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I’m a healthcare and life sciences consultant with 20+ years of experience supporting clients across pharma, biotech, medtech, healthtech, and insurance sectors. I specialize in delivering actionable insights through competitive intelligence, market research, secondary research, and healthcare strategy. My expertise spans both the scientific and commercial sides of healthcare, helping clients navigate complex markets, emerging technologies, and digital transformation. 🔬 Pharma, AI and Digital Health Expertise: Provided competitive intelligence on drug pipelines, clinical trials, regulatory strategies, and commercialization trends. Analyzed cross-sector digital partnerships between pharma and non-traditional players (e-commerce, telecom, financial services, and insurers) across Asia-Pacific. Researched emerging B2B2C models, AI-based technologies, remote care solutions, digital therapeutics, and patient engagement platforms. Evaluated ecosystem-driven pharma business models, including partnerships supporting medication adherence, chronic care, and service-centric treatment models. 📊 Insurance & Wellness Research: Conducted detailed research on how wearable devices (Apple Watch, Fitbit, etc.) are integrated into employee wellness programs and health insurance incentives. Investigated the impact of wellness programs (gym subsidies, apps, devices, cash rewards) on employee health, reviewing both scientific evidence and real-world case studies. Analyzed how Benefits Program Managers select devices and wellness services, considering factors like cost, clinical evidence, ROI, and employee engagement. 🏥 Core Research & Consulting Skills: Secondary research from scientific publications, grey literature, investor reports, press releases, and regulatory databases. Competitive landscape analysis, market entry strategy, and commercial insights for pharma, medtech, and insurers. Claims-based analytics, underwriting audits, and operational benchmarking in health insurance. Tools: ClinicalTrials.gov, Cortellis, PubMed, TrialTrove, Alphasense, Excel, PowerPoint. 🌍 Clients Served: I’ve supported clients across the US, EU, UAE, India, and APAC, including pharmaceutical companies, healthcare startups, insurers, consulting firms, and nonprofit healthcare organizations. If you need healthcare-focused research, pharma strategy and CI, digital health intelligence, or insurance consulting, let’s connect. I deliver precise, insight-driven, decision-ready research — always tailored to your needs. Regards Dr. Anuradha Monga

