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Hire the best Healthcare Common Procedure Coding System Specialists in Islamabad, PK

Check out Healthcare Common Procedure Coding System Specialists in Islamabad, PK with the skills you need for your next job.
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  • $15 hourly
    • 5.0/5
    • (6 jobs)
    I am a certified medical billing and coding specialist with CPC and CPMA certifications from AAPC, CPB training, and HIPAA certification. With over 7 years of experience, including my role as a Supervisor of Medical Coding, Billing, and Auditing, I have developed extensive expertise in medical coding, billing, credentialing, and revenue cycle management. My experience includes working with multinational companies such as MTBC. (Care Cloud), iRCM Inc., HMS Inc., and RMB. Where I demonstrated proficiency with a wide range of billing software systems and EHR/EMR platforms, these include Care Cloud, Medisoft, AdvancedMD, ECW, NextGen, 3M Encoder, PowerChart, Cerner CDI, CMD, Office Ally, Dentrix, Epic, NueMD, Sevocity, Practice Fusion, and other commonly used systems. I am skilled at navigating complex EHR systems, ensuring compliance with regulatory requirements, and managing credentialing processes. My capabilities extend to ICD-10-CM, CPT/HCPCS, and ICD-10-PCS coding, charge entry, eligibility verification, claim scrubbing, denial management, and accounts receivable follow-up. I take pride in delivering high-quality work and have received accolades for my contributions as a medical coding specialist. Recent accomplishments include successfully reducing denials and increasing revenue for healthcare providers through effective revenue cycle management strategies and improving accounts receivable processes to decrease the average time to collect payments and boost cash flow. Overall, I am a dedicated healthcare solutions expert committed to providing exceptional service. Contact me today to learn more about how I can support your practice's success.
    Featured Skill Healthcare Common Procedure Coding System
    Medical Records Research
    Medical Billing & Coding
    Quality Assurance
    Electronic Medical Record
    Invoicing
    Optima Healthcare Solutions RehabOptima
    Accuracy Verification
    Virtual Assistance
    Medical Records Software
    Medical Transcription
    General Transcription
    Science & Medicine
    ICD Coding
  • $8 hourly
    • 5.0/5
    • (8 jobs)
    With over 10 years of extensive experience in medical billing, I bring a proven track record of excellence in managing the complete revenue cycle for healthcare providers. My expertise lies in accurately coding medical procedures, submitting claims, resolving billing discrepancies, and ensuring maximum reimbursement in compliance with industry standards and regulations. 𝗛𝗲𝗿𝗲'𝘀 𝘄𝗵𝗮𝘁 𝐰𝐞 𝗰𝗮𝗻 𝗯𝗿𝗶𝗻𝗴 𝘁𝗼 𝘁𝗵𝗲 𝘁𝗮𝗯𝗹𝗲: 1. Patient record management 2. Eligibility and benefits verification 3. ICD coding 4. Claim creation and submission 5. Claims auditing and scrubbing 6. Denial Management. 7. Payment posting (ERA/EOB) 8. Follow-ups on unpaid claims 9. Appeals for denied claims 10. Virtual assistant services ---𝐏𝐫𝐨𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐢𝐧 𝐋𝐞𝐚𝐝𝐢𝐧𝐠 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐒𝐨𝐟𝐭𝐰𝐚𝐫𝐞---- We leverage industry-leading software to deliver efficient and seamless billing services. Our expertise includes: ✦ Electronic Health Records (EHR): Epic, Cerner, CriterionsEHR, PracticeFusion, MDVision. ✦ Practice Management Software: AdvancedMD, Kareo, DrChrono, CollaborateMD, AthenaHealth. ✦ Clearinghouse Solutions: GatewayEDI, ClaimMD, OfficeAlly, Waystar. ---𝐏𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥 𝐀𝐭𝐭𝐫𝐢𝐛𝐮𝐭𝐞𝐬--- ✦ Detail-oriented with a commitment to accuracy and efficiency in all billing operations. ✦ Strong problem-solving skills to handle claim rejections and resolve discrepancies effectively. ✦ Excellent communication and collaboration abilities to coordinate with healthcare providers, insurance companies, and patients. ---𝐀𝐜𝐡𝐢𝐞𝐯𝐞𝐦𝐞𝐧𝐭𝐬--- ✦ Successfully reduced AR days by implementing streamlined billing processes and follow-up procedures. ✦ Recognized for achieving over 95% claim approval rates on first submission consistently. ✦ Trained and mentored junior billing staff, improving team performance and overall productivity.
    Featured Skill Healthcare Common Procedure Coding System
    Medical Records
    Medical Billing
    Claim Listing
    Insurance Claim Submission
    ICD Coding
    HIPAA
    Electronic Medical Record
    Medical Records Research
    Electronic Health Record
    Electronic Data Interchange
    Medical Billing & Coding
    Google Sheets
    Data Entry
    Virtual Assistance
  • $15 hourly
    • 4.0/5
    • (32 jobs)
    I am a highly experienced CPC and CRC with a robust knowledge base in ICD-10 CM/PCS, HCPCS, MIPS, and CPT coding systems. My expertise spans across all domains of Radiology Coding—both interventional and diagnostic—as well as Anesthesia coding. I also possess a deep understanding of Evaluation and Management (E/M), Pathology and Laboratory, Medicine, and Surgery coding, ensuring the highest levels of accuracy and compliance. Key areas of expertise include: Radiology and Anesthesia Coding: Extensive experience in accurate coding for interventional and diagnostic radiology, as well as anesthesia, ensuring precise billing and optimal reimbursement. E/M, Pathology, Laboratory, Medicine, and Surgery Coding: Comprehensive skills in a wide array of coding areas, backed by meticulous attention to detail and adherence to the latest coding standards and guidelines. ICD-10 CM/PCS, MIPS, HCPCS, CPT: Proficient in all major coding systems, ensuring compliance and optimization in capturing the complexity of medical conditions and procedures. Research Skills: Strong analytical capabilities, bolstered by a Master of Philosophy in Bioinformatics, enabling advanced research. As a Certified Risk Adjustment Coder (CRC) with 5 years of experience, I specialize in the intricate analysis and accurate coding of medical records to ensure precise HCC (Hierarchical Condition Categories) coding and accurate ICD-10-CM coding. My proficiency in understanding CMS guidelines and risk adjustment models has enabled me to significantly contribute to the financial and clinical performance of healthcare organizations. Key areas of expertise include: HCC Coding: Deep understanding of the HCC model such as V28 and V24 Model, ensuring accurate representation of patients' health statuses. ICD-10-CM Coding: Proficient in ICD-10 coding, with a keen eye for detail to ensure compliance with the latest coding standards. Documentation Review: Skilled in thorough documentation review and gap analysis to ensure all relevant diagnoses are captured. Compliance and Quality Assurance: Experienced in conducting audits to maintain compliance with federal regulations and enhance data quality. Software Proficiency: Adept at using coding software and tools such as AAPC, CMS-HCC, 3M Encoder, and EPIC, ensuring efficient workflow and accuracy. Achievements: Successfully improved coding accuracy rates by 99% through meticulous reviews and targeted training sessions. Played a pivotal role in a project that resulted in a 100% increase in risk adjustment factor scores. Consistently recognized for attention to detail and accuracy, receiving commendations from supervisors and peers. As a Certified Professional Coder (CPC) with 5 years of experience, I bring extensive expertise in accurately coding medical procedures and diagnoses across various specialties. I am adept at ensuring compliance with healthcare regulations and facilitating efficient revenue cycle management. My detailed-oriented approach and comprehensive knowledge of coding standards contribute significantly to the operational success of healthcare providers. Key areas of expertise include: CPT & ICD-10 Coding: Proficient in CPT, ICD-10-CM, and HCPCS level II coding, ensuring precise and compliant coding for medical services. Documentation Review: Skilled in conducting meticulous reviews of clinical documentation, ensuring all pertinent information is captured and correctly coded. Billing and Reimbursement: Experienced in navigating insurance claims, utilizing electronic health record (EHR) systems, and