Hire the Best HIPAA Specialists

Welcome to my Upwork profile! I have a team of HIPAA-certified medical billing specialists with over 10+ years of experience in the revenue cycle, medical billing, and claims management for US-based healthcare providers. My extensive background includes working across multiple specialties and states, using a wide range of billing software and systems to streamline operations and ensure efficient reimbursement processes. My work in refining claim submission processes and improving denial management has led to more consistent revenue streams and better financial stability for healthcare practices. What I Offer: • End-to-End Medical Billing & Claims Management: I handle everything from patient registration, insurance verification, and clean claim submissions to follow-ups, denials management, and appeals. • Denial & Rejection Management: I specialize in analyzing and resolving denied claims, identifying root causes, preparing appeals, and improving overall claim acceptance rates. Medical Billing & Credentialing Services: • Patient Registration & Eligibility Verification • Claims Submission (Primary, Secondary, Tertiary) • Clearinghouse Rejections & Denials Management • Payment Posting (ERA/EOB/Web) • Aging Reports, AR Follow-up, Appeals • Prior & Retro Authorizations • Credentialing & Re-credentialing (Medicare, Medicaid, Commercial) • Group & Individual NPI Setup • Invoice Generation, Scheduling, and Patient Support Specialties: I’ve worked with healthcare providers across various specialties, including: • Behavioral Health, Mental Health, Home Healthcare • Pediatrics, Family Practice, Internal Medicine, Radiology, Podiatry. • Orthopedic Surgery, Cardiologist, Neurologist, Physical Therapy • Psychiatry, Speech Therapy, Dietitians, Chiropractic, Podiatry • DME for Wound Care, Urgent Care, and more. Billing Tools & Software I Use: I am proficient in a variety of medical billing tools and EHR/EMR systems, including: Officially, AdvancedMD, Kareo, EclinialWorks, AthenaHealth, DrChrono, TheraNest, PracticeFusion, Chiorotouch, OpenPM, CS, and many more. Insurance Portals: I have hands-on experience with insurance portals such as Availity, UHC, Cigna, Optum, Humana, Medicare (CGS, Palmetto GBA, Noridian), Medicaid, and others. Core Competencies: • ICD-10, CPT, HCPCS coding • Medicare & Medicaid billing guidelines • Payer reimbursement policies & audits • Medical documentation review and analysis Tools & Technical Skills: • Exceptional typing speed (50-100 WPM) • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) • Expertise in Google Docs and Google Sheets • Experienced with Dropbox for file management and sharing • Skilled in communication and collaboration using Slack and Microsoft Teams • Comfortable using Google Meet and Skype for virtual meetings Why Choose Me: • Fast & Accurate Service: I deliver results with 100% accuracy, ensuring timely claim resolutions and increased reimbursements. • Client Satisfaction: My goal is always to provide high-quality, results-driven services that align with your practice's needs. • Proactive Approach: I identify potential issues before they become problems, ensuring smooth billing processes and reduced denials. If you have any questions or would like to discuss your specific needs, feel free to reach out. I look forward to the opportunity to work with you!

✅ Professional Penetration Tester ✅ 3500+ Hours ✅ Top Rated Plus Freelancer Security Researcher and Penetration Tester recognized by the U.S. Department of Defense, AT&T, Sony, and Semrush for the responsible disclosure of 40+ vulnerabilities via HackerOne. Since 2022, an active member of the Synack Red Team - an elite tier of offensive security specialists vetted through rigorous technical and background screening. Every engagement concludes with a comprehensive technical report built to satisfy the specific penetration testing controls required for HIPAA, ISO 27001, SOC2, and PCI-DSS. I provide a high-level executive summary for stakeholders alongside deep-dive technical findings, fully reproducible Proofs-of-Concept (PoCs), and prioritized remediation steps to ensure your team can effectively close every gap before your audit. Specializing in black and gray box testing of live web applications, cloud environments, and networks, covering all common attack vectors, business logic flaws, and discovering previously undisclosed vulnerabilities (0days) to prevent high-impact data breaches. Service Description: 1) Web Application Penetration Testing (OWASP Top 10, PTES, ASVS, Business Logic Testing) 2) Mobile Application Penetration Testing (OWASP Top 10, MASVS, MASTG, PTES) 3) Network Penetration Testing (Active Directory, Entra ID, Internal & External Network) 4) API Security Testing - REST, GraphQL, SOAP, gRPC, Webhooks (OWASP API Top 10) 5) Cloud Security Testing - AWS/Azure/GCP/OCI/Alibaba/IBM/DigitalOcean/SaaS/IaaS/PaaS 6) Cloud-Native & Container Security (Kubernetes, Docker, OpenShift, EKS/AKS/GKE) 7) LLM Security Testing (OWASP LLM Top 10, Prompt Injection, Data Poisoning) Tools used in engagements: BurpSuite Professional | Custom Python scripts | BloodHound | Impacket Framework | Responder | Metasploit | Mimikatz | Nuclei | Nmap | FRIDA | Android Studio | Pacu | Prowler | Postman Identify and secure your attack surface before threat actors do ! Message me to discuss your project requirements.