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

I am a HIPAA-Certified Medical Biller, Medical Virtual Assistant, and Revenue Cycle Management (RCM) Consultant with 15+ years of professional experience supporting U.S. healthcare providers. I specialize in Mental Health, Psychiatry, and Behavioral Health billing, helping practices streamline their revenue cycle, reduce claim denials, and improve cash flow. Throughout my career, I have supported private practices, group practices, hospitals, laboratories, and telehealth providers, managing the complete medical billing lifecycle from patient registration to final reimbursement. I have also worked as a Senior Operations Manager, leading teams of 200+ medical billing professionals, overseeing operational workflows, quality control, and revenue performance. I hold CPB (Certified Professional Biller) and CPC (Certified Professional Coder) certifications and have completed Medicare educational programs related to HIPAA EDI Standards and Medicare Fraud & Abuse compliance. My goal is to help healthcare providers focus on patient care while I handle the complexity of billing, compliance, and revenue optimization. Medical Billing Specialties I have extensive experience providing billing services with a strong focus on Mental Health, Psychiatry, and Behavioral Health practices, including individual therapists, group practices, psychiatrists, psychologists, and telehealth providers. • Mental Health / Behavioral Health Billing • Psychiatry & Psychology Billing • Therapy Practice Billing (Individual, Group, Family Therapy) • Telehealth & Telepsychiatry Billing • Outpatient & Inpatient Practices • Independent Laboratories • Home Health & DME Billing • Telemedicine Services This includes billing for services such as psychiatric evaluations, medication management, individual therapy, group therapy, behavioral health assessments, and ongoing treatment services, while ensuring HIPAA compliance and payer guideline adherence. Specialties Supported Sleep Medicine • Internal Medicine • Family Practice • Radiology • Cardiology • Ophthalmology • Dermatology • Gynecology • Urology • Rheumatology • Physical Therapy • Neurology • Pain Management • Psychiatry • Pediatrics • Podiatry • Psychology • Gastroenterology • Urgent Care • Mental & Behavioral Health • Pathology • Phlebotomy • CPAP & BiPAP Billing • Nurse Practitioners (NP / ANP) • Physical Therapy (PT) • Occupational Therapy (OT) • Speech Therapy (ST) • COVID Billing Insurance & Payer Experience Extensive experience working with major U.S. insurance payers including: Medicare • Medicaid • BCBS • UnitedHealthcare • Aetna • Cigna • Humana • Workers’ Compensation and multiple commercial insurance plans. I have handled billing operations for providers across many U.S. states including: Alaska • Arizona • Colorado • Connecticut • Idaho • Iowa • Maryland • Massachusetts • Minnesota • Montana • New Mexico • Vermont • Washington • Alabama • Illinois • Indiana • Kentucky • New Jersey • New York • Ohio • California • Florida • Georgia • Michigan • Missouri • North Carolina • Oklahoma Core Skills • End-to-End Revenue Cycle Management (RCM) • Insurance Verification & Eligibility Checks • Medical Coding (ICD-10, CPT, HCPCS) • Claim Creation & Submission (CMS-1500 / UB-04) • Denial & Rejection Management • Accounts Receivable (AR) Follow-ups • Insurance Calls & Claim Resolution • Payment Posting (ERA / EOB) • Medical Documentation Review • Provider Credentialing & Insurance Enrollment • HIPAA Compliance & Billing Audits • Financial Reconciliation (Daily / Weekly / Monthly / Quarterly) I perform efficiently in complex healthcare environments with minimal supervision, ensuring accuracy, compliance, and timely reimbursements. EHR / Billing Software Experience SimplePractice • AdvancedMD • Kareo • OfficeAlly • Docutap • Athenahealth • Therabill • eClinicalWorks (ECW) • EZClaim • TheraNest • ClinixPM • eThomas • Intergy • TherapyNotes • Waiting Room Solutions • Zendesk • Xifin • Phicure • TriZetto • CareCloud • Brightree • CollaborateMD • iPatientCare • Medisoft • Healthnautica Services I Provide I offer complete Revenue Cycle Management services, including: • Provider Credentialing & Insurance Enrollment • Medical Coding & Charge Entry • Claim Scrubbing & Submission • Rejection & Denial Management • Appeals & Insurance Follow-ups • Accounts Receivable (AR) Management • Payment Posting & Financial Reconciliation • Patient Billing Support & Calls • Appointment Scheduling & Medical Virtual Assistance I work closely with healthcare providers to develop customized billing workflows tailored to their practice, ensuring faster reimbursements, reduced denial rates, and optimized revenue performance.

I have more than 10 years of extensive experience in end to end Medical Billing & Coding. Experienced in End to End Healthcare Revenue Cycle Management includes insurance eligibility and benefit verification, Pre-Authorization Specialist, Demo Entry, Denial Coding, Charge Entry, Transmission, Payment Posting, Accounts Receivable and denial management, patient registration, Credentialing, indexing medical records and Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. 1) Eligibility & Benefits verification Eligibility & Benefits will be checked via website & phone with insurance. 2) ICD 10 Coding To review superbills & code the patient visit with appropriate CPT, ICD 10 also check for any modifier requirement. 3) Charge entry While coding, charges are entered in billing system & billed to insurance. 4) Resolving rejected claims If any claim is rejected then to correct it & rebill to insurance. 5) Posting payments & account Reconciling. Once payment is received either via EFT or check it will be posted to respective patient account & statement is sent to patient for his/her responsibility. 6) Follow up on claims & denial management If any claim is denied then to call insurance to find out the reason & take correct action such as any correction in claims data or to send appeal if required. At the end of month to create a report of denied claims to find out top denials & to take a preventive action to avoid such denials in future. 7) Creating various reports as per requirement. I can create monthly reports for aging, collection & other custom reports per requirement. Work Experience of Doctor Speciality: 1) Physical Therapy 2) Pain Managment 3) Chiropractic 4) Mental health 5) Dental 6) Skill Nursing Facility 7) Internal Medicine 8) Pediatrics 9) ENT 10) Home Health 11) Podiatry 12) Orthopedic 13) Gastroentrology Experience of Software : 1) Medical Manger ( MM 9 and 10 version) 2) Advance MD 3) Dr. Chrono 4) WRS 5) Office ally 6) Citrix 7) eClinicalWorks 8) Open Practice Solutions 9) Kareo 10) Open Dental 11) Next Gen 12) Epic 13) Athena Gateways: 1) Trizetto 2) Optum EDI 3) Availity 4) Apex 5) Zirmed 6) Emdeon 7) Change Healthcare 8) Waystar Payers I am experienced with 1) All commercial payers: BCBS, Cigna, Aetna, Humana, UHC, Care Plus, etc 2) Federal Payer: Medicare, Medicaid, Tricare 3) Workers Comp & Auto insurances. I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Thanks for your Consideration.