optimizing billing processes to maximize reimbursement. Compliance and Auditing: Proven track record in performing internal audits to maintain adherence to compliance standards and improve coding accuracy. Software Proficiency: Proficient in using coding and billing software such as AAPC, Meditech, Epic, and 3M Encoder, streamlining workflows and enhancing productivity. Achievements: Enhanced coding accuracy rates by 99% through targeted audit initiatives and continuous education programs. Successfully resolved billing discrepancies, resulting in a 100% improvement in claim acceptance rates and reducing denials. Recognized for exceptional attention to detail and accuracy, earning accolades from peers and supervisors for coding excellence. Led training sessions for coding staff, fostering a collaborative environment focused on achieving high standards in coding and billing practices. I am dedicated to maintaining up-to-date knowledge of coding regulations and best practices. My commitment to precision and efficiency ensures that healthcare organizations can achieve optimal operational performance while delivering high-quality patient care. Software's and Applications Expertise -Encoder Pro -Meditech -Kareo -ECW -Medserve -Health Fusion Next Gen -EPIC -TalkEHR -Medics Premier -Cerner -AthenaOne -Vertex -Power Chart -EMR/EHR Billing software's -Remote Desktop Work -Office Suit -Slack -Asana
    Featured Skill Healthcare Common Procedure Coding System
    Medical Records Software
    Medical Condition Coding
    Medical Billing & Coding
    ICD Coding
    Medical Transcription
    Medical Procedure Coding
    Blog Content
    Data Extraction
    Medical Report
    Electronic Medical Record
    Virtual Assistance
    Medical Informatics
  • $35 hourly
    • 4.9/5
    • (95 jobs)
    To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have worked 20+ years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also 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 also visited US and visited doctors’ offices and hospitals to completely know about their processes. 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
    Featured Skill Healthcare Common Procedure Coding System
    Medical Records Research
    Medical Records Software
    Medical Billing & Coding
    Accounts Receivable Management
    ICD Coding
    Insurance Policy Analysis
    Customer Support
    Insurance Document Production
    Insurance Consulting
    Administrative Support
    Microsoft Excel
  • $60 hourly
    • 4.6/5
    • (160 jobs)
    As an EDI Developer, I am working in a US Based Clearing-House that processes the provider claims, patient eligibility, era retrieval from/to the corresponding insurance. I have expertise in following EDI transactions. - 837 Professional/Institutional/Dental - First level Reports - 999, 277CA (Claim Acknowledgment) - Real-time/Batch Patient Eligibility 270, 271 - Real-time/Batch Claim Status 276, 277 - Payment Posting 835 I have created my own EDI Framework, which is capable of following transactions. - Claim Transaction (837) Generation and Sending it to the Vendor - Retrieval of Reports 999, 277CA and linking reports to the submitted claims. - Showing rejections in claims, received from vendors - Patient Eligibility 270/271 transaction, that will show the eligibility status (Active/InActive), patient benefits, copay, deductible, co-insurance. - Claim Status 276/277, that will show the current status of claim from Payer Adjudication System. - Retrieval of Payment Reports (835/ERA) and will link to the corresponding payer. The system will show the details as Claim Submitted Amount, Allowed Amount, Paid Amount, Patient Responsibility etc. Denial details will also show in case of denial claims. - Many more features to come Please review my EDI Framework in my portfolio (named: The Easy EDI) section.
    Featured Skill Healthcare Common Procedure Coding System
    Health Level 7
    ASC X12
    Electronic Data Interchange
    Medical Billing & Coding
    Visual Basic
    PHP
    ASP.NET MVC
    C#
    AngularJS
  • $5 hourly
    • 5.0/5
    • (9 jobs)
    Experienced Medical and Dental Billing Specialist | 10+ Years of Excellence in RCM & Credentialing Welcome! I’m a seasoned HIPAA-certified Medical and Dental Biller, RCM Specialist, and Practice Consultant with over a decade of experience helping U.S. medical providers enhance efficiency and maximize revenue. My expertise spans: Core Competencies: • Revenue Cycle Management (RCM): Complete billing services, A/R follow-up, and denial management. • Credentialing & Enrollment: Efficient setups with all major insurance providers. • Coding & Compliance: Proficiency in HCPCS, ICD, and CPT coding with QA assurance. • Reporting & Analysis: Tailored reports, financial forecasting, and insights for better decision-making. • Patient Help Desk Services: Professional communication and support. Specialties: I’ve worked across 25+ medical specialties, including: • Internal Medicine, Cardiology, Psychiatry, and Chiropractic • Physical/Occupational Therapy, Dialysis, OB/GYN, DME, and more Software Expertise: Skilled in using 30+ platforms, including: • eClinicalWorks, Office Ally, DrChrono, Kareo, Practice Fusion, Epic, and AdvancedMD Key Deliverables: • Comprehensive claim processing and appeals • Eligibility verification and prior authorizations • Denial audits and out-of-network claim negotiations • Patient statements and account reconciliation • Regular reporting: Daily updates, weekly A/R summaries, and monthly financial overviews Why Work With Me? My goal is to streamline your practice’s billing process, reduce errors, and boost revenue. With my commitment to detail and results-driven approach, I ensure client satisfaction and deliver solutions tailored to your needs. Let’s connect and discuss how I can make a difference in your practice. Available Full-Time | Ready to Start
    Featured Skill Healthcare Common Procedure Coding System
    Insurance Claim Submission
    Account Reconciliation
    Transaction Data Entry
    Dental Care
    Accounts Receivable Management
    Accounts Payable
    HIPAA
    Customer Support
    Data Entry
    Microsoft Excel
    ICD Coding
    Payment Processing
    Medical Billing & Coding
    Account Management
  • $12 hourly
    • 5.0/5
    • (2 jobs)
    If you're looking for a Certified Professional Medical Coder (CPC) or a medical content writer, you've found the right person! CPC Certification ID: 02146003 With 6 years of experience in medical coding and billing within the US healthcare industry, I have developed expertise in a wide variety of specialties and settings. **About Me:** I am a Physical Therapist with a Master's degree in Neuromuscular Physical Therapy from an international university. In 2019, I transitioned into medical coding and have since worked full-time as a medical coder in the US healthcare sector. As a committed and diligent professional, I have successfully completed numerous projects virtually through various freelancing platforms, including Upwork. Areas of Expertise: - Outpatient - Inpatient - Emergency Department (ED) - Same-Day Surgery Coding Specialties I've Worked On: - Orthopedics - Podiatry - Pain Management - Anesthesia - Cardiology - Urology - Urgent Care - Pediatrics - Obstetrics/Gynecology - Internal Medicine - Radiology - Surgery - Laboratory - E&M Additionally: I am also a seasoned medical content writer with over 6 years of professional experience. As a physiotherapist, I specialize in crafting articles on medical coding, billing, credentialing, scientific research, and healthcare topics. My strong research skills allow me to produce unique, SEO-optimized content that meets my clients' needs, including blogs, articles, website content, and social media posts. I prioritize providing scientifically accurate, informative, and search engine-friendly content. I’m available to write on a wide range of health-related topics, including: - Physiotherapy - Rehabilitation - Injuries and Ailments - Pathology - Exercise Physiology - Health and Wellness - Nutrition - Pharmacology & Herbal Remedies - Chronic Diseases & Medications - Fitness - Medical Procedures When you work with me, you can expect high attention to detail, excellent communication, and a genuine commitment to delivering outstanding results. Let’s collaborate!
