving medical records from hospitals, clinics, imaging centers, and specialty providers while ensuring HIPAA compliance and accuracy throughout the process.
My experience includes:
• Following up providers via phone, fax, email, and medical record portals
• Managing Sharecare, CIOX/Datavant, ChartSwap, and MRO requests
• Processing authorizations and subpoenas
• Tracking request status and maintaining retrieval logs
• Coordinating with attorneys and case managers
• Reviewing and organizing medical documentation for completeness
I am highly organized, detail-oriented, and comfortable working U.S. time zones. I can independently manage large volumes of medical record requests and ensure timely delivery for litigation and insurance cases.
If you need an experienced medical records retriever who can reduce turnaround time and keep requests moving efficiently, I would be happy to support your te
Order Processing
Phone Support
Email Support
Online Chat Support
Customer Service Training
Data Entry
QA Management
Communication Etiquette
Scheduling
File Management
Administrative Support
Email Communication
Answered Ticket
Larry M.
Langhorne, Pennsylvania
$150/hr
4.5
38 jobs
I’m a seasoned EDI Consultant a with over 25 years of experience designing, implementing, and optimizing electronic data interchange (EDI) solutions that drive operational efficiency and ensure trading partner compliance.
My portfolio spans small businesses to enterprise organizations—including national retailers like Walmart, Amazon, Home Depot, Nordstrom, ACE Hardware, and Dollar General.
I specialize in managing the full EDI lifecycle, including:
• Purchase Orders (850)
• Acknowledgments (997)
• Advanced Ship Notices (856)
• Invoicing (810)
• GS-128 Label Generation
• 3PL Routing & Logistics Transactions
I troubleshoot file errors, build exception reporting processes, and ensure seamless integration with ERP and 3PL systems for real-time visibility and transaction accuracy.
Fluent in platforms such as SPS Commerce, Orderful, CLEO, IBM Sterling, True Commerce, DiCentral, Covalent Works, and DataTrans, I deliver scalable, reliable, and compliant EDI solutions tailored to your business needs.
If you are onboarding new trading partners, optimizing fulfillment workflows, or seeking to improve EDI accuracy, reducing vendor compliance chargeback fees, I bring the hands-on expertise to make it happen—efficiently and effectively.
Project Management
ASC X12
Invoicing
Electronic Data Interchange
Logistics Management
Rao Rizwan S.
Pakpattan, Pakistan
$10/hr
5.0
1 jobs
Medical and dental billing specialist with 7 years of hands on experience in full cycle revenue cycle management including payment posting, AR recovery, denial management, provider credentialing, and insurance eligibility verification.
Skilled in ICD-10 and CPT coding, claim appeals, EDI and ERA setup across Medicare, Medicaid, and all major commercial payers. Proficient in OpenDental and eClinicalWorks. HIPAA Certified.
CORE COMPETENCIES
- Revenue Cycle Management and Compliance
- Payment Posting and EOB Review
- AR Recovery and Denial Management
- Provider Credentialing and Payer Enrollment
- Insurance Eligibility and Benefits Verification
- ICD-10, CPT, CDT, LCD and NCD Guidelines
- Team Leadership and Staff Training
SPECIALTIES
- Podiatry, Internal Medicine, Family Medicine, Dermatology
- Chiropractic, Home Health, Orthopedics, Pediatrics
- Urology, Telehealth, Nephrology, Physical Therapy
- Dental Billing across all specialties
EXPERIENCE
Supervisor | Prime Practice Management
2024 to 2025
- Oversaw billing operations and supervised billing team
- Managed claims lifecycle, denial resolution, and credentialing
- Generated KPI reports and ensured payer compliance
Team Lead | Physician Revenue Group
2022 to 2024
- Led coding audits, denial management, and appeal preparation
- Managed credentialing, enrollment, and eligibility verification
Billing Executive | Express Healthcare Solutions
2018 to 2022
- Handled eligibility verification, claims submission, and payment posting
- Resolved complex denials and recovered outstanding AR balances
Available immediately. Remote. US Eastern hours overlap.