Healthcare providers often lose valuable time to scheduling gaps, missed visits, documentation issues, and constant patient follow-ups, taking focus away from patient care. That’s where I come in. I am a Medical Virtual Assistant and Home Health Scheduler with 4+ years of hands-on experience supporting clinics, solo practitioners, telehealth providers, and home health agencies across the United States. I have worked with 12+ providers across 3 clinics and 11 locations, helping streamline daily operations, improve scheduling accuracy, and maintain HIPAA-compliant workflows. Medical Virtual Assistance & Home Health Scheduling I manage patient and staff schedules with precision, coordinating clinic appointments, tele-visits, follow-ups, and home health visits. I assign clinicians to patients based on availability, location, and care needs, adjust schedules for call-outs or urgent visits, and send appointment reminders to reduce no-shows and delays. I am experienced with eClinicalWorks, Tebra, Alora for Home Care, DrChrono, and Athenahealth, and I adapt quickly to new systems. Patient Coordination & Communication I handle inbound and outbound patient calls professionally, address concerns with empathy, and follow up on appointments, referrals, lab results, and provider messages. I initiate and document telephone encounters in eClinicalWorks to ensure clear communication between patients and providers. Medical Records & Compliance I maintain accurate medical records while strictly adhering to HIPAA Privacy & Security standards. I securely manage referrals, record transfers, PHI access, and BAAs when required. Medication Refills & Pharmacy Coordination I assist with prescription refill requests by reviewing medication history, confirming dosages, relaying details to providers for approval, and following up with pharmacies to ensure timely processing. New Patient Intake & Insurance Verification I register new patients, accurately enter demographics and insurance details, verify eligibility, check authorization requirements, and assist patients with insurance-related questions prior to referrals. Workload & Schedule Optimization I help balance provider workloads by coordinating schedules efficiently, reducing burnout while maintaining quality patient care. I hold five relevant certifications, including HIPAA Privacy & Security (Omnibus Rule), and I am highly adaptable, reliable, and detail-oriented. What you can expect from me ✔️ Empathetic and patient-centered communication ✔️ Clear, professional verbal and written communication ✔️ Strong problem-solving and critical thinking ✔️ Flexibility with tools, workflows, and schedules ✔️ Collaborative teamwork with providers and staff I would love the opportunity to support your organization by improving scheduling accuracy, patient communication, and overall operational efficiency. I’m confident my experience as a Medical Virtual Assistant and Home Health Scheduler will be a strong asset to your team. CERTIFICATION : ✅ HIPPA Privacy & Security Including Omnibus Rule- MEDSAFE ✅ Harassment & Discrimination in the Work Place- MEDSAFE ✅ OSHA Safety, Bloodborne Pathogens/Infection Control, Updated Hazard Communication/ GHS- MEDSAFE ✅ COVID-19 Signs Symptoms and Preventive Action- MEDSAFE ✅ Cooperate Compliance, MA/Parts C & D, Fraud Waste and Abuse- MEDSAFE