    Featured Skill Healthcare Common Procedure Coding System
    Electronic Health Record
    Healthcare IT
    Medical Interpretation
    Medical Transcription
    Medical Condition Coding
    Medical Billing & Coding
    ICD Coding
    Medical Procedure Coding
  • $8 hourly
    • 5.0/5
    • (4 jobs)
    As a medical billing specialist, I am a highly skilled and experienced professional who plays a critical role in the healthcare industry. With years of experience in medical billing and coding, I have a deep understanding of the complex processes involved in submitting medical claims and receiving reimbursement from healthcare payers. My expertise extends to a wide range of medical specialties, and I am proficient in industry-standard coding practices, billing regulations, and compliance requirements. I have a keen eye for detail and a commitment to accuracy, ensuring that all billing procedures are executed with precision and efficiency. In addition to my technical expertise, I am also a strong communicator and collaborator. I work closely with healthcare providers and their staff, as well as with insurance companies and other healthcare payers, to ensure that all billing processes are completed smoothly and in a timely manner. I am always available to answer questions, provide support, and help resolve any issues that may arise. At the heart of my work as a medical billing specialist is my dedication to providing exceptional service to healthcare providers and their patients. I understand the importance of timely reimbursements and the impact that they can have on the financial health of a healthcare practice. That's why I take great care in ensuring that all claims are submitted accurately and efficiently, maximizing revenue and minimizing the burden I have handled different medical practices and I have Sound knowledge of Electronic Health Records (EHR) & EMR software. I'm expert in Medical Billing+ Medical Coding,+ Claims Audit + Credentialing + Eligibility & Benefits verification+ Authorization + AR Reimbursement + Payment Posting + Call Answering,+ Appointments Scheduling, Data Entry Specialist. Feel free to reach out me if you are looking for the following services: + Medical Billing/Coding Specialist + Dental Billing/Mental Health Billing/DME Billing Expert + Insurance Credentialing Expert + Eligibility & Benefits verification with payers + Authorization Expert + Data Entry Specialist/Copy paste/Excel Reporting Specialist + Medical transcription service and clinical charting + Patient Demographics and Charge Entry in billing software/Claims entry + Claim submission to payers via clearinghouse and Paper + Submitting appeals for denied claims + Primary, Secondary and tertiary payers claim to process + Patient billing for patient’s responsibility + Denial management + Claims audit + Handling insurance / patient calls + AR follow-up through web portals and Insurance calls. + Payments posting from ERA/EOBs + Daily, Monthly and annual AR Financial reports preparation + EDI enrollments + Medical Report Writing + Admin Support MEDICAL CODING: + ICD 10 Coding + CPT and HCPCS Coding + Use of Modifiers + NCCI Edits + 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 modifiers for maximizing the revenue via Encoder pro Expert licensed version Credentialing & All govt and Commercial payers: + Application Submission + Follow-up on submitted applications + Contracting/Enrollment + Linking Tax IDs + ERA/EFT setups + Creating Web-portals I GOT CERTIFICATIONS ON THESE: + Certified Professional Coder + Certified Medical Reimbursement Specialist + Certified Evaluation Management Auditor PHONE SUPPORT SERVICE: +Appointments Scheduling/Patient Appointment Reminder +Doctor Help Desk/Receptionist Service MEDICAL BILLING SOFTWARE I USED: + DrChrono + Kareo + eClinicalWorks + Practice Mate + OFFICE ALLY + Athena + RXNT + Practice Fusion + Cure MD + Advanced MD + Athena Billing Software + Therapy Notes + Collaborate MD I worked with bellow mentioned specialties: +Psychiatry +Internal Medicine +Urgent Care +Anesthesiology +Chiropractic +Dermatology +Emergency Medicine +Family Practice +Gastroenterology +General surgery +Geriatrics +Physical Medicine and Rehabilitation +Physical Therapist +Radiology +Radiotherapy +Rheumatology I'll be a great addition to your team, and I will do my very best to help you be successful. Thank you so much for the wonderful opportunity and for taking the time to view my profile! I truly appreciate it. Aamir Rasheed.
    Featured Skill Healthcare Common Procedure Coding System
    Revenue Cycle Management
    Hospital
    Payment Processing
    Payroll Reconciliation
    Medical Billing
    Health
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Care Converge Patient Portal
    Medical Billing & Coding
    Invoicing
    Science & Medicine
    Healthcare IT
    Medical Condition Coding
  • $50 hourly
    • 0.0/5
    • (0 jobs)
    Struggling with Denied or Unpaid Claims? Let Me Maximize Your Reimbursements! Are claim denials and payment delays affecting your practice’s cash flow? I provide end-to-end medical billing services designed to streamline your revenue cycle, ensuring faster reimbursements, lower denials, and improved financial efficiency. With 15+ years of expertise in medical billing, coding, and credentialing, I handle everything from claims submission to A/R follow-ups so you can focus on patient care while I optimize your revenue. 🔹 My Medical Billing Services Include: ✅ Claims Submission & Processing Accurate and timely claim submissions to insurance companies Proper coding (ICD-10, CPT, HCPCS) to reduce denials ✅ Accounts Receivable (A/R) Follow-up & Denial Management Resolving unpaid or rejected claims quickly Appeals and follow-ups to ensure proper reimbursement ✅ Payment Posting (ERA/EOB) & Reconciliation Posting insurance and patient payments Reconciling adjustments to maintain accurate records ✅ Eligibility & Benefits Verification Checking patient coverage and benefits before services Preventing claim rejections due to eligibility issues ✅ Superbill & Fee Schedule Management Optimizing charge capture to maximize reimbursements Ensuring compliance with payer contracts ✅ Clearinghouse & EHR Integration Seamless billing through clearinghouses and EHR systems Experience with multiple billing software platforms ✅ HIPAA-Compliant Billing Solutions Secure handling of patient data and financial transactions Full compliance with Medicaid, Medicare, and commercial payer regulations ✅ Comprehensive Billing Audits Regular audits for accuracy and compliance Modifier code applications and bundling to prevent claim rejections 📌 Why Choose Me? ✔ Certified Medical Coder & Auditor (CPC, CPMA – AAPC) ✔ 15+ Years of Experience in U.S. Healthcare Billing & Credentialing ✔ Specialized in Internal Medicine, Mental Health, SLPs, ABA Therapy, Mid-Level Physicians, Dental, Chiropractic, DMEs, and Labs ✔ In-Network & Out-of-Network Credentialing for Commercial & Government Payers ✔ Expert in CAQH, NPI Registration (Type I & II), and Provider Enrollments I am proficient in EHR & billing software, including: 📌 MS Office Suite | QuickBooks | Sequel Med | ADS | INTERGY | FMS | WUPOS | WordPress & More 🔹 Medical Coding & Billing Services I Offer: 🔹 ICD-10, CPT, HCPCS Level II, ICD-10-PCS, DRG Coding 🔹 Medical Billing, Insurance & Eligibility Verification 🔹 Payment Posting & A/R Follow-up 🔹 Denial Claims Management & Appeals 🔹 Medicaid, Medicare, and Commercial Payer Compliance 💬 Message Me Before Placing an Order! I work individually or with a team for multiple providers to ensure efficient billing and claim processing for maximum revenue recovery. 🚀 Let’s Optimize Your Revenue Cycle & Get You Paid Faster! 🚀
