Hire the Best HIPAA Specialists
in Pakistan

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Muhammad M.

Peshawar, Pakistan

$6/hr
5.0
1 jobs

Need a reliable Medical Billing Specialist who can reduce claim denials, accelerate reimbursements, and keep your AR under control?, I’m a HIPAA-Certified Medical Billing, Eligibility & Accounts Receivable Specialist with 3+ years of experience handling the complete revenue cycle for U.S. healthcare providers. A strategic mind, self motivated, who thinks outside of the box and who can bring creative solutions to complex problems. From accurate insurance verification to clean claim submission, payment posting, denial handling, and quality AR follow-up, I manage the process with precision and accountability. ⚡With excellent communication skills, Problem solving approach and neat workflow i maximize reimbursements, reduce denials, and improve cash flow through accurate billing, AR follow-up, denial resolution and end-to-end Revenue Cycle Management support with which I can bring a growth to your revenue more than anticipated. By taking complete ownership of your aging reports and tackling the toughest denials heads on, I ensure your hard work translates into strategic and predictable cash flow managements. I use my experience to audit claims thoroughly, resolve complex insurance disputes quickly, and keep aging AR to an absolute minimum. 💬 In addition to standard medical billing, I have hands-on experience, handling complex billing cases, including No-Fault Motor Vehicle Accident (MVA), Pip, Auto and liabiity claims - where I regularly communicate with claims adjusters, insurance companies, patient directly, personal injury attorneys and government payers such as Medicare and Medicaid. I also handle the process of medical liens which include Submission of liens, follow ups on case status via Phone + Emails/Fax inquiries, payments inquiries and negotiations. 🎯Every client want Attention to detail and Satisfaction which i prioritize first. •📋Specialization: ✅ Insurance Verification ✅ Medical Billing ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Data Entry •🛠️Tools: ✅ Excellent Typing skill ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. •📌Job Responsibilities: 🌟Patient Registration | Demographics | insurance information | Insurance verification 🌟Patient eligibility and benefits verifications 🌟Creating and submitting clean claims to insurance companies 🌟Obtaining prior and retro authorizations for services 🌟Payments posting from ERA/EOB, websites and also patient payments 🌟Denials management 🌟Aging reports/Follow-up/Appeals 🌟Customer services and administrative assistance. 🌟Handling patient calls regarding payments and billing records 🌟Sending invoices to different offices and clients 🌟Billing and collections of No fault (Pip claims) | MVA 🌟Submission + Follow ups and Negotiations of Medical liens with pip attorney's. •🏥 Specialties I have been working for are as follow: 🔹Urgent care 🔹General Pediatric 🔹Chiropractic 🔹Psychiatric 🔹Mental Health 🔹Physical Therapy 🔹Home healthcare ( CCM, RPM and HHC) 🔹Family practice 🔹Internal medicine 🔹Cardiology 🔹Radiology 🔹Pain Care 🔹Pain Management •🖥️Medical Billing software’s 🔹AdvancedMD 🔹Kareo 🔹ECW 🔹Athenahealth 🔹DrChrono 🔹Officeally 🔹Docutap 🔹Ethomas 🔹CureMD 🔹Collaborate 🔹MobileMediclaim 🔹Webpt 🔹Iclinic (PIP / No-Fault) 🔹Sis complete (PIP / No-Fault) •🔄Clearing Houses 🔹Availity 🔹Zermid 🔹Trizetto 🔹ClaimMD 🔹Waystar (PIP / No-Fault) •📑 EHR/EMRs 🔹Practice Fusion 🔹Kareo EHR 🔹AdvanceMD EHR •🌐Insurance web portals that I have used: 🔹CGS(Medicare) 🔹WPS (Medicare) 🔹Palmetto GBA (Medicare) 🔹Noridian (Medicare) 🔹Novitas (Medicare) 🔹Navinet 🔹Availity 🔹UHC 🔹Cigna 🔹Optum 🔹Payspan 🔹Humana 🔹Molina healthcare 🔹Health First 🔹HRSA uninsured 🔹Geico (PIP / No-Fault) 🔹StateFarm b2b (PIP / No-Fault) 🔹Allstate b2b (PIP / No-Fault) 🔹Medlogix (PIP / No-Fault) 🔹One inc vendor | Eft payments (PIP / No-Fault) •🎯Core Skills and Competencies 🔹ICD-10 codes 🔹CPT codes 🔹HCPCS codes 🔹Medical Terminology 🔹Medicare & Medicaid Guidelines 🔹Knowledge of Payer Reimbursement Characteristics and Billing Policies 🔹Medical Documentation review and Auditing 🔹Daily/Weekly/Monthly/Quarterly Reconciliation 🔹Performs well with little supervision 💫 I believe in delivering precise, reliable work and providing dependable solutions that support your long-term success, based on trust and results. With me Your trust and time are invested in the best place. Whether you're a small clinic, solo Provider or a Large healthcare facility or organization, your revenue cycle is handled with full responsibility and attention to detail. ⭐If you're looking for a strong billing support that makes a real impact, I’m ready to contribute. Kind Regards Muhammad Mashal