Overview: Are claim denials and delayed reimbursements hurting your practice's cash flow? I help healthcare providers reduce denials, improve collections, and streamline their revenue cycle — with over 10 years of hands-on medical billing experience across multiple specialties. Specialties I’ve worked with: Pain Management | Physical Therapy | Allergy | Chiropractic | End-to-End Billing Expertise: Eligibility & Benefits Verification Prior Authorizations Coding (ICD-10, CPT, Modifiers – Pain Management & Physical Therapy focus) Charge Entry & Claims Submission Payment Posting A/R Follow-up & Denial Management Software & Clearinghouses: NextGen | Athena | Kareo | eClinicalWorks (ECW) | Office Ally | Sage Intergy | DrChrono | Denticon | Open Dental | PMX3 | Clearinghouses: Gateway | Office Ally | Emdeon Payers I Handle: -Federal & Commercial Insurance (Medicare, Medicaid, BCBS, Aetna, UHC, Cigna, etc.) -Auto, PIP & Workers Comp payers Why Clients Work With Me: 10+ years in medical billing = proven expertise Strong knowledge of payer procedures & denial resolution HIPAA compliant & detail-oriented Increase in collections by minimizing denials Ability to create custom reports & financial insights Quick response & minimal supervision required Long-term reliability — I treat your practice as my own If you’re looking for someone who can take ownership of your billing process, improve your collections, and free you to focus on patient care, let’s talk.

Navigating payer requirements, claim denials, operational inefficiencies, and reimbursement challenges can impact both financial performance and patient care. With 12+ years of experience supporting healthcare organizations, I help improve reimbursement outcomes, optimize workflows, and address complex revenue cycle challenges. How I can support your organization: 1. Denial Management, Appeals & AR Recovery: Analyzing EOBs/ERAs, denial trends, claim edits, and payer-specific requirements; performing root cause analysis, managing appeals and reconsiderations, resolving underpayments, and recovering aged accounts receivable. 2. Medical Billing (PB/HB) & Revenue Cycle Management: Managing charge capture review, eligibility and benefits verification, claim submission, payment posting, EDI/ERA enrollment, claim adjudication review, payment reconciliation, and end-to-end revenue cycle processes in compliance with payer guidelines. 3. Coding, HIM & Documentation Integrity: Conducting medical record reviews, ICD-10-CM, CPT and HCPCS coding readiness assessments, CDI (Clinical Documentation Improvement) reviews, documentation analysis, and compliance-focused initiatives to support coding accuracy and reimbursement integrity. 4. Healthcare Operations & Process Improvement: Applying root cause analysis, workflow optimization, requirements assessment, payer policy analysis, reimbursement analysis, and process improvement methodologies to identify operational gaps, reduce revenue leakage, and improve organizational efficiency. Software Experience: Athenahealth, Epic, Cerner, Healthie, Candid, Fusion and other healthcare and practice management platforms. Technical Skills: Microsoft Excel, Power BI, PowerPoint, Google Sheets, Data Analysis, Reporting & Dashboarding, Process Documentation. I bring a practical, detail-oriented approach focused on improving revenue cycle performance, compliance, operational efficiency, and long-term organizational success.