    Featured Skill Healthcare Common Procedure Coding System
    ICD Coding
    Procura Healthcare Software
    American HealthTech LTC
    Healthcare Software
    Healthcare
    Insurance Claim Submission
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    Medical Billing
    Medical Billing & Coding
  • $20 hourly
    • 4.9/5
    • (28 jobs)
    Ex -Education Officer for AAPC Local Chapter Pakistan Qualification: Pharm-D (Doctor of Pharmacy) CERTIFICATIONS ● CPC (Certified Professional Coder) ● CPMA (Certified Professional Medical Auditor) OFFERING SERVICES I can provide complete RCM services including but limited to. ● Appointment Scheduling ● Eligibility & Benefits Verification ● Medical Coding ● Demographic & Charge Entry ● Insurance claims submission ● Claim Rejection ● Payment & Posting ● Secondary Claims Submission ● Account Receivable or Denial Management ● Medical Appeals ● Refunds (Insurance and Patient) ● ICD-10, CPT mapping ● Medical Scribing ● Credentialing ● Emails, and calls handling ● Virtual Assistant ● Front Office Services PROFESSIONAL SUMMARY ● 10+ years of multispecialty experience in the field of medical billing & coding ● Credit of establishing coding department in multiple US based RCM companies ● Diversified experience of dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centres, Hospitals (Profee - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centres and other solo practices. ● Highly energetic and goal-oriented professional with promising managerial, teaching and training skills. ● Self- motivated and skilled individual equipped with knowledge and experience of team developing, strong decision making, leading and controlling coding tasks of 150+ providers of different specialties. ● Certified Professional Coder and Certified Professional Medical Auditor from AAPC, with profound knowledge of ICD-10 CM, CPT, HCPCS and modifiers and utilizing them efficiently. ● Developed and managed a sole medical coding department at a US based healthcare billing and IT Company, being the very first of its kind and by far the biggest coding facility of the country. ● Experience of efficient management of backlogs and claims denial. SUCCESFUL PROJECTS AND ACHEIVEMENTS ● NCD and LCD based cross walk to validate claim for medical necessity. ● Successfully developed and implemented NCCI based RBS rules and Modifier cross walk for appropriation of claims to be submitted. ● Conducted Coding audit campaign efficiently, based on 2012 OIG work plan. ● Introduced prescription verification for Sure script certification. ● Coordinated with Web EHR, MTBC soft and android development team, in ICD-9 to ICD-10 mapping module resulting in best android app of the time. ● Actively involved in process automation and verification of MTBC EHR (client end) MTBC soft (operations). ● Efficaciously revamped MTBC EHR according to the requirements of Meaningful Use (MU1, MU2 and MU3) Certification. ● Effectively managed incorporation of updates and changes in medical coding annually or when required. CORE COMPETENCIES AS MEDICAL BILLER, CODER & AUDITOR ● Extensive knowledge of medical terminology human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas. ● Experience of dealing in multiple specialties including anesthesia, radiology, pathology, internal medicine and surgery. ● Certified proficient and experienced in ICD-10 requirements and procedures ● Comprehensive knowledge and utilization of CPT and HCPCS coding ● Working knowledge of compliance regulations HIPAA and PHI requirements. ● Ability to efficiently manage claim denials ● Experienced and efficient in backlogs management. ● Complete understanding of Managed care contract ● Knowledge of MCO, Medicare, Medicaid and commercial insurances. ● Working experience of changing and fast-paced medical care environments. ● Detail-oriented and competent at reviewing records for accuracy, completeness and compliance with regulations. ● Expertise in Electronic Medical Record (EMR) software ● Medical Insurance Claims processing & denials ● EHR- All scripts, Next Gen, Cerner, Practice Fusion
    Featured Skill Healthcare Common Procedure Coding System
    EMR Data Entry
    Microsoft Excel
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    ICD Coding
    Medical Condition Coding
    Electronic Medical Record
    Accounts Receivable Management
    Medical Terminology
    Medical Procedure Coding
    Electronic Health Record
    Medical Transcription
  • $5 hourly
    • 5.0/5
    • (3 jobs)
    I am working as Team lead, Medical biller & coder and provide services for whole revenue cycle management. I have majorly work on Primary care, Family, Internal medicine, Mental health, Physician Billing, and labs practices. I am a quick learner and have very good accuracy in entering charges, EOB/ERA payment posting. I have worked in following fields of medical billing: • Review medical record & Claim submission(CPT ICD10 coding) • EOB Payment posting or refunds payments issues • ERA downloading & posting • Monthly check balancing and closing • HCFA1500 printing and billing • Insurance eligibility & benefits verification • Follow-up with insurance companies for denied claims, • Eligibility & benefits verification • Patient demographics entry • Obtaining Pre-authorization • Credentialing Medical Billing EMR/EHR software I worked on are • E-med • Kareo • ECW • Practice Fusion • Elation • Office Ally Clearing house I worked with are: • Change healthcare • Availity • Office ally I am fairly aware of icd10 update, I know how to check LCD and correct use of icd10 according to their CPT, modifiers, deductible, copay coinsurance, network or out of network insurance issues. I also used programs, Network Professional, Accrobate , Microsoft complete office (Outlook, Excel, Word & Power point), Easy print. I offer my services on per hour rate and or on fixed percentage. I have a team of medical billing experts who can help me out. You can give me responsibility of whole medical billing cycle.
    Featured Skill Healthcare Common Procedure Coding System
    ICD Coding
    Web Testing
    Medical Mastermind Medical Billing Services
    Microsoft Excel
    Customer Support
    Medical Billing & Coding
    Data Entry
    Electronic Data Interchange
    C#
    C++
  • $18 hourly
    • 5.0/5
    • (17 jobs)
    A Certified Medical Coder/RCM Expert/Auditor/HCC-Risk adjustment coder with over 13 years of experience and command over CPT, ICD-10-CM, HCPCS-II codes, and HCC V24 & V28 risk adjustment models. Highly skilled in analyzing and validating patient information, diagnosis, procedures and coding them with the highest level of specificity and accuracy. Have complete understanding and knowledge of compliance regulations HIPAA/HITECH and PHI requirements Distinguish combination of CPC, CPMA, CRC, and Pharm-D is my strength benchmark in extracting information and assigning/Billing and auditing specific Codes related to E/M, internal medicine, Emergency, surgery ( Ambulatory ), Radiology, Pathology, Podiatry, Rheumatology, Pain Management, Ortho Upper and lower Extremities, Psychiatry, Cardiology, EP Studies, Anesthesiology, Gynecology, HCC Risk Adjustment and PQRS. Working knowledge on multiple EHRs and other Software's utilized in the industry including TalkEHR, Kareo, Athena One, Cozeva, EPIC, Advanced MD, UroChart EHR, Medics Premier, eClinical Works, Optum 365, Practice Fusion and many more.
