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Medical Billing & Coding -PB/HB | Clinical Documentation | Denial Management | Revenue Integrity | Health Information Management (HIM) With 12+ years of experience in Revenue Cycle Management (RCM), I support healthcare organizations in improving reimbursement, optimizing revenue cycle operations, and maintaining compliance throughout the billing lifecycle. My experience includes Professional and Hospital Billing (PB/HB), denial management, appeals, accounts receivable (AR) recovery, coding support (ICD-10-CM, CPT & HCPCS), Clinical Documentation Improvement (CDI), Health Information Management (HIM), payer policy analysis, reimbursement analysis, and process improvement. I have worked with providers, billing teams, and healthcare organizations to analyze reimbursement challenges, resolve claim issues, improve workflows, and support efficient revenue cycle operations. I value accuracy, collaboration, and practical solutions that help organizations improve financial performance while maintaining regulatory compliance.

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

I Have 14 years experience in medical billing that includes Internal medicine Ambulance,Pathology & Podiatry,Anesthesia etc.Medical billing project is very sensitive project and i completely understand how under the risk on misusing that patient PHI,so i would be 100% follow HIPAA guidelines and apart from that since i have decent amount of experience which help you to give the best results with less billing hours.Iam available 24/7 as a free lancer where i can cover the medical billing right from charge entry till closing the account,I have been exposed to most of the areas in Patient and Insurance Billing such as: 1.Verification of patient eligibility and benefits and identification of correct payers 2.Precertification 3.Charge & Demo entry 4.Claim submission 5.Resolving Clearinghouse rejections and some EDI errors 6.Resolving claim issues and and denials 7.Denial management 8.Appeals 9.Payment posting 10.Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc 11.Interpretation of patient EMR

With 4+ years of experience in healthcare staffing, account management, and client delivery, I help organizations build strong workforce solutions while delivering exceptional client experiences. I've partnered with leading MSPs like Aya Healthcare and RightSourcing, supporting renowned healthcare systems including Sutter Health, Cedars-Sinai, Providence, Amedisys, Texas Children's Hospital, and Hoag Memorial Hospital. 💼 What I Can Help With ✅ Account Management & Client Success ✅ Healthcare Staffing Operations ✅ Candidate Onboarding & Compliance ✅ Interview Coordination & Offer Management ✅ Client & Stakeholder Communication ✅ Contractor Engagement & Retention ✅ Performance Reporting & Workforce Analytics ✅ Issue Resolution & Escalation Management I specialize in ensuring smooth collaboration between clients, recruiters, candidates, and internal teams—keeping hiring processes efficient, compliant, and on track. My strengths include relationship building, problem-solving, proactive communication, and operational excellence, enabling clients to achieve their hiring goals while creating outstanding experiences for every stakeholder. 🤝 If you're looking for a reliable Account Manager or Client Success professional who is committed to delivering results, I'd love to connect and discuss how I can support your business. Best Regards, Ashok

Proven administrative professional specialized in streamlining operations, managing patient care workflows, and protecting practice compliance for US and European healthcare providers. As a healthcare practitioner, your primary focus should be on patient care, not chasing administrative details, wrestling with scheduling conflicts, or worrying about compliance risks. That is exactly why I have structured my business: to manage your backend operations smoothly, securely, and completely independently. I am HIPAA Certified, meaning I deeply understand the critical importance of PHI (Protected Health Information) data security, patient privacy, and confidentiality regulations. I don't just enter data; I protect your practice’s reputation. What I Bring to Your Practice: Zero Micromanagement: I am highly self-directed and tech-savvy. I am fully equipped to dive into your Electronic Health Record (EHR) systems, manage patient intakes, and maintain immaculate CRM accuracy. Proactive Scheduling: I have a proven track record of reducing calendar conflicts by 40% through rigorous multi-time-zone coordination and proactive patient follow-ups. High-Touch Patient Care: Managed 500+ patient and client interactions with a 95% satisfaction rating, ensuring every phone call, email, or chat is handled with warmth, professionalism, and absolute empathy. My Core Areas of Specialization: End-to-End Clinic Management: Patient intake, calendar optimization, and appointment scheduling. EHR & CRM Administration: Data entry, record maintenance, and patient account setup. Revenue Support Ready: Eagerly expanding into medical billing fundamentals, claims tracking, and insurance eligibility verification. Multi-Channel Communication: Professional handling of patient emails, phone routing, and Zoho, Slack/team coordination. I treat your medical practice like my own. Your patients become my priority, your compliance becomes my commitment, and your operational efficiency becomes what drives me to deliver elite results every single day. If you are looking for a reliable, compliance-trained partner who can help your clinic scale, grow, and breathe a little easier, let's connect.

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.