Medical Billing
Microsoft Excel
Customer Support
Medical Billing & Coding
Administrative Support
Data Entry
Electronic Medical Record
Insurance Policy Analysis
Accuracy Verification
HIPAA
Insurance Verification
Insurance Claim Submission
ICD Coding
eClinicalWorks
Telemedicine
EMR Data Entry
Harold Ben N.
Dumingag, Philippines
$30/hr
4.9
160 jobs
Hello! I’m a Top Rated Plus Xactimate Estimator with a proven track record of delivering accurate, timely, and budget-conscious estimates. My primary goal is to support restoration and construction professionals by providing realistic and reliable estimates that align with project goals and insurance requirements.
I’m committed to high-quality, detail-oriented work and maintaining strong communication with my clients to ensure every project moves forward smoothly and efficiently.
✅ Software & Tools I Use:
Xactimate
Symbility
Matterport
Docusketch
Roofr
EagleView
JobNimbus
Salesforce
DASH
Encircle
CompanyCam
XactAnalysis
Whether you're a contractor, adjuster, or restoration firm, I’m here to help streamline your estimating process and make sure your documentation is clean, compliant, and claim-ready.
CAD Conversion
2D Design
Autodesk AutoCAD
SketchUp
CAD Drafting
Interior Design
Cost Estimate
Construction
2D Design & Drawings
Xactimate
PlanSwift
Abdul M.
Multan, Pakistan
$14/hr
4.9
24 jobs
🇪🇺 EU Marketplace Feed Specialist | Channable & BaseLinker Certified
🚀 I help brands go live and sell across European marketplaces - turning rejected products into approved, synced, revenue-ready listings.
⭐ Top Rated on Upwork | 2,600+ hours | 93% Job Success | 5-star reviews across
If you're launching on Mirakl-powered marketplaces, bol, Decathlon, eMAG, Fashion Days, Allegro, eMag or Kaufland and your products are stuck in rejections, attribute errors, or feed failures, that's exactly what I fix.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
🔹 𝐖𝐡𝐚𝐭 𝐈 𝐂𝐚𝐧 𝐇𝐞𝐥𝐩 𝐘𝐨𝐮 𝐖𝐢𝐭𝐡:
◆ EU Marketplace Onboarding - Get products live on Mirakl marketplaces (Debenhams, Tesco, B&Q, Leroy Merlin, Castorama, Conforama), bol, Decathlon, eMAG, Fashion Days, Allegro, eMag & Kaufland
◆ Channable & BaseLinker Feed Integration - Connect Shopify, WooCommerce, Magento, PrestaShop or Odoo ERP to any EU marketplace
◆ Category & Attribute Mapping - Align product data to each marketplace's exact taxonomy so listings pass validation the first time
◆ Feed Error & Rejection Fixes - Resolve rejected products, missing attributes, image errors, and "in review" delays
◆ Google Shopping Feeds - Build & optimize Google Merchant Center feeds through Channable for approved, ad-ready listings
◆ Inventory & Order Sync - Keep stock, pricing, and orders accurate across every connected channel
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
📊 𝐑𝐞𝐬𝐮𝐥𝐭𝐬 & 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞:
✔ 18,000+ products onboarded to marketplaces via Channable & BaseLinker
✔ Products taken from rejected to live across multiple EU marketplaces
✔ Full data flows built: Odoo ERP → PrestaShop → Channable → Marketplace
✔ Consistent 5-star reviews on Upwork & Fiverr for feed integration work
✔ Top Rated • 2,500+ hours • 93% Job Success
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
🤝 𝐖𝐡𝐲 𝐂𝐥𝐢𝐞𝐧𝐭𝐬 𝐓𝐫𝐮𝐬𝐭 𝐌𝐞:
Most feed and marketplace work goes wrong for one reason: no clear system and poor communication. Here's how I keep your project on track:
◆ Root-cause fixes, not band-aids - I find why products are rejecting so the errors don't come back next week
◆ Clear scope from day one - We agree exactly what's being delivered before I start, so no surprises
◆ Regular progress updates - Daily or weekly, your choice, so you always know where things stand
◆ Built to scale - I structure feeds for accuracy and growth, not quick fixes that break at higher volume
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
🛠 𝐏𝐥𝐚𝐭𝐟𝐨𝐫𝐦𝐬 & 𝐓𝐨𝐨𝐥𝐬:
⚡ Feed & Integration Tools
▸ Channable - feed management, rule building, category & attribute mapping, marketplace + Google Shopping feeds
▸ BaseLinker - marketplace listing, order & inventory automation, feed workflows
▸ Mirakl - seller onboarding, product & offer feeds, catalog integration
▸ Google Merchant Center - Google Shopping feed setup, optimization & error resolution
🛒 EU Marketplaces
▸ Mirakl operators - Debenhams • Tesco • B&Q • Leroy Merlin • Castorama • Conforama
▸ Bol (Netherlands / Belgium)
▸ Decathlon Marketplace
▸ eMAG (Romania / Hungary / Bulgaria)
▸ Fashion Days (RO)
▸ Kaufland
▸ Allegro
🔗 Data Sources & Stores
▸ Shopify • WooCommerce • Magento • PrestaShop • Odoo ERP • Google Sheet • CSV
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
⚙️ 𝐇𝐨𝐰 𝐈 𝐖𝐨𝐫𝐤 — 𝐀𝐮𝐝𝐢𝐭 → 𝐌𝐚𝐩 → 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐞 → 𝐌𝐚𝐢𝐧𝐭𝐚𝐢𝐧:
1️⃣ Audit - I review your catalog, feed, and error patterns to find what's actually breaking and why
2️⃣ Map - I structure your product data, attributes, and category mappings so it flows cleanly into each marketplace
3️⃣ Integrate - I connect your store/ERP to the marketplace via Channable or BaseLinker and get products live
4️⃣ Maintain - I monitor feed processing, resolve errors, and keep listings, inventory, and orders in sync as you scale
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
❓ 𝐂𝐨𝐦𝐦𝐨𝐧 𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬:
▸ 𝐖𝐡𝐢𝐜𝐡 𝐄𝐔 𝐦𝐚𝐫𝐤𝐞𝐭𝐩𝐥𝐚𝐜𝐞𝐬 𝐝𝐨 𝐲𝐨𝐮 𝐰𝐨𝐫𝐤 𝐰𝐢𝐭𝐡?
Mirakl-powered marketplaces (Debenhams, Tesco, B&Q, Leroy Merlin, Castorama, Conforama), bol, Decathlon, eMAG, Fashion Days, Kaufland and more.
▸ Do you handle one-time onboarding or ongoing work?
Both - one-time catalog onboarding and error fixes, plus ongoing feed management and marketplace maintenance.
▸ My products keep getting rejected. Can you fix that?
Yes. Rejections usually come from attribute mapping, category taxonomy, or data formatting. I find the root cause and fix your feed until your catalog is fully live.
▸ Can you connect my store or ERP to a marketplace?
Yes - I integrate Shopify, WooCommerce, Magento, PrestaShop, and Odoo ERP to EU marketplaces through Channable or BaseLinker.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
📩 Message me with which marketplace you're launching on and what's currently breaking - I'll tell you exactly how I'd approach the fix.
Error Detection
Inventory Management
Order Management
Data Integration
API Integration
Linnworks
Multi-Platform Optimization
Order Processing
Catalog
Amazon Seller Central
Walmart.com
Shopify
eBay
API Testing
Product Listings
Third-Party Integration
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