    Featured Skill Healthcare Common Procedure Coding System
    ICD Coding
    Medical Procedure Coding
    Medical Translation
    Medical Records Software
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Electronic Health Record
    Healthcare IT
    Medical Condition Coding
    Medical Records Research
    Data Entry
    Revenue Management
    Administrative Support
  • $9 hourly
    • 3.0/5
    • (2 jobs)
    Medical Billing Specialist, Data Entry, Admin Support To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. Financial analysis has also been done for different projects. I have experience communicating with US doctors and other third-party healthcare staff, i.e., insurances, doctors, clearinghouses, and other third-party payers. 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 - ICD-10, 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 - Superbills review - Appeals (b). Medical Coding - To research the correct 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 Family medicine 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 less
    Featured Skill Healthcare Common Procedure Coding System
    Healthcare IT
    Healthcare Management
    Healthcare Interoperability
    Optima Healthcare Solutions RehabOptima
    Account Reconciliation
    Revenue Management
    Medical Billing & Coding
    ICD Coding
    Accounts Receivable Management
    Data Entry
  • $18 hourly
    • 4.9/5
    • (14 jobs)
    👋 Welcome! I'm Quratulain Ajmal 🏆Pioneer in Medical Billing & Credentialing with 12+ years of experience 🏆 1000+ Projects 🏆 Top Rated Plus 🌟 What Sets Me Apart? ✔ Accuracy in Claims Submission & Compliance with Insurance Guidelines ✔ Dedicated Support & Quick Turnaround Time ✔ Customized Solutions Tailored to Your Practice’s Needs 🔹 Medical Billing & Coding Services I provide end-to-end billing solutions, ensuring clean claim submissions, faster reimbursements, and minimal rejections. I specialize in: ✔ Electronic & Paper Claims Submission (CMS-1500, UB-04) ✔ Medical Coding (ICD-10, CPT, HCPCS) ✔ Claim Scrubbing & Error-Free Submission ✔ Denial Management & Appeals Handling ✔ Accounts Receivable (AR) Recovery & Follow-Ups ✔️ Appeals 🔹 Provider Credentialing & Insurance Enrollment ✔ NPI Registration & CAQH Enrollment ✔ Medicare & Medicaid Enrollment & Revalidation ✔ Commercial Insurance Paneling (BCBS, Aetna, UHC, Cigna, etc.) ✔ Contract Negotiation & Rate Review ✔ PECOS & EFT/ERA Setup for Smooth Transactions ✔️Demographics Update, Address Change. ✔️ERA, EDI, and EFT Enrollment. 🔹 Revenue Cycle Management (RCM) & Practice Optimization I help practices boost revenue and reduce administrative burdens with: ✔ Patient Eligibility & Benefits Verification ✔ Prior & Retro Authorizations & Referrals ✔ Payment Posting & ERA Reconciliation ✔ Compliance with HIPAA & Insurance Regulations ✔ Customized Billing Reports & Performance Analysis 🔹 Experience with Top Medical Billing Software I have hands-on experience with the leading medical billing platforms, including: ✔ eClinicalWorks (ECW) ✔ Athenahealth ✔ DrChrono ✔ Practice Fusion ✔ Epic ✔ Medisoft ✔ Simple Practice ✔ AdvancedMD ✔ Kareo/Tebra ✔ NextGen Office ✔ Unified Practice ✔ Therapy Notes ✔ Headway ✔ Office Ally ✔ eMed ✔ RXNT ✔ Compulink ✔ Allscripts ✔ Cerner ✔ CareCloud ✔ Greenway Health ✔ MDToolbox and many more Provider Specialties : ✔ Mental Health & Substance Abuse ✔ Neuropsychological & Psychological Testing ✔ Occupational Therapy ✔ Physical Therapy ✔ Chiropractic Services ✔ Acupuncture & Holistic Medicine ✔ Speech Therapy & Audiology ✔ Home Health & Hospice Care ✔ Surgical & Ambulatory Services ✔ Dermatology, Cardiology, Internal Medicine ✔ Pediatrics, OB/GYN, Primary Care, Family Medicine ✔ DME (Durable Medical Equipment) Billing Insurances: ✔ Medicare / Medicaid (All States) ✔ Tricare / Veterans Affairs (VA) Billing ✔ HMO / PPO / IPA / EPO / Workers’ Compensation ✔ UHC / Optum / UnitedHealthcare Community Plan ✔ Blue Cross Blue Shield (BCBS) – All States ✔ Cigna, Aetna, Humana, Providence, Anthem, Regence ✔ Medicaid MCOs & Medicare Advantage Plans ✔ Empire BCBS, WellCare, Molina, Ambetter, Fidelis Care ✔ No-Fault & Personal Injury Protection (PIP) Billing 📩 Let’s Get Started! Whether you need medical billing, credentialing, claims processing, or full RCM services, I am here to help! Contact me today, and let’s take your practice to the next level with efficient and compliant revenue cycle management
    Featured Skill Healthcare Common Procedure Coding System
    Administrative Support
    Medical Referrals
    Revenue Management
    ICD Coding
    Medical Billing & Coding
    Medical Procedure Coding
    HIPAA
    Electronic Medical Record
    Healthcare Management
    Medical Mastermind Medical Billing Services
    Insurance Verification
    Medical Records Software
    Bookkeeping
    Customer Service
  • $12 hourly
    • 0.0/5
    • (0 jobs)
    Thank you for visiting my profile. My name is Arslan Arshad, and I am a certified coder, auditor, and HCC coder holding CPC, CPMA, and CRC certifications from AAPC. With a career spanning back to 2013, I have amassed 11 years of experience in this field. Throughout my journey, I've proficiently utilized various software systems prevalent in the industry, including ECW, Athena, Power Charts, Cerner, Secure Soft, Wiseman, ChartLogic, Epic, CareCloud, Vertex, Intergy, Apero, CureMD, e-Bridge, and FileZilla. My background as a pharmacist has equipped me with a comprehensive understanding of medical procedures and terminology, enhancing my ability to deliver precise and efficient coding services. My expertise encompasses a wide range of medical coding projects, from coding claims for healthcare providers to identifying billing errors and ensuring compliance with government regulations. I am dedicated to providing top-notch work and exceptional customer service to all my clients. My specialties include OB/GYN, Podiatry, Office Evaluation and Management, ICD-10-CM, HCC (Risk Adjustment), Denial Management, Urgent Care, minor and Major Surgical prcodure Coding. I am proficient in handling Nursing Home claims, Critical Care, and Hospital Evaluation and Management. I am eager to collaborate with you on your medical coding project. Please don't hesitate to reach out to discuss your specific requirements and how I can be of assistance. Thank you for considering my services, and I eagerly await the opportunity to work with you.
    Featured Skill Healthcare Common Procedure Coding System
    Education
    Medical Terminology
    Indexing
    Medical Condition Coding
    Electronic Medical Record
    Medical Records Software
    Data Entry
    Medical Records
    Revenue Cycle Management
    ICD Coding
    Medical Procedure Coding
    Medical Billing & Coding
  • $10 hourly
    • 0.0/5
    • (1 job)
    As a CPC Certified Medical Coder/scribe with 5 years of experience, I combine my coding expertise with a strong background in Healthcare Industry as an Orthopedic Physical Therapist. My role as a medical scribe allows me to capture precise patient information, ensuring accurate documentation that meets the highest standards.I specialize in ICD-10, CPT, and HCPCS coding, with a strong focus on E/M and surgical (interventional, therapeutic, diagnostic) coding. My proficiency in denial management ensures that your claims are processed efficiently and accurately. With hands-on experience in software like EncoderPro, Centricity, and EMR systems, I excel in client onboarding and provider education to enhance operational efficiency. I’m also a passionate and experienced article/blog writer who specializes in crafting compelling, well-researched content. Whether it’s health, lifestyle, or technology, I create engaging and friendly articles that resonate with readers and meet your business goals. I pride myself on originality, delivering high-quality work on time, and tailoring content to suit your brand’s voice. Let’s collaborate and bring your ideas to life. Let’s collaborate to optimize your coding processes and elevate your practice!
