Accurate medical billing coupled with an effective practice management plan is vital to a practitioners success. Properly trained staff, a well rounded electronic health record system and a seamless revenue cycle are also essential. It is important to have a team member to help guide you through these processes.
Highly skilled in:
Provider Reimbursement
Reimbursement Policies
Medical Billing and Coding
Electronic health record implementation and training
Office staff training
Insurance verification
CPT/ICD rules and guidelines
Revenue cycle management
Healthcare Common Procedure Coding System
Education
Accounts Receivable Management
Content Writing
Medical Billing & Coding
Employee Training
Electronic Medical Record
Healthcare Management
Writing
Business Consulting
Medical Billing
Sheryar T.
Greensboro, North Carolina
$15/hr
5.0
2 jobs
CEO VERIMEDIX MEDICAL BILLING || RCM & Medical Billing Specialist | 10+ Years Experience
Maximize your revenue and minimize denials with expert, end-to-end RCM management.
With over 15 years of deep-rooted experience in the US healthcare billing industry, I provide comprehensive Revenue Cycle Management services designed to optimize collections and ensure full compliance. I bring a multinational perspective and a high-success methodology to every project.
Core Competencies:
Full-Cycle RCM: Expert handling of billing, payment posting, and aggressive Accounts Receivable (AR) follow-up.
Coding & Compliance: Proficient in ICD-10, CPT/HCPCS coding, and modifier application with strict adherence to HIPAA privacy rules.
Front-End Excellence: Specialist in insurance verification, prior authorizations, and provider credentialing.
Denial Management: Proven track record in resolving clearinghouse rejections and overturning complex insurance denials.
Technical Proficiency: I am an expert user of EHR/EMR platforms, including Athena, Kareo, eClinicalWorks (eCW), AdvancedMD, and TherapyNotes. Whether you are a solo practitioner using SimplePractice or a large multi-specialty group, I adapt seamlessly to your workflow.
Major Payer Expertise: I have successfully managed claims for 60+ clients across the US, navigating the complexities of Medicare, Medicaid, BCBS, UHC/Optum, Workers’ Comp, and PIP/MVA claims.
Why Hire Me? I don’t just submit claims; I manage your revenue as if it were my own. My goal is to ensure quality compliance, reduce your aging buckets, and provide transparent communication.
Healthcare Common Procedure Coding System
Analytical Presentation
Medical Billing & Coding
Medical Billing
HIPAA
ICD Coding
EMR Data Entry
Account Management
Coding Lesson
Revenue Management
Revenue Cycle Management
Consultation Session
Art Therapy
Occupational Health
Occupational Therapy
Kelly T.
Dallas, Georgia
$15/hr
5.0
3 jobs
Detail-oriented Healthcare Benefit Analyst and AI Data Annotator with more than five years of experience in healthcare administration, insurance verification, and prior authorizations, along with experience training and evaluating AI models through data annotation, response evaluation, and transcription review. Skilled at applying detailed guidelines, identifying errors, and providing clear feedback to improve model performance.
Highly organized, analytical, and adaptable, with strong written communication skills, exceptional attention to detail, and a typing speed of 95 to 100 words per minute. Experienced working independently in remote environments while consistently delivering accurate, high-quality results.
I look forward to working with you. :-)
Healthcare Common Procedure Coding System
Healthcare
Email Support
Insurance Verification
Customer Service
Administrative Support
ICD Coding
Medical Records Software
Medical Procedure Coding
Medical Records Research
Healthcare Management
EMR Data Entry
Amanda S.
Chandler, Arizona
$33/hr
5.0
57 jobs
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
Healthcare Common Procedure Coding System
Accounting
Medical Billing
Invoicing
Expert
Healthcare Software
Healthcare Management
Mental Health
Occupational Therapy
Speech Therapy
Art Therapy
Music Therapy
Science & Medicine
Angela R.
Rockvale, Tennessee
$25/hr
5.0
4 jobs
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.
Healthcare Common Procedure Coding System
ICD Coding
Medical Condition Coding
Medical Procedure Coding
Medical Billing & Coding
Medical Records
Medical Records Research
Medical Terminology
Research Documentation
Medical Writing
Medical Transcription
Medical Informatics
Computer Science
Data Entry
Computer Skills
Detailed Design
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Hamid K.
Fremont, California
$18/hr
5.0
12 jobs
🟢 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 4+ 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.
Healthcare Common Procedure Coding System
Medical Billing & Coding
Accounts Receivable Management
Insurance Verification
Revenue Cycle Management
Payment Processing
ICD Coding
EMR Data Entry
Insurance Claim Submission
Electronic Medical Record
Medical Mastermind Medical Billing Services
Medical Procedure Coding
Accuracy Verification
Healthcare Management
Data Entry
Administrative Support
Customer Service
Microsoft Excel
Communications
Email Communication
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