  • Medical Billing & Coding
  • Data Entry
  • ICD Coding
  • Payment Processing
  • Accounts Receivable
  • Insurance Verification
  • Revenue Cycle Management
  • Appointment Scheduling
  • Insurance Claim Submission
  • Demography
Aamir F.

Sadiq Abad, Pakistan

$5/hr
5.0
1 jobs

A result-oriented HIPAA Certified professional with 10+ years of experience in USA healthcare Industry (Medical Billing), Self-Starter, very Dedicated, Attentive, Quality-focused, Result-Oriented, Upwork Professional, provides best-in-class, end-to-end Medical Billing/Eligibility and Benefits Verification/AR/Denials/Rejections/Coding services, as a US Healthcare, MBA with 8+ years of experience in Medical Billing (Revenue Cycle Management) Domain and handled lot of different specialty practices, and worked on number of Practice Management Softwares, and also worked on Medical Coding of ICD-9 & ICD-10 CM, CPT-4, HCPCS, and Modifiers. Also using all the tools like AMA's ICD-10, Optum Encoder Pro Medical Coding Software to work on ICD-10 CM codes. Expert in Data-Entry services, .pdf conversion, Office Management, Database management. Extremely productive and effective in a high volume, high stress, environment. Provides excellent customer service in a TAT (Turn-Around Time), meeting all SLAs (Service-Level Agreements), and positively contribute to give the out-of-the-box solutions as a Healthcare Consultant to clients/customers in their business growth. Ability to quickly learn, adapt, accurate and efficient in the work, as always focus on quality of services. and provides unique business ideas, where we have always the scope of improvement. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patients health benefits from insurance carriers website and Via Phone. - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Government payers, Managed care and Commercial Insurances (Aetna, BCBS, Cigna etc.) - Patient billing inquiries as per received information from your office - To check claim status from insurance auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD-9 CM, ICD-10 CM, CPT-4 and HCPCS Coding and/or review - Monthly and annual reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - EDI/ERA/EFT setup - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the correct 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 (c). Specialties - Orthopedic Surgery - Home Health & Hospice - Cardiology - Internal Medicine - Anesthesia - Ophthalmology - Psychiatry - Oncology - Chiropractic Services - Therapy (Physical, Occupational, Speech) (d). Credentialing and provider enrollment with Govt./Commercial insurances Although I do not limit myself within these boundaries. Please feel free to contact me with your project outline or with any questions regarding my past work experience - I just may have the skill-set that can help you to make your project a success!

  • Business Development
  • Medical Billing & Coding
  • Project Management Professional
  • Scheduling
  • Customer Service
  • Microsoft Excel
  • Microsoft Word
  • Office Administration
  • Data Entry
  • BPO Call Center
Muhammad B.

Islamabad, Pakistan

$7/hr
5.0
1 jobs

Denied claims, slow payments, and aging AR are costing your practice real money — I fix that across your entire revenue cycle. I'm a Medical Billing & RCM Specialist handling the full revenue cycle for U.S.-based healthcare providers — from insurance verification and clean claim submission through denial management, AR follow-up, payment posting, and credentialing. My job is to make sure claims go out right the first time and payments come back on time, start to finish. Most billing problems come down to the same few root causes — incorrect modifiers, payer-specific documentation gaps, or AR that's sat untouched for 90+ days. I know where to look and how to fix it fast. WHAT I HANDLE - Insurance Verification & Prior Authorizations - Charge Entry & Claim Submission — HCFA-1500 & UB-04, built for a high first-pass clean claim rate - Payment Posting — ERA/EOB reconciliation - Denial Management & Appeals — payer-specific strategy, not generic templates - AR Follow-Up & Aging Reports — 30/60/90/120+ day buckets, worked systematically - Patient Billing & Collections - Credentialing & Provider Enrollment - Full Revenue Cycle Management, end to end SPECIALTIES Psychiatry & Mental Health, Physical Therapy, Chiropractic, Family Medicine, Orthopedics, Cardiology, Dermatology, Pain Management SOFTWARE Athenahealth, Kareo/Tebra, AdvancedMD, eClinicalWorks, DrChrono, CareCloud, WebPT, SimplePractice, TherapyNotes, Availity, Office Ally, Waystar If your AR is aging, your denials are piling up, or you're starting a new practice and need billing set up right from day one — message me and tell me what's going on. I'll give you a straight answer on what I can do.