    Featured Skill Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Medical Records Software
    Medical Report
    Medical Condition Coding
    Medical Informatics
    Electronic Medical Record
  • $10 hourly
    • 3.7/5
    • (1 job)
    Greetings! I am Husnain Abbas a seasoned Certified Medical Coder with extensive expertise in ICD-10, HCPCS, and CPT coding. My career has been marked by a commitment to excellence in health operations management, billing, accounts receivable follow-up, virtual assistance, and providing exceptional customer service. In addition to my coding proficiency, I possess a solid understanding of compliance regulations such as HIPAA and PHI requirements. I specialize in a range of medical fields, including: ✔️ Anesthesiology ✔️ Internal Medicine ✔️ Family Medicine ✔️ Pediatrics ✔️ Podiatry ✔️ Nursing Home ✔️ Surgeries ✔️ Pain Management ✔️ Urgent care ✔️ Hospitalist services With a comprehensive understanding of the entire Revenue Cycle Management (RCM) workflow, I have successfully executed these services over the last five years: ✔️ Medical Coding ✔️ Medical Coding Auditing ✔️ Eligibility and Verification of benefits ✔️ Charge Entry ✔️ Payment Posting ✔️ Accounts Receivable Follow-up ✔️ Resolving Rejections and Denials My experience extends to various managerial levels, enabling me to efficiently manage multiple tasks and teams. I am well-versed in using a variety of software and applications, including: ✔️ CollaborateMD ✔️ AdvancedMD ✔️ OfficeAlly ✔️ Citrix ✔️ DrChrono ✔️ Practice Fusion ✔️ Kareo ✔️ Meditech ✔️ EPIC ✔️ eClinicalWorks (ECW) ✔️ SimplePractice ✔️ AthenaOne ✔️ Vertex ✔️ Velnet 🔑 Key Strengths: ✔️ Attention to Detail ✔️ Knowledge of Coding Systems ✔️ Familiarity with billing software and electronic health records (EHR) systems. ✔️ Knowledge of Regulations ✔️ Problem-Solving Abilities ✔️ Team Player ✔️ Customer Service Orientation 🙋‍♀️ Why Choose Me: ✔️ Effective Communicator ✔️ Prompt Responder ✔️ Clear and Timely Communication ✔️ Deadline-Driven Professional ✔️ Efficient Time Manager 🤝 Let's Collaborate: I would welcome the opportunity to connect with you via a call to discuss your specific requirements in detail. Please let me know a convenient time, and I will be ready to assist. Thank you for considering my services, and I look forward to the possibility of working together. Thanks, Husnain Abbas
    Featured Skill Healthcare Common Procedure Coding System
    Accounts Receivable
    Medical Billing
    Medical Condition Coding
    Medical Procedure Coding
    ICD Coding
    Medical Billing & Coding
  • $5 hourly
    • 5.0/5
    • (2 jobs)
    My name is Saleem Tariq, and I bring over 9 years of comprehensive experience in the US healthcare system, specializing in both medical and dental billing. Throughout my career, I have developed expertise as a Medical Biller, Dental Insurance Verifier, and Medical + Dental Accounts Receivable (AR) Specialist. Medical Billing Services I offer a wide range of services to ensure seamless billing processes: Verification of Benefits (VOB) Charge Posting Claim Submission Claim Rejection Resolution Accounts Receivable (AR) Follow-Up Appeal Submission Payment Posting (Post Check Cashing Date) Electronic Funds Transfer (EFT) Payment Posting Denial Management Secondary Claim Submissions Patient Payment Posting Claim Faxing Strong Communication with Insurance Representatives Familiar Medical Billing Software: E-Clinical Works (ECW) AdvanceMD Kareo Office Ally NextGen Office Central Reach ENT Cloud CollaborateMD AthenaOne Clearing Houses I Work With: Office Ally Trizetto PHICure Availity Emdeon Change Healthcare Specialties I've Worked With: ABA Therapy Speech Therapy Orthopedic Gynecology Radiology ENT Eye and Ear Ophthalmology Covid-19 Related Claims Mental Health Ambulance Services Dental Billing Services In the dental field, I offer extensive services, including: Work on Schedulers Urgent Patient VOBs Eligibility Verification through Calls and Portals Benefits Breakdown and Updates Claims Submissions Accounts Receivable (AR) Management Insurance Payment Posting Claim Faxing Familiar Dental Software: Open Dental Dentrix Denticon Dentrix Ascend Curve-Hero Eagle Soft Practice WEB Win OMS OMS Vision Clearing Houses I Work With: DentalXChange E Central Vyne Remote Lite Specialties in Dental Billing: General Dentistry Endodontics Orthodontics Periodontics Prosthodontics Oral and Maxillofacial Surgery Dental Anesthesiology Pediatric Dentistry Oral Medicine Kindly reach out to me directly to discuss your requirements in detail. I look forward to collaborating with you! Thank you for taking time to review my profile.
    Featured Skill Healthcare Common Procedure Coding System
    Medical Records Software
    Healthcare
    Medical Transcription
    Electronic Medical Record
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Management Skills
    Medical Billing
    HIPAA
  • $7 hourly
    • 0.0/5
    • (0 jobs)
    As a dedicated Medical Billing & Credentialing Expert with over 7 years of experience, I specialize in optimizing revenue cycles for healthcare providers. My extensive expertise spans medical billing, coding, credentialing, and denial management, ensuring your practice receives timely and accurate reimbursements. I am proficient in popular medical billing software, including ECW, Kareo, Office Ally, Waystar, Trizetto, and Change Healthcare. My skills include: Medical Billing: Accurate submission of claims and follow-up on unpaid or denied claims to maximize revenue. Credentialing: Streamlining the credentialing process to ensure compliance with industry standards and timely provider enrollment. Denial Management: Analyzing and resolving claim denials efficiently, implementing strategies to minimize future occurrences. Coding: Expert knowledge of ICD-10, CPT, and HCPCS coding to ensure proper coding for reimbursement. My goal is to provide comprehensive billing solutions tailored to your practice’s needs, allowing you to focus on delivering quality care to your patients. Let’s connect and enhance your billing processes together!
    Featured Skill Healthcare Common Procedure Coding System
    Administrative Support
    Data Entry
    Invoicing
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Insurance Policy Analysis
    Scheduling
    ICD Coding
    Medical Billing & Coding
    Microsoft Office
    Accounts Receivable Management
    Accounts Receivable
  • $6 hourly
    • 0.0/5
    • (0 jobs)
    As a dedicated medical billing specialist with over 5 years of experience, I bring expertise in navigating the intricacies of healthcare billing and coding. My background includes proficiency in ICD coding, claims submission, and revenue management. I have successfully collaborated with healthcare providers, insurance companies, and patients to ensure accurate and timely reimbursement. What do I provide to my clients? 1- Provider Reliable &Cost Effective Solutions 2- Complete task in timely Manner 3-Service Delivery within Turn Around Time 4- Innovative &Continous Improvement in Service 5- Provide Quality work I believe in providing quality services and client satisfaction. Job Respnsibilities: 1: Patient Registration/Face Sheet/Demographics/Insurance Information 2: Checking patient Elegibilities and Benefits 3: Submitting Electronic and paper claims 4; Obtaining Prior and Retro Auth 5; Applying Payments to accounts from ERA/EOB 6: Aging Reports /Follow Up/ Appeals 7: Denials & Rejections management 8: Documentation Review Audit and Report 9: Patient Assistance 10: Contact with Insurance and patient through calls and emails. Specialities I have been working as follow:- Physical Therapy Mental Health Urgent Care Psychology & Psychiatrists Radiology Skilled Nursing Dental Co-Surgeon Software Skills : Office Ally Kareo (Tebra) Therapy Notes Ecw Dr. Chrono Advanced MD NextGen Practice Fusion EHR/EMRs/Clearinghouse Trizetto (Gateway) Kareo EHR Practice Fusion Office Ally Cloud Care WEBPT Trizetto I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete a project until the client is 100% satisfied. Thank you for viewing my profile. Best Regard Huzaifa Akhter
    Featured Skill Healthcare Common Procedure Coding System
    EMR Data Entry
    Medical Report
    Medical Billing & Coding
    ICD Coding
    HIPAA
    Accuracy Verification
    Accounts Receivable
    Virtual Assistance
    Microsoft Excel
    Insurance Claim Submission
    Data Entry
    Payment Processing
    Medical Billing
    Invoicing
  • $8 hourly
    • 5.0/5
    • (2 jobs)
    With over 8 years of dedicated expertise in health operations management, I have established myself as a seasoned professional in the realms of medical billing and coding, credentialing, and revenue cycle management (RCM). My extensive experience encompasses a profound understanding and mastery of CPT, HCPCS, and ICD-10 coding standards, allowing me to navigate complex healthcare systems with precision and efficacy. →Medical coder with AAPC guidelines. → Medical auditor with CPC and CPMA →Expert in accounts receivable → Regulatory, QA, and medical research writer → Entering patient demographics → Entering charges into billing software → Checking eligibility with insurance providers → Scrubbing medical claims → Submission of claims to payers → Payers of insurance → Handling calls, emails, and denial management → Verification of eligibility and insurance → Monitoring accounts receivable → Managing posting and adjustments → Patient billing at the patient's expense → Financial reports that are tailored → Making a calendar Working on variety of EHR along with managing the business of HealthCare professionals in US. Tailored to use other EHR's as well. • Drchrono • Collaborate MD. • ECW (E-clinical Works). • Athena Net • Care Tracker • TheraNest • Kareo/DaisyBill • Medisoft • Emdeon EHR/EMR Let's explore each other to see how we collaborate to other's success and leave a legacy of work in a good and efficient environment.
