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Hello, I am a certified Medical Billing & Revenue Cycle Management (RCM) specialist with 5+ years of experience supporting US-based healthcare providers across multiple specialties. I specialize in end-to-end medical billing, with a strong focus on denial management, aging AR recovery (90+ days), and clean claim submission to maximize reimbursements and reduce revenue loss. What I Do: Full Revenue Cycle Management (RCM) Medical Billing & Claims Submission (Primary, Secondary, Tertiary) Denial & Rejection Management + Appeals AR Follow-up (0–120+ days) & Collections Recovery Insurance Verification & Eligibility Checks Payment Posting (ERA/EOB) & Reporting Credentialing & Re-credentialing Support Expertise: ICD-10, CPT, HCPCS coding | Medicare/Medicaid & commercial payers | payer-specific rules | audit-ready documentation Tools & Systems: AdvancedMD, Kareo, Athenahealth, eClinicalWorks, DrChrono, PracticeFusion, TheraNest, Availity, and more. Why Work With Me: I don’t just process claims—I track, analyze, and recover revenue. My focus is improving clean claim rates, reducing AR aging, and ensuring consistent cash flow for healthcare practices. Thank you!

Denied claims. AR aging past 90 days. Providers still waiting on credentialing. That's revenue you already earned, sitting in someone else's account. I get it back. I'm Mujahid a Top Rated Plus Medical Billing, Coding & Credentialing Specialist with 7+ years in US healthcare Revenue Cycle Management. HIPAA-compliant remote setup, US business hours, full ownership from eligibility check to final payment. 𝗥𝗘𝗦𝗨𝗟𝗧𝗦 𝗜 𝗗𝗘𝗟𝗜𝗩𝗘𝗥 ▪ Denial rate below 3% ▪ Clean claim rate above 98% ▪ Days in AR down to 18–34 days ▪ Up to 30% revenue lift after a full workflow cleanup 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗜𝗟𝗟𝗜𝗡𝗚 & 𝗖𝗢𝗗𝗜𝗡𝗚 ▪ Medical billing and coding: CPT, ICD-10, HCPCS and modifier accuracy + claim scrubbing ▪ Eligibility verification, benefits checks, prior authorization and referrals ▪ NCCI edits, MUE compliance and bundling rules ▪ Telehealth billing (POS 02/10, modifiers 95 and GT) ▪ Denial management: root-cause analysis, appeals, peer-to-peer support ▪ AR follow-up by aging bucket (0–30, 31–60, 61–90, 90–120+) ▪ Charge entry, payment posting and ERA reconciliation 𝗖𝗥𝗘𝗗𝗘𝗡𝗧𝗜𝗔𝗟𝗜𝗡𝗚 & 𝗣𝗥𝗢𝗩𝗜𝗗𝗘𝗥 𝗘𝗡𝗥𝗢𝗟𝗟𝗠𝗘𝗡𝗧 ▪ Provider enrollment, individual and group: Medicare, Medicaid, Tricare, all major commercial payers ▪ CAQH registration, attestation and ongoing maintenance ▪ NPPES / NPI setup and updates ▪ Primary Source Verification and recredentialing ▪ License and malpractice expiration tracking ▪ ERA / EFT / ACH enrollment and PMS linking 𝗘𝗛𝗥 𝗦𝗘𝗧𝗨𝗣 & 𝗖𝗟𝗘𝗔𝗥𝗜𝗡𝗚𝗛𝗢𝗨𝗦𝗘 𝗖𝗢𝗡𝗙𝗜𝗚𝗨𝗥𝗔𝗧𝗜𝗢𝗡 ▪ Full EHR / EMR build: payer setup, fee schedules, code libraries, encounter templates ▪ EDI and ERA connections: Availity, Waystar, Change Healthcare, Trizetto, ClaimMD, Office Ally ▪ Workflow automation for submission, posting and daily operations 𝗥𝗘𝗣𝗢𝗥𝗧𝗜𝗡𝗚 & 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘 𝗙𝗜𝗡𝗔𝗡𝗖𝗜𝗔𝗟𝗦 ▪ Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, collections ▪ Fee schedule review and payer rate negotiation support ▪ Cash flow planning and HIPAA/payer compliance checks ▪ Written SOPs for every RCM workflow 𝗣𝗟𝗔𝗧𝗙𝗢𝗥𝗠𝗦 𝗜 𝗪𝗢𝗥𝗞 𝗜𝗡 eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, AthenaHealth, AdvancedMD, CollaborateMD, SimplePractice, TherapyNotes, Insync/Qualifacts, Office Ally, KanTime, EmpowerEMR, Apollo, SessionHealth, Lauris Online — and more. Not listed? Just ask. 𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗧𝗜𝗘𝗦 Primary Care, Urgent Care, Emergency Medicine, Mental & Behavioral Health, Physical Therapy, Dermatology, Cardiology, Pain Management, Pediatrics, Plastic Surgery, Wound Care & Grafting, Birth Centers, Home Health, Nurse Practitioners. Outpatient and hospital settings both — which means I know how payer behavior shifts across care settings. 𝗪𝗛𝗬 𝗖𝗟𝗜𝗘𝗡𝗧𝗦 𝗦𝗧𝗔𝗬 Most billers submit claims and move on. I build the system: documented workflows, trained staff, reporting you can actually read. I'm also co-developing an EHR platform as the healthcare domain expert, so I know exactly where billing, clinical workflow and technology break — and how to fix it. 𝗥𝗘𝗔𝗗𝗬 𝗧𝗢 𝗦𝗧𝗔𝗥𝗧? Message me with three things: your specialty, your EMR, and your biggest bottleneck (denials, AR, or credentialing). I'll tell you where I'd start and what it takes to fix it. Free 20-minute call on Zoom or Google Meet.

