Hire the Best Healthcare Common Procedure Coding System Specialists
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Cost effective Medical Billing and Credentialing can be Complicated, Complex, Time-Consuming, and Not What Your Team Loves Doing! At LMS Consulting we take the frustration out of credentialing, claim submission and patient billing. With our proven claims submission and time-tested procedures, we promise to keep your 120-day aging under 2%. As a doctor/healthcare practitioner or an office manager for a health care office, there comes a point when you need to decide to elevate your billing. Whether you have recently lost your biller, or your in-house staff just cannot keep up, that’s where LMS excels, which brings medical practices to new levels of profitability. We guarantee fast turn around and quick responses for each provider that contracts with us! We are based out of the United States. Not all billing companies do what we do! We are an integrity-based company that is accountable for our actions. If we do not do our job right, we do not get paid. All our contracts come with a payment-based guarantee with a performance penalty clause built in. In other words, we stand beside our product and our name. You will find our rates affordable. We offer billing plans that include verification of benefits, prior authorization, credentialing, scheduling, and all your miscellaneous office duties. All the provider needs to do is collect what is asked (we will give you the figure), see the patient and document the visit. LMS Consulting will take care of the rest! I am local to Arizona however; I have done business with others in many different states. My rates start as low as 4.5% and go up to 7% depending on what services you would like to include. I have an accuracy guarantee that will not be met. Our experience with billing Medicaid, DDD, DES, Medicare, workers comp and all private commercial payers makes this goal a reality. We take pride in offering exceptional service at a competitive rate. There are no hidden fees or charges. Our fee can be based on a percentage of collections (we only get paid for what we collect) or we will be glad to negotiate a monthly flat fee. We give caring and personal service to our providers and their patients and have the references to prove it. Complete access to your account and claims via your own software. 48-hour turnaround time for all rejected and/or denied electronic claims 48-hour turnaround time for retrieval of benefits, eligibility, or pre-authorizations 48-hour turnaround time for credentialing documents. A level of customer service that will exceed your expectations. For more information, contact us at amanda@lms-az.com

🟢 Available Full-Time | HIPAA Certified | Fremont, California, USA Is your practice losing revenue to unpaid claims, aging AR, or slow reimbursements? As a dedicated Medical Biller and Revenue Cycle Specialist with 8+ years of U.S. RCM experience, I help healthcare providers recover unpaid claims, reduce denials, verify insurance eligibility, and manage prior authorizations — so your cash flow stays healthy and predictable. With $100K+ earned, 9,000+ hours, and Top Rated Plus status, I bring the Medical Billing expertise that translates directly into improved collections and stronger revenue cycle performance for your practice. ✅ CORE MEDICAL BILLING & RCM SERVICES As your dedicated Medical Billing Specialist, I manage every stage of your revenue cycle: ✔ Medical Billing & Claims Submission — clean claim creation, charge entry, and electronic submission with 95%+ acceptance rate ✔ AR Recovery & Follow-Up — systematic pursuit of 30/60/90/120+ day aging claims bringing average AR days below 38 ✔ Denial Management — root cause analysis, appeals preparation, corrected claim resubmission, and persistent payer follow-up ✔ Insurance Verification & Eligibility — real-time benefits verification before every patient visit preventing front-end rejections ✔ Prior Authorization & Pre-Authorization — submission, tracking, renewal management, and payer coordination ✔ Payment Posting — accurate ERA/EOB posting, reconciliation, and underpayment identification ✔ Clearinghouse Rejection Resolution — fast identification and correction of rejected claims ✔ Patient Billing & Statements — clear invoicing, balance follow-up, and collections support ✅ AR RECOVERY & DENIAL MANAGEMENT As your RCM Specialist, I do not just submit claims — I analyze your entire revenue cycle to protect and recover your revenue: ✔ Identify denial patterns and permanently fix root causes ✔ Submit timely appeals with full supporting documentation ✔ Follow up aggressively with payers via phone and portal ✔ Recover aged receivables across all 30/60/90/120+ day buckets ✔ Bring AR days from 60–90 days down to under 38 days ✔ Reduce future denials through proactive claim scrubbing ✔ Implement front-end verification workflows that prevent rejections before submission ✅ INSURANCE VERIFICATION & PRIOR AUTHORIZATION ✔ Real-time eligibility and benefits verification before every appointment ✔ Identify coverage gaps before claims are ever submitted ✔ Submit and track prior authorizations for all procedure types ✔ Manage authorization renewals and expiration tracking ✔ Coordinate between providers and payers preventing revenue delays ✔ Handle pre-authorization for Medicare, Medicaid, and all commercial payers ✔ Verify patient demographics, copays, deductibles, and coverage limits ✅ SPECIALTIES I SERVE Behavioral Health • Mental Health • Psychiatry • Psychology • Therapy & Counseling • Pediatrics • Family Medicine • Primary Care • Internal Medicine • Pain Management • Physical Therapy • Occupational Therapy • Speech Therapy • Cardiology • Neurology • Dermatology • Podiatry • Urology • Urgent Care • Home Healthcare • DME • OB/GYN • Gastroenterology • Radiology ✅ SOFTWARE & CLEARINGHOUSES AthenaOne • Kareo/Tebra • eClinicalWorks • AdvancedMD • Office Ally • SimplePractice • CollaborateMD • DrChrono • Practice Fusion • TherapyNotes • RXNT • NextGen • ModMed • WebPT • CureMD • Epic • Cerner • Medisoft • Availity • Change Healthcare • Waystar • Trizetto • ClaimMD ✅ PAYERS I WORK WITH Medicare • Medicaid • Blue Cross Blue Shield • Aetna • UnitedHealthcare • Cigna • Humana • Tricare • Molina • WellCare • Oscar Health • All major commercial payers ✅ WHY CLIENTS CHOOSE ME ✔ HIPAA-Certified — fully compliant with all U.S. billing regulations ✔ Top Rated Plus with $100K+ earned and 9,000+ hours on Upwork ✔ 94% Job Success Score with consistent 5-star client reviews ✔ 95%+ clean claim acceptance rate maintained across all clients ✔ 0–4 hour average response time — available full-time ✔ Deep expertise across Medicare, Medicaid, and all commercial payers ✔ Proactive communication — you always know your claim status ✔ I work as a seamless extension of your billing team ✅ WHAT CLIENTS SAY ✔ "Highly responsive — our denial rate dropped significantly after Hamid joined." ✔ "Best AR recovery specialist we have worked with on Upwork." ✔ "Integrates seamlessly into our billing team — highly recommend." ✔ "Excellent attention to detail with payment posting and follow-up." Is your practice struggling with unpaid claims, aging AR, or authorization delays? Let's connect today. 📩 Message me now — I respond within 4 hours and am available to start immediately.