  • HIPAA
  • Insurance Verification
  • Data Entry
  • Medical Billing
  • Medical Billing & Coding
  • Insurance Claim Submission
  • ICD Coding
  • Payment Processing
  • Preauthorization
  • Scheduling
  • Administrative Support
  • Revenue Cycle Management
  • Account Reconciliation
  • Microsoft Excel
  • Customer Service
Muhammad zohaib A.

Rawalpindi, Pakistan

$6/hr
5.0
1 jobs

Muhammad Zohaib – Your Reliable Medical Billing & RCM Specialist 💼 *“Simplified Billing, Maximized Revenue – Let’s Optimize Your Revenue Cycle.”* With **5+ years of hands-on experience** in **Medical Billing and Revenue Cycle Management (RCM)**, I help healthcare providers improve reimbursement rates, reduce denials, and maintain efficient billing operations. My goal is to manage the billing workflow smoothly so you can focus on delivering patient care. ### **Why Choose Me?** ✅ **Complete RCM & Billing Support** I handle the entire billing lifecycle — charge entry, payment posting, AR follow-ups, denial resolution, eligibility verification, and prior authorization processing. Skilled in multiple EMR/EHR systems and payer portals. ✅ **Clean Claim Submission & Accuracy** I prioritize correct coding and clean claim submission to reduce rejections and speed up payment turnaround. ✅ **Denial & Rejection Management Specialist** I identify denial trends, submit appeals, fix root causes, and implement preventive strategies to maximize reimbursements. ✅ **Insurance Verification & Authorizations** Accurate eligibility verification and timely authorization handling to avoid payment delays and claim losses. ✅ **HIPAA Compliant & Confidential** Strict adherence to data privacy and security standards throughout the billing process. --- ### **RCM Services I Provide** * Medical Billing & Coding Support * Eligibility & Benefits Verification (VOBs) * Prior Authorization Management * Claim Submission & Tracking * Payment Posting * Denial & Rejection Management * AR Follow-Ups & Collections --- ### **Specialties I Have Worked With** Internal Medicine, Family Medicine, Behavioral Health, Mental Health, Cardiology, Pain Management, Neurology, Pediatrics, Physical Therapy, Chiropractic, and more. --- ### **Software & Portals Experience** Kareo, AdvanceMD, eClinicalWorks, DrChrono, Practice Fusion, AthenaHealth, ChiroTouch, Availity, Navinet, Medicare & Medicaid portals, UHC, Aetna, Cigna, BCBS, Humana, etc. --- **Let’s work together to streamline your billing workflow, reduce denials, and increase your revenue.** 📩 *Send a message to schedule a consultation.*

  • Medical Billing
  • Medical Billing & Coding
  • Preauthorization
  • VOB
  • Insurance Claim Submission
  • Payment Processing
  • Insurance Verification
  • Virtual Assistance
  • Customer Service
  • Data Entry
  • Project Management
  • ICD Coding
  • Healthcare Management
  • Administrative Support
  • Customer Support
Mohammad S.