    Featured Skill Healthcare Common Procedure Coding System
    Insurance Consulting
    Account Management
    Desktop Support
    Preauthorization
    Revenue Cycle Management
    Financial Audit
    Invoicing
    Insurance Claim Submission
    Electronic Health Record
    Administrative Support
    Accounts Payable
    ICD Coding
    Medical Billing & Coding
    Scheduling
  • $10 hourly
    • 0.0/5
    • (0 jobs)
    Your practice deserves more than just a billing company, it deserves a trusted partner who truly cares about your revenue, your reputation, and your peace of mind. Hi, I’m your billing & RCM partner; here to help U.S. clinics like yours simplify insurance claims, reduce denials, and get paid faster, without chasing payments or stressing over compliance. ✅ Medical Billing | End-to-End RCM | Claim Submissions ✅ Denial Management | AR Recovery | Payment Posting ✅ EHR Systems: AdvancedMD, Kareo, DrChrono, Athena & More ✅ Fully HIPAA-Compliant | Transparent Reporting | 100% Follow-Up We don’t just work for you, we work with you. Whether you're a solo practitioner or managing a multi-provider clinic, we’ll create a seamless billing workflow that gives you clarity, control, and confidence in your revenue cycle. 💡Quick Wins Clients Love: • Recovered $45K+ in under 60 days for a primary care clinic • Reduced denials by 68% for an urgent care group • Automated claims process for a 4-provider mental health team 📊 You’ll always know what’s happening with your billing; no surprises, just results. Let’s talk about how we can streamline your workflow and protect your revenue, so you can focus more on care, and less on collections.
    Featured Skill Healthcare Common Procedure Coding System
    Electronic Health Record
    HIPAA
    Epic Systems Medical Software
    Medical Records Software
    Medical Procedure Coding
    Medical Condition Coding
    Medical Transcription
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Healthcare Software
    Healthcare Management
    Revenue Cycle Management
    Medical Billing
    Medical Billing & Coding
  • $10 hourly
    • 4.7/5
    • (16 jobs)
    Motivated medical billing and coding specialist with over 8 years of experience in health operations management, billing, and coding. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. EXPERIENCE: MEDICAL BILLING AND REIMBURSEMENT SPECIALIST • Responsible for processing payments, adjustments, and denials according to established guidelines (Payment Poster) • Knowledge of HCFA 1500 and UB4 1450 forms. • Responsible for submitting electronic claims and paper claims to primary, secondary, and third-party insurance companies. • Knowledge of prior authorizations and cash posting. Able to read and interpret EOB's. • Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed. • Ensure accurate entry of work into designated billing systems. • Assist with training materials and training staff members. • Communicate with the Clinics to provide or obtain corrected or additional data. • Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information. • Responsible for working on EDI claim rejections in a timely manner. • Prepare and submit billing data and medical claims to insurance companies. • Collect and review referrals and pre-authorizations. • Follow up on missed payments and resolve financial discrepancies. • Investigate and appeal denied claims. • Register patients in the EHR system • Work with insurance companies to handle any "problem" claims that have trouble getting paid. • Send inpatient and outpatient claims to insurance companies for our clients with an emphasis on accuracy in coding. • Many various activities that included data entry, verifying insurances, follow-up, authorizations, and many more. Familiar with Software: I’m good at using different Billing cloud base software: • Advanced MD. • Office Ally. • CareCloud • Crystal PM • WayStar • Simple Practice • Drchrono • Kareo(Tebra) • Medisoft • ECW (E-clinical Works). • Athena Net • Care Tracker • Icanotes • Emdeon EHR/EMR system • EPM (Electronic Practice Management). I have worked on the following Billing specialties: • Mental Health. • Chiropractic. • Cardiology. • Ophthalmology. • Optometry • Internal Medicine. • Family Medicine. • Gastroenterology. • Radiology. • Oncology. • Orthopedic • Podiatry • Physical Therapy. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurance, doctors, clearinghouses, and other third-party payers. Credentialing With insurance for All Payers. I have good experience for the credential of the provider with insurance for Medicare, Medicaid, And Commercial Payers. KEY SKILLS: • Ability to calculate figures and compute rate, ratio, and percent to draw and interpret bar graphs and the ability to apply basic algebraic concepts. • Ability to work quickly. • Ability to read an explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments. • Ability to read accounts receivable. • Knowledgeable in personal computer software and general office procedures. • Knowledge of Accounts Receivable. • Strong knowledge of medical terminology. • Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers. • Knowledge and experience with Hospital & Professional Billing. • Medicare Part A billing experience included the Medicare DDE system. • Sound knowledge of EOB and ERA. • Working knowledge of basic computer functions, with an emphasis on typing. • Knowledge of Medicare/Medicaid billing (UB4). • HCFA 1500 • Denial Management. • Hospital Billing • Home Health Billing/Medicare Part A billing. • Office Billing • Strong teamwork skills • Critical thinking and problem-solving abilities. • Effective verbal and written communication skills.
    Featured Skill Healthcare Common Procedure Coding System
    General Ledger
    Financial Report
    HIPAA
    EMR Data Entry
    Insurance Verification
    ICD Coding
    Medical Mastermind Medical Billing Services
    Accounts Receivable Management
    Phone Support
    Accounts Receivable
    Medical Procedure Coding
    Medical Billing & Coding
    Virtual Assistance
    Data Entry
  • $15 hourly
    • 5.0/5
    • (5 jobs)
    Hi, I am a Registered Pharmacist (R.Ph) and Certified Professional Coder (CPC) with more than 9 years of experience in revenue cycle management, specializing in medical coding, billing, and reimbursement processes. With my background in medical terminology, anatomy, physiology, and pharmacology, I bring a distinct advantage to medical coding. Combined with my AAPC Certified Professional Coder (CPC) certification, I am well-equipped to provide expert revenue cycle management services. My primary goal is to help optimize your billing processes, minimize claim denials, and ensure accurate and timely payments. I am dedicated to maintaining strict confidentiality and adhering to HIPAA compliance in all aspects of my work, and I take great pride in my meticulous attention to detail and accuracy. I am HIPAA compliant, detail-oriented, and proficient in ICD-10, CPT, and HCPCS coding systems and am well-versed in electronic health records (EHR) platforms and medical billing software, including like eCW, Mod Med, Epic, Cerner, Cure MD and others. In my previous role as a Subject Matter Expert, I provided support to a range of healthcare providers, including Ambulatory Surgical Centers (ASC), Urgent Care centers, genetic and COVID testing labs, and other outpatient services. I conducted internal coding audits, assessed external audit quality, and trained and onboarded new coding professionals. Competencies: ● Extensive knowledge of medical terminology human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas. ● Experience of dealing in multiple specialties including anesthesia, radiology, pathology, internal medicine and surgery. ● Certified proficient and experienced in ICD-10 requirements and procedures ● Comprehensive knowledge and utilization of CPT and HCPCS coding ● Comprehensive knowledge of NCCI policy, PTP edits and rules established by AMA and CMS. ● Working knowledge of compliance regulations HIPAA and PHI requirements. ● Ability to efficiently manage claim denials ● Experienced and efficient in backlogs management. ● Knowledge of MCO, Medicare, Medicaid and commercial insurances. ● Working experience of changing and fast-paced medical care environments. ● Detail-oriented and competent at reviewing records for accuracy, completeness and compliance with regulations. ● Expertise in Electronic Medical Record (EMR) software Let’s connect today to discuss how I can help you streamline your medical coding and billing needs
    Featured Skill Healthcare Common Procedure Coding System
    Medical Terminology
    Electronic Health Record
    EMR Data Entry
    Accounts Receivable