I am a highly motivated and detail-oriented Medical Coder with advanced expertise in PointClickCare and extensive hands-on experience in high-volume Skilled Nursing Facility (SNF) environments. My focus is on ensuring coding integrity and optimizing reimbursement through precise clinical documentation analysis. * Post-Acute Care Specialist: Specialized training in ICD-10-CM coding specifically for post-acute care settings. * PDPM Mastery: Deep knowledge of Patient-Driven Payment Model (PDPM) categories to ensure accurate payment mapping. * Software Proficiency: Expert-level navigation and data management within PointClickCare. * Clinical Analysis: Adept at auditing complex clinical records to identify accurate diagnoses and capture all appropriate comorbidities.

You will get complete Revenue Cycle Management (RCM), credentialing, and administrative support in one streamlined service. I provide end-to-end medical billing and coding solutions, helping healthcare providers maximize revenue, minimize denials, and stay compliant with industry standards. Medical Billing Services: Patient registration and demographics entry Insurance eligibility and benefits verification Pre-authorization request and follow-up Charge entry and superbill review ICD-10, CPT, HCPCS code validation and modifier usage Scrubbing and submission of electronic and paper claims Rejected claims correction and resubmission Clearinghouse reports review and reconciliation EOB and ERA research via insurance websites and batch systems Insurance and patient payment posting Denial management and AR follow-up (calls, portals, and appeals) Refunds, collections, and overpayment resolution Patient billing and follow-up communication Appointment scheduling and calendar updates Customized and standard financial reporting Accounts Receivable (AR) Follow-Up: • Prioritize and resolve unpaid claims based on aging and payer response • Contact insurance companies via calls and portals to determine claim status • Coordinate reprocessing and appeals for denied or underpaid claims • Evaluate patient insurance details and update records accordingly • Transfer balances when coverage is insufficient • Track and request missing Explanation of Benefits (EOBs) • Implement corrections based on feedback from insurance representatives Credentialing and Provider Enrollment: • Primary source verification • CAQH profile setup and maintenance • PECOS and NPPES enrollments and updates • Filing and submitting applications to Medicare, Medicaid, and commercial payers • Re-credentialing and revalidation for existing providers • License verification through state authority portals • Contract evaluations and payer negotiations • Payer grid maintenance and login management • Status follow-ups and credentialing record-keeping • Form submission and tracking for Aetna, Cigna, Humana, UHC, BCBS, Anthem, and others Medical Specialties Supported: • Internal Medicine • Family Practice • Pediatrics • Psychiatry & Mental Health • Chiropractic • Urology • Pain Management • Physical Therapy • DME • General Surgery • Behavioral Health • Gynecology & Obstetrics • Orthopedics • Radiology • Cardiology • Emergency Medicine • Telehealth and Virtual Care • Pathology • Endocrinology • Anesthesiology • Dermatology • Gastroenterology • Neurology • ENT • Ophthalmology • Rheumatology • And more EHR, PMS & Clearinghouse Experience: • Tebra (Kareo), AdvancedMD, AthenaHealth • ECW, CareCloud, SimplePractice • Practice Fusion, DrChrono, Office Ally • IntakeQ, MDVision • CollaborateMD, Medisoft, e-MED, RXNT • Allscripts, NextGen, Centricity, Synamed • Trizetto, ClaimMD, Waystar, Availity • Change Healthcare, GatewayEDI, Apex, Zirmed, Optum EDI I work with providers across multiple U.S. states and ensure that each project receives full dedication, accuracy, and timely delivery. My commitment is to offer reliable solutions that improve operational efficiency and increase your revenue. Best regards, Raamish

Possess strong attention to detail, excellent knowledge of medical terminology, analytical skills, effective communication, the ability to research and problem-solve, strong computer literacy, and a thorough understanding of coding systems like ICD-10 and CPT to accurately translate patient medical records into billing codes while adhering to compliance regulations and ethical conduct.

Detail-oriented AI Trainer and Data Annotator with experience evaluating, labeling, and refining large datasets to improve machine learning model performance. Skilled in applying complex guidelines with consistency and accuracy, identifying edge cases, and providing clear feedback to enhance model outputs. Adept at working independently in remote environments while meeting strict quality and productivity benchmarks. Brings strong analytical thinking, written communication skills, and a deep understanding of language nuance to support NLP and generative AI systems. Experienced in reviewing AI-generated content for accuracy, safety, and relevance, ensuring outputs align with project standards and user intent. Committed to continuous learning and maintaining high data integrity in fast-paced, evolving AI workflows. Highly organized. Professionally communicative. Efficient in time management. WPM of 95-100. I look forward to working with you. :-)