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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

I am a Revenue Cycle Management (RCM) Consultant and Medical Billing Specialist with 7+ years of experience in U.S. healthcare billing, accounts receivable management, denial management, and credentialing. I help healthcare providers, behavioral health clinics, private practices, urgent care centers, and multi-specialty medical organizations improve cash flow through medical billing, AR follow-up, claim denial resolution, insurance verification, prior authorization, and payment posting. My core expertise includes: ✔ Medical Billing ✔ Revenue Cycle Management (RCM) ✔ Accounts Receivable (AR) Follow-Up ✔ Denial Management & Appeals ✔ Credentialing & Provider Enrollment ✔ Insurance Verification & Benefits ✔ Prior Authorization ✔ Claims Submission (CMS-1500 / UB-04) ✔ Payment Posting & Reconciliation ✔ Medical Coding Support ✔ KPI Reporting & Revenue Analytics ✔ EHR / EMR Workflow Management I specialize in identifying revenue leakage, aging AR, recurring denials, underpayments, delayed reimbursements, and billing workflow inefficiencies. My services help practices with: * faster collections * lower denial rates * improved clean claim ratio * optimized AR recovery * streamlined credentialing * better revenue reporting * scalable billing operations If you need support with medical billing, revenue cycle optimization, AR cleanup, denial prevention, credentialing, or RCM consulting, I can help improve your financial operations and maximize reimbursements. Let's Connect. Expert RCM Provider | Revenue Cycle Management Expert | Medical Billing Specialist | AR Recovery & Follow-Up Expert | Denial Management Consultant | Credentialing Specialist | Insurance Verification & Prior Authorization Expert | Claims Submission & Payment Posting Specialist | Healthcare Revenue Optimization Consultant |Expert RCM Provider | Medical Billing | AR Recovery | Denial Management Revenue Cycle Management (RCM), Medical Billing, AR Follow-Up, Accounts Receivable Recovery, Denial Management, Credentialing, Insurance Verification, Prior Authorization, Claims Submission, Payment Posting, Revenue Optimization, Healthcare Operations, Billing Workflow, Revenue Reporting, EMR / EHR Support Fractional Billing Director RCM Strategy Consultant Revenue Optimization Partner Healthcare Operations Consultant Billing Process Consultant Revenue Growth Consultant Practice Profitability Expert Claims Denial Prevention Consultant End-to-End RCM Solutions Full Cycle Medical Billing Claims Processing Expert AR Follow-Up Expert Denial Resolution Specialist Payment Posting Specialist Insurance Verification Expert Prior Authorization Specialist Revenue Optimization Consultant Billing Workflow Expert Expert RCM Provider Revenue Cycle Management Expert Medical Billing Expert RCM Consultant Billing Operations Specialist Healthcare Revenue Expert AR Recovery Specialist Denial Management Expert Credentialing Specialist Medical Claims Expert

Healthcare practices lose thousands of dollars every month due to denied claims, unpaid balances, eligibility issues, and delayed follow-ups. I help providers recover that revenue. With 8+ years of experience in US Healthcare Revenue Cycle Management, I specialize in reducing denials, accelerating reimbursements, and improving collections across multiple specialties. My expertise includes: ✔ Accounts Receivable (AR Follow-Up) ✔ Denial Management ✔ Insurance Verification ✔ Eligibility Checks ✔ Claim Status Investigation ✔ Payment Posting Support ✔ Appeals & Reconsiderations ✔ Prior Authorization Follow-up ✔ Provider Credentialing Support ✔ Medical Billing ✔ Revenue Cycle Optimization ✔ Root Cause Analysis ✔ Team Management Software Experience • DrChrono • Meditech • Navinet • Office Ally • Availity • Change Healthcare • Payer Portals Insurance Companies • Medicare • Medicaid • BCBS • Aetna • UHC • Humana • Cigna • UMR • Tricare I believe in transparency, fast communication, and measurable results. Let's discuss how I can improve your revenue cycle.

DME Billing & Coding Specialist | Medical Billing & Coding Specialist | Expert in Medicare and Commercial Payer’s Claim Submission, A/R, and Denial Management I am a dedicated and results-driven professional with over 8 years of experience in Durable Medical Equipment (DME) Billing, Physician Billing, and Medical Billing & Coding. I specialize in delivering comprehensive Revenue Cycle Management (RCM) solutions, including DME intake, eligibility verification, claim submission, rejection & denial management, and A/R follow-up. My commitment is to provide precise, efficient services that optimize your revenue stream and reduce claim rejections. As a former team lead and RCM Manager, I have led successful billing teams, enhanced RCM processes, and collaborated with developers to optimize billing software solutions. I focus on ensuring compliance with Medicare guidelines, HIPAA regulations, and payer-specific requirements for Medicare, Medicaid, and commercial insurance providers. My experience spans working with some of the largest DME suppliers in Florida, California, and New York, using industry-leading platforms such as BFLOW, Brightree, TriZetto, DME Hub, Integra, Que Portal, and Athenahealth for seamless claim management. Core Specialties: • DME Intake & Billing • Medical Billing & Coding (ICD-10, CPT, HCPCS) • Medicare Guidelines & Compliance • Eligibility Verification & Claims Submission • Denial Management & Rejection Resolution • Accounts Receivable (A/R) Management • Team Leadership & Process Improvement Medical Billing Services Overview: I offer full-service Medical Billing solutions at competitive rates, including soft collections. My services include: • Eligibility Verification: Verify patients' insurance benefits via portals and phone calls. • Appointment Scheduling: Schedule appointments during patient calls. • Charge Entry & Claims Submission: Enter full patient demographics, submit claims for primary, secondary, and tertiary payers. • A/R Analysis & Collections: Analyze A/R data, take corrective actions, and develop strategies for collections. • Denial Management: Proactively follow up on denials from Workers Comp, Medicare, Medicaid, and private insurers (BCBS, Aetna, Cigna, UHC). • Claims Follow-Up: Check claim statuses via websites, live calls, and automated systems. • On-Call Appeals: Submit on-call appeals for reprocessing incorrectly adjudicated claims. • ICD-10, CPT, HCPCS Coding: Utilize Encoder Pro Expert to ensure precise coding and claim accuracy. • Financial Reporting: Prepare comprehensive A/R reports—daily, monthly, and annually—and offer custom reports as needed. • Credentialing Services: Provide credentialing support and consulting for provider compliance with payer requirements. Medical Coding Services: • Accurate Coding: Research and assign correct ICD-10, CPT, and HCPCS codes based on medical records. • Modifier Application: Apply correct modifiers to maximize reimbursement. • Coding Audits & Compliance: Ensure compliance with payer guidelines to avoid coding errors and denials. Specialties: I have hands-on experience across a wide range of medical specialties, including Anesthesiology, Cardiology, Chiropractic, Dermatology, Emergency Medicine, Family Practice, Internal Medicine, Orthopedics, Pediatrics, Radiology, and many more. In addition, I lead a small, experienced team of medical billing and coding experts ready to handle projects of any size, from smaller assignments to large-scale billing operations. We prioritize timeliness, accuracy, and client satisfaction. To ensure we're the right fit for