    Accounts Receivable Management
    Medical Procedure Coding
    Medical Translation
    Epic Systems Medical Software
    eClinicalWorks
    Compliance
    HIPAA
    Revenue Cycle Management
    Insurance Claim Submission
    Medical Billing & Coding
  • $10 hourly
    • 0.0/5
    • (0 jobs)
    ### Professional Overview I am a Medical Transcription Specialist and Medical Coding professional with 20+ years of experience in the healthcare industry. My career focuses on accuracy and attention to detail, supporting healthcare providers in delivering high-quality patient care. Over the past four years at MTBC, I have honed my transcription skills and enhanced customer service capabilities, ensuring that clients receive tailored support to meet their needs. ### Medical Transcription and Coding Expertise I have extensive experience in medical transcription and coding across various specialties, including plastic surgery, neurosurgery, vein surgery, cardiology, orthopedics, and pediatrics, among others. My proficiency in converting audio recordings into precise written documents ensures that every transcription is error-free and compliant with industry standards. I am well-versed in medical terminology, which enables me to provide high-quality support to healthcare professionals. Additionally, I excel in medical billing and coding, utilizing systems such as ICD-10, CPT, and HCPCS. I have effectively managed billing processes for in-network and out-of-network providers, implementing reimbursement strategies that optimize financial outcomes. My expertise extends to full account management, including payment posting, accounts receivable (AR) follow-up, and credentialing. ### Advanced Customer Service and Management Skills My strong background in customer service allows me to communicate effectively with healthcare providers and administrative staff. I prioritize building trust with clients, ensuring their needs are met promptly and efficiently. As a team lead and project manager, I have coordinated billing and coding teams, ensuring compliance and smooth operations. This experience has equipped me to streamline processes and improve efficiency across various projects. ### Comprehensive Knowledge of Billing Processes I possess a thorough understanding of medical billing and coding processes, including: - **Specialties**: Plastic surgery, neurosurgery, vein surgery, and more. - **Billing Software**: Proficient in eClinicalWorks (eCW), NextGen, CollaborateMD, Office Ally, Tebra, ModMed, and Athena. - **Clearinghouses**: Experienced with clearinghouses that facilitate timely claims processing for major insurers like Aetna, Cigna, BCBS, UHC, Medi-Cal, Medicare, Medicaid, and commercial payers. This knowledge allows me to navigate the complexities of billing and coding effectively, enhancing the financial health of healthcare practices. ### Benefits of My Services My services provide several key benefits: 1. **Accuracy**: Extensive experience ensures error-free documentation, minimizing risks to patient care and revenue. 2. **Compliance**: Adherence to HIPAA regulations and coding standards ensures regulatory compliance. 3. **Timeliness**: I prioritize meeting deadlines without compromising quality, allowing providers to focus on patient care. 4. **Customization**: I tailor services to meet the unique needs of each client, whether for specific specialties or complex coding scenarios. 5. **Communication**: Strong customer service skills facilitate open communication, ensuring feedback is promptly addressed. ### Conclusion With 20+ years in healthcare, including four years as a Medical Transcription Specialist at MTBC, I am well-positioned to support providers in documentation, coding, and billing needs. My expertise in revenue cycle management and effective communication sets me apart in this field. I look forward to collaborating with healthcare professionals to enhance patient care through precise documentation and optimized revenue cycle management.
    Featured Skill Healthcare Common Procedure Coding System
    Insurance Verification
    Customer Service
    Medical Report
    Revenue Cycle Management
    Project Management Professional
    Family Planning
    Practice Fusion
    Electronic Medical Record
    Medical Records
    Administrative Support
    Medical Procedure Coding
    ICD Coding
    Medical Transcription
    Medical Billing & Coding
  • $8 hourly
    • 0.0/5
    • (0 jobs)
    I am enthusiastic, reliable and hardworking individual who has over 7 years of experience about whole Medical billing/RCM process. You will get several services at a one time investment and i am sure you will not be disappointed. Feel free to communicate with me if you need any of my help. One of my greatest strength is that i’m keen to detail. I can easily achieve accuracy when presented with tasks. This strength has helped me improve my productivity and efficiency. I have excellent communication skills, Problem solving skill, multitasking skill and Time Management skill. Specialization: ✅ Insurance Verification ✅ Medical Billing ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Data Entry Tools: ✅ Excellent Typing skill (40-50wpm). ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox. Job Responsibilities:  Patient Registration/demographics/insurance information  Checking patient eligibility and benefits verifications  Creating and submitting clean claims to insurance companies.  Obtaining prior and retro authorizations for services  Payments posting from ERA/EOB/websites and also patient payments.  Denials management  Aging report/Follow-up/Appeals  Customer services and administrative assistance.  Handling patient calls regarding payments and billing records  Sending invoices to different offices and clients.  EDI 835/837 enrollment Medical Billing softwares (Ready to deal with new one)  AdvancedMD  kareo  officially  ECW  CureMD  Practice Fusion  Practice Suite  Allscripts EHR/EMRs  Practice Fusion  Kareo EHR  AdvanceMD EHR  WebPT  PracticeEHR Insurance web portals that I have used:  CGS(Medicare)  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  Molina healthcare  Health First  HRSA uninsured Core Skills and Competencies  ICD-10 codes  CPT codes  HCPCS codes  Medical Terminology  Medicare and Medicaid Guidelines  Knowledge of Payer Reimbursement Characteristics and Billing Policies  Medical Documentation review and Auditing  Daily/Weekly/Monthly/Quarterly Reconciliation  Performs well with little supervision
    Featured Skill Healthcare Common Procedure Coding System
    Customer Service
    ICD Coding
    Customer Support Plugin
    Medical Billing & Coding
    HIPAA
    Medical Procedure Coding
    Account Reconciliation
    Data Entry
  • $5 hourly
    • 0.0/5
    • (0 jobs)
    A meticulous and detail-oriented Medical Biller with expertise in processing insurance claims, patient billing, and revenue cycle management. Proficient in medical coding (ICD-10, CPT) and knowledgeable about healthcare regulations and compliance. Skilled in using billing software and maintaining accurate patient records. Strong communication abilities to liaise with insurance companies and healthcare providers. Committed to ensuring timely and accurate billing for optimal financial performance. Based on my vast experience in the US health sector i will assist with following Patient Registration/patient management.  Insurance Verification and benefits.  Obtaining prior and retro authorizations.  Claim submission.  Applying payments to accounts from ERA/EOB/websites and also patient payments.  Aging report/Follow-up/Appeals.  Denial management.  Handling patient concerns/invoicing.  Bookkeeping/QuickBooks  Daily, Weekly, Monthly or Quarterly Reconciliation  Medical Documentation review and Auditing  Customer services, DATA ENTRY and administrative assistance. I have worked for these practice specialties Urgent care, Home healthcare, Physical therapy, Occupational therapy, Speech therapy, Chiropractic, Mental health, Acupuncture, Family practice, Internal medicine, , Radiology, Podiatry, Dietitians, etc. BILLING SOFTWARES and EMR/EHRs Simple Practice AdvancedMD kareo/Tebra OfficeAlly Therabill ECW Theranest Therapy Notes NextGen Webpt Practice Fusion ChiroHD Chirospring Chirotouch Clinicsource CLEARING HOUSES Navicure / ZirMed Officeally Availity ClaimMD Emdeon Trizetto Regards, Tanveer Ahmed
    Featured Skill Healthcare Common Procedure Coding System
    Typing
    Data Entry
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    ICD Coding
    Claim Listing
    Insurance Policy Analysis
    Insurance Claim Submission
    Insurance
    Medical Billing & Coding
    Medical Billing
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