Peshawar, Pakistan

$7/hr
5.0
1 jobs

Are you a healthcare provider or billing company looking for a HIPAA-certified medical billing and RCM expert to handle claims, coding, and AR follow-up with accuracy and compliance? I’m Mohammad Shafiq, a Medical Billing and Revenue Cycle Management (RCM) Specialist with many years of experience helping U.S. healthcare providers and billing companies streamline their billing operations, reduce denials, and maximize reimbursements. --- ✅ Core Medical Billing & RCM Expertise Clean claim submission and rejection prevention Demographic and charge entry for all specialties ICD-10, CPT, and HCPCS code review and validation Accounts Receivable (AR) follow-up and denial resolution Payment posting (ERA/EOB — manual & electronic) Eligibility and benefits verification Prior and retro authorization management Patient billing and statement processing --- 🏥 Specialties Served Mental Health (Inpatient & Outpatient) • Behavioral Health • Family Medicine • Internal Medicine • Pediatrics • Physical Therapy • Pain Management • Urgent Care • Chiropractic • Optometry • Geriatrics • Home Health • Cardiology • Workers’ Compensation • APG Hospital Billing --- 💻 Software & Clearinghouse Proficiency Kareo | AdvanceMD | eClinicalWorks | CollaborateMD | PrognoCIS | CentralReach | MDLand | Practice Fusion | DrChrono | ChiroTouch | Office Ally | Availity | Waystar | Trizetto | Athena --- 💡 Why Clients Choose Me HIPAA-certified & detail-oriented Many years of experience in U.S. medical billing Expert in denial management and AR recovery Accurate, timely, and compliant claim handling Strong communication and transparency --- 📈 Let’s Connect If you’re looking for a reliable, result-driven RCM specialist who can boost your cash flow and claim acceptance rates, let’s talk! 💬 Message me or send an invite to discuss how I can support your end-to-end revenue cycle efficiently.

  • HIPAA
  • Medical Billing & Coding
  • Insurance Claim Submission
  • Insurance Verification
  • Revenue Cycle Management
  • Medical Records
  • Data Entry
  • EMR Data Entry
  • ICD Coding
  • eClinicalWorks
Usman W.

Lahore, Pakistan

$9/hr
5.0
1 jobs

Are you looking for a HIPAA-certified healthcare professional to manage your medical billing, prior authorizations, credentialing, and appointment scheduling — with 100% compliance and accuracy? I’m a US Healthcare Specialist with 5+ years of experience, trained and certified across compliance, billing, coding, credentialing, and healthcare administration. Along with my expert team, I help providers, clinics, and billing companies streamline revenue cycle management (RCM), reduce denials, and improve reimbursement timelines. 🔹 Core Services I Offer 📌 Appointment Scheduling & Patient Coordination 📌 Insurance Verification, Authorizations & Referrals 📌 Medical Billing, Claims Processing & Denial Management 📌 Provider Credentialing & Enrollment (Medicare, Medicaid, Commercial Payers) 📌 Revenue Cycle Optimization (RCM) 🔹 Certifications & Compliance Training I have completed comprehensive healthcare compliance and medical billing certifications, including: ✅ HIPAA Training with Access – PRS Pharmacy Services ✅ Quality Assurance & Error Prevention – PRS Pharmacy Services ✅ Nondiscrimination & Cultural Competency Training – PRS Pharmacy Services ✅ FWATrack Compliance Program Training – PRS Pharmacy Services ✅ FWATrack Code of Conduct Training – PRS Pharmacy Services ✅ Combating Medicare Part C & D Fraud, Waste & Abuse – PRS Pharmacy Services ✅ MLN Medicare Part C & D General Compliance Training – PRS Pharmacy Services ✅ Annual Compliance Training (Billing, Coding, Clinical, Front Desk, Super Users) – Privia University ✅ Privia Onboarding & Front Desk Training – Privia University ✅ New Hire Compliance Training (Billing, Coding, Clinical, Front Desk) – Privia University 💡 These certifications validate my commitment to HIPAA compliance, fraud prevention, cultural competency, and end-to-end healthcare administration. 🔹 Why Work With Me? ✅ HIPAA Certified & fully compliant with US healthcare regulations. ✅ Trained in Fraud, Waste & Abuse (FWA), Medicare, Medicaid compliance. ✅ Skilled in Billing, Credentialing & RCM across multiple specialties. ✅ Experienced in Clinic, Billing Company & Provider Support. ✅ Team of Certified Experts available for large-scale or long-term projects. If you’re a medical practice, healthcare group, or billing company looking for reliable and compliant support, let’s connect and discuss how I can help optimize your workflow and maximize reimbursements. 📩 Send me a message — I’ll ensure your operations run smoothly, securely, and profitably.

  • HIPAA
  • Virtual Assistance
  • Medical Billing
  • Medical Referrals
  • Electronic Medical Record
  • Patient Care
  • Appointment Scheduling
  • Compliance
  • Revenue Cycle Management
  • Insurance Verification
  • Insurance Claim Submission
  • Fraud Detection
  • Healthcare Management
  • EMR Data Entry
  • Quality Assurance

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