Does your billing process feel like a bottleneck? I am here to change that. I offer a decade of deep-dive expertise in medical billing to help practitioners like you reclaim their time. My approach is simple: Accuracy, Efficiency, and Transparency. I bridge the gap between your services and your payments, ensuring every claim is handled with meticulous care. Whether it’s resolving old AR or setting up a new billing workflow, I’ve got you covered. My extensive services encompass: ☑ Patient Management (Appointment Scheduling, Registration, Demographic & Charge Entry, Invoicing) ☑ Insurance Eligibility Verification and Verification of Benefits (VOB) ☑ Claims Scrubbing and Submission ☑ Prior Authorization/Retro Authorization ☑Accounts Receivable ☑Denials Management ☑ Appeals Filing ☑ Insurance Follow-up ☑ Revenue Cycle Management ☑ Customer Service and Administrative Assistance ☑Medical Coding ☑ Daily/Weekly/Monthly Reporting ☑ Payment Posting (ERA, EOB) ☑Intake Process ☑Patient Help Desk Services ☑ PCP referrals: ☑CAQH Attestation ☑ Credentialing/Enrollment/Contracting Specializing in: 🧠 Mental Health 🔄 Behavioral Therapy 🚨 Urgent Care🛠 Occupational Therapy 🦴 Orthopedics🗣️ Speech and Feeding Therapy 💪 Physical Therapy🥦 Dietitians 🦴 Chiropractic ♥️ Cardiology 🏥 General Surgery 👩‍⚕️ Internal Medicine🩹 Pain Management 🦶 Podiatry 👨‍👩‍👧‍👦 Family Practice 🧠 Psychiatric ABA 🔬 Pathology Labs 🧪 Testing Labs Proficient in Medical Billing Software such as: | OfficeAlly | eClinicalWorks | Kareo / Tebra | Therapy Notes | Raintree | Advanced MD | PrognoCIS | Lytec | Collaborate MD | Turbo PT | Simple Practice | Ability | eMedica | Waystar | Dr Chrono | Aprima | Therapy iQ | Intergy | Sessions Health | Telcor | Chirotouch | Valant | Med Office | WellSky | Axxess | Alora | zHealth EHR/EMRs: | Practice Fusion | Kareo EHR | Office Ally EHR | Web PT | Elation | ICANotes Clearing Houses: | Waystar | Claim.MD | ChangeHealthCare | TriZetto | Office Ally | Availity | Head Way Proficiency in Insurance Provider Portals: Medicare and its Advantage plans UHC Aetna ECHO Zelis Optum BCBS CIGNA Medicare administrators (WPS GHA, Novitas, Noridian) Medicaid and its MCOs Tricare Kaiser Permanente Molina Healthcare And many more... Detail-Oriented Processes: My skills include ERA/EFT Setups, Claim Scrubbing (LCD/NCD/NCCI Covered), and ensuring accuracy and compliance with industry standards. I truly take pride in making a real difference by helping healthcare providers and organizations grow. I am all about following the rules (especially HIPAA) and staying on top of what's happening in the industry. My Goal = My Clients' Success 🎯🤝🏆

Are you looking to build a high-performance SaaS platform, automate a complex supply chain, or integrate secure, production-ready AI into your business workflow? Many developers can write code, but very few understand how to seamlessly blend cutting-edge AI/ML systems with scalable, enterprise-grade architecture while ensuring strict data security (HIPAA, PCI-DSS). I am a Full-Stack Developer and AI/ML Engineer with extensive experience architecting end-to-end solutions for SaaS, Supply Chain, Healthcare (HIS/HMS), and custom ERP systems. Whether you need to build an MVP from scratch or scale an existing enterprise platform, I deliver clean, maintainable code and robust infrastructure. 🚀 Core Expertise & How I Can Help You: AI/ML & GenAI Integration: Building intelligent RAG systems, custom chatbots, and LLM-powered workflows using OpenAI, Anthropic, LangChain, and Vector Databases (Pinecone, Qdrant). Robust Backend & Architecture: Designing secure, high-throughput microservices and APIs using Node.js (NestJS), Python (FastAPI/Django), and PHP, backed by PostgreSQL, MongoDB, or Redis. Modern, Responsive Frontends: Crafting seamless web and mobile interfaces using React, Next.js, Angular, Vue.js, and React Native. Cloud, DevOps & Compliance: Deploying production-ready applications on AWS/GCP/Docker with CI/CD pipelines, keeping security and regulatory standards (HIPAA, GDPR) at the forefront. 🛠️ Technical Snapshot: Frontend: React, Next.js, Angular, Vue.js, React Native, Tailwind CSS Backend: Node.js (NestJS/Express), Python (FastAPI/Django), PHP, Java AI/ML: LLMs, LangChain, Vector DBs, Prompt Engineering, RAG Systems Cloud & Databases: AWS, GCP, Docker, Kubernetes, PostgreSQL, MySQL, MongoDB, Redis Let’s build something scalable. Click the "Invite to Job" or "Hire" button on the top right, and let’s discuss how we can bring your project to life.

ABOUT ME I am Cardiologist CEO of UH Medical Services . Under this Company we provide All kinds of Medical Services Like Clinical Second Opinion,Medical papers recheck and different types of Medical service to Organizations that need it. We are a team of Twenty Medical Professionals who has MD Degrees , Clinical Experience along with Specialization in different Medical Specialists Like :- Neurology & Neurosurgery Clinical Psychology Cardiology Nephrology Opthalmology Gynaecology and obstetrics SURGERY Geriatrics Anesthesia Orthopaedic Dermatology Urology Pulmonary Oncology Endoscopy & Liver Transplant Pediatrics Pathology Medicine Radiology Dentistry You can contact us freely for any kind of Medical Services . We are group of specialists with expertise in managing medical consultancy and medical research papers. We provide Virtual medical assistant, Virtual medical scribe,Certified medical biller, appointment scheduler, patient care coordinator ,Accounts receivable services,prior authorization, medical/healthcare data entry service