Hire the Best Healthcare Common Procedure Coding System Specialists
in India

I have worked for 13+ years in a US-based Medical billing as a specialist in AR, EDI Analyst and had performed all the tasks related to Medical Billing. I also have the experience to communicate with US doctors and other third-party healthcare staff i.e. Insurances, Doctors, clearing houses and other third-party payers. I have complete knowledge of the U.S. Healthcare process- a) Medical Billing Services includes the following: - - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on schedule while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right 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). Worked on Many Specialties Such as- Cardiology, Chiropractic, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Geriatrics, Gynecology and obstetrics, Internal Medicine, Neurology, Orthopedic, Pediatrics, Physical Medicine and Rehabilitation Physical Therapist, Psychiatry, Neurology, Radiology, Radiotherapy, Rheumatology

I am a Revenue Cycle Management (RCM) Consultant and Medical Billing Specialist with 7+ years of experience in U.S. healthcare billing, accounts receivable management, denial management, and credentialing. I help healthcare providers, behavioral health clinics, private practices, urgent care centers, and multi-specialty medical organizations improve cash flow through medical billing, AR follow-up, claim denial resolution, insurance verification, prior authorization, and payment posting. My core expertise includes: ✔ Medical Billing ✔ Revenue Cycle Management (RCM) ✔ Accounts Receivable (AR) Follow-Up ✔ Denial Management & Appeals ✔ Credentialing & Provider Enrollment ✔ Insurance Verification & Benefits ✔ Prior Authorization ✔ Claims Submission (CMS-1500 / UB-04) ✔ Payment Posting & Reconciliation ✔ Medical Coding Support ✔ KPI Reporting & Revenue Analytics ✔ EHR / EMR Workflow Management I specialize in identifying revenue leakage, aging AR, recurring denials, underpayments, delayed reimbursements, and billing workflow inefficiencies. My services help practices with: * faster collections * lower denial rates * improved clean claim ratio * optimized AR recovery * streamlined credentialing * better revenue reporting * scalable billing operations If you need support with medical billing, revenue cycle optimization, AR cleanup, denial prevention, credentialing, or RCM consulting, I can help improve your financial operations and maximize reimbursements. Let's Connect. Expert RCM Provider | Revenue Cycle Management Expert | Medical Billing Specialist | AR Recovery & Follow-Up Expert | Denial Management Consultant | Credentialing Specialist | Insurance Verification & Prior Authorization Expert | Claims Submission & Payment Posting Specialist | Healthcare Revenue Optimization Consultant |Expert RCM Provider | Medical Billing | AR Recovery | Denial Management Revenue Cycle Management (RCM), Medical Billing, AR Follow-Up, Accounts Receivable Recovery, Denial Management, Credentialing, Insurance Verification, Prior Authorization, Claims Submission, Payment Posting, Revenue Optimization, Healthcare Operations, Billing Workflow, Revenue Reporting, EMR / EHR Support Fractional Billing Director RCM Strategy Consultant Revenue Optimization Partner Healthcare Operations Consultant Billing Process Consultant Revenue Growth Consultant Practice Profitability Expert Claims Denial Prevention Consultant End-to-End RCM Solutions Full Cycle Medical Billing Claims Processing Expert AR Follow-Up Expert Denial Resolution Specialist Payment Posting Specialist Insurance Verification Expert Prior Authorization Specialist Revenue Optimization Consultant Billing Workflow Expert Expert RCM Provider Revenue Cycle Management Expert Medical Billing Expert RCM Consultant Billing Operations Specialist Healthcare Revenue Expert AR Recovery Specialist Denial Management Expert Credentialing Specialist Medical Claims Expert

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

"I am a Certified Medical Reimbursement Specialist" from American Medical Billing Association. I have been working with Medical Billing process for past 9+ years. I am an experienced Medical Biller who is well versed physician practice work flow & its patient care cycle; I have been thorough with all the processes of Revenue Cycle Management like Insurance Verification, Demographics Entry, Charge Entry, Primary & Secondary Claims Processing, Payment Posting [ERA&EOB], Denials Management, Accounts Receivables Management & Credentialing. I have experience working on various Practice Management Software like Kareo, eCW, MDofficeManager, Allscripts, MDonline, Practice Suite Chiropractice-Online, Freechiro, etc. I have also worked on few clearinghouse softwares e.g. GatewayEDI, Availity, OfficeAlly, Zirmed Payerpath, Emdeon etc. I am looking for full-time or part-time work. High level knowledge of medical billing and general accounting. Adaptive to management styles, business models and information systems. Energetic self-starter, high self-esteem, and eager to learn, and team player. Extensive domain knowledge, consulting and reporting using Word, Excel, Outlook etc. Ability to perform all the aspects of Revenue Cycle Management & Clinical Documentation Management. Knowledge of Accounting, Invoicing, Payroll & Accounts Payable. Knowledge of Accounting Software's : Quick Books, Sage, Xero, Wave, Fresh Books.

End to End Medical Billing and soft collections in flat rates. Services include Credentialing, Charge Entry, AR follow up, Denial Management and Reporting (A) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right 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 via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology

►I have strong 10 years of Experience ►I am Certified Biller from AAPC ►HIPPA Certified ►Experienced in State worker compensation And No fault, And an expert in major TPA, MCO, HMO, PPO, POS AND INDEMNITY carriers, ►Experienced in Charge entry ►Payment posting ►Team Handling ►Denial Management ►Eligibility Verification ➨ Special Skills ►Submitting Meaning full use ►Credentialing and contracting ►Medicare & Medicaid Auditing ►Technical Medical Injury Writer (Narrative) ►In 10 years I have gained remarkable knowledge about obtaining payments from worker comp carriers. ►Well versed with Many EHR/EMR systems ►I am also expert in Obtaining payments from Government Carriers and other Carriers are very difficult to get in touch, it's really a challenge for a medical billing service to bring Payments. However, we have special knowledge to bring payment or Correspondence from Government carrier for Doctors within 45 Business days.