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.

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.

Virtual Medical Assistant | Medical Scheduler | EHR/ EMR | Billing Assistant | Patient Care Coordinator | CCM | RPM | GLP | Weight Loss Management Program | Laboratory Scientist | Microbiologist | Care Gap Coordinator | Telehealth Support. As a Medical Scheduler and Virtual Medical Assistant, I support healthcare practices in the United States and the United Kingdom by facilitating accurate patient scheduling, effective patient communication, and other administrative and clinical responsibilities, all while ensuring full compliance with HIPAA regulations. With nearly a decade of combined experience in clinical roles, including Laboratory Technologist and Microbiologist, as well as administrative functions, I offer a unique blend of medical knowledge and precise workflow management across Primary Care, Behavioral Health, Cardiology, and multi-specialty clinics. My dual expertise bridges the gap between clinical understanding and administrative execution, ensuring accurate documentation, efficient workflow management, and improved patient care—especially for healthcare providers serving patients in the United States and the UK. I have extensive experience working remotely with a wide range of specialties, including Primary Care Physicians, Psychiatrists, Behavioral Health Specialists, Nutritionists, Rheumatologists, Dermatologists, and Cardiologists. This exposure has strengthened my ability to manage sensitive patient interactions with professionalism, empathy, and full HIPAA compliance. 🔹 Core Expertise Medical Scheduling & Patient Coordination Behavioral Health & Psychiatric Patient Support Insurance Verification & Benefits Coordination Medication Refills & Prior Authorizations Referral Management & Care Coordination Medical Billing & Payment Posting Pre-visit Planning & Chart Preparation Medical Scribing & Clinical Documentation Lab Orders & Pathology Report Handling Fax & EHR Inbox Management 🔹 EMR / EHR Systems Expertise AthenaOne TherapyNotes (Behavioral Health) PracticeQ AdvancedMD Tebra (Kareo) TurboPT NextGen Collaborate MD Charmhealth Elation 🔹For billing and VOB eClinicalWorks Availity DaqBilling UHC portal Cigna portal With a strong foundation in laboratory sciences, I bring high accuracy in interpreting medical and pathology reports and in maintaining records precisely according to provider requirements. I have also worked closely with a mental health nurse practitioner, gaining valuable experience in handling patients with behavioral and mental health needs, where empathy, patience, and clear communication are essential. Previously, I have worked in reputable healthcare institutions including: Shaukat Khanum Hospital Fatima Memorial College of Medicine & Dentistry Excel Labs National Institute of Health Sciences Isolation Hospital & Infectious Treatment Center These roles strengthened my ability to perform effectively in fast-paced clinical environments while maintaining accuracy, compliance, and patient-centered care. 🔹 How I Can Support Your Practice I bring a dependable combination of clinical knowledge and administrative expertise to help healthcare providers streamline operations and enhance patient satisfaction. My goal is to reduce your workload by efficiently managing day-to-day clinical coordination tasks, so you can focus more on patient care. I am committed to delivering accurate, reliable, and compassionate virtual support tailored to your practice's unique needs. I currently support an ongoing client and maintain capacity for an additional project with dedicated working hours.

Thank you for visiting my profile. I have over 12 years of experience working as a Medical Billing Specialist, Virtual Assistant, Data entry/processing, Project Management, Technical Support, and Call Center. I have excellent verbal and written communication skills and being computer savvy I can do multi-tasking quickly. Strong command over Web browsing/research, fast typing (50+ w.p.m.), MS Office 365, ZOHO CRM, Google Docs, and Adobe PDF is a plus. Since 2013, I have worked with several US-based physician clients from US including New York, New Jersey, Tennessee, Mississippi, Mary Land, Virginia, Texas, and Arkansas. My strong grip over insurance policies and billing guidelines enables me to perform medical billing functions effectively and efficiently. I have successfully completed all projects for my clients mainly related to medical billing, authorization and referral management, accounts receivable, data imports/exports, email and call management with 99% accuracy. Throughout my career, I have handled different specialty practices mainly pain management, therapy (OT, PT, ST), internal medicine, pediatrics, and cardiology. I can work on several billing software including by not limited to the following: - AdvancedMD PM and EHR - eClinicalWorks - Kareo - CollaborateMD - Raintree - Axxess Tech Sol - CareTracker - Athenanet - DrChrono - Practicemate (OFFICE ALLY) - Billing Pro / MIS (MTBC) - StreamlineMD – Ovation 2K - Centricity - Practice Fusion - Practice Suits MEDICAL SPECIALTIES WORKED - Therapy (PT, OT, and ST) Non-physician practices - Urgent Care - Cardiology - Gastroenterology - Podiatry - Internal Medicine - Pediatrics - Pain Management - Psychiatry - Anesthesiology - Ophthalmology - Orthopedic Surgery - Sports Medicine - Chiropractic MEDICAL BILLING SERVICES – Eligibility and Coverage verification - Prior Authorization approval before services rendered - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry (OF, IH, OH, ER, AL, NH, CC, HO). - Insurance claims submission (primary, secondary or tertiary) - Payment postings from EOBs/ERA - Revenue Cycle Management, Accounts receivable analysis, Collections, DAR and FTPR - Denial Management by strong follow-up - Handling patient/insurance/attorney calls - Appeals on denials via call, written, fax for reprocessing - Monthly and annual reports preparation - Custom reports where required - Credentialing/Enrollment with all Government and commercial payers - EDI setups/agreements within covered entities - Consulting/Training with practice staff - Making of Super Bills, HIPAA Disclosure Forms, and other forms (where required) I am sure, after having my services, you will have peace of mind because I love to do medical billing. Best Regards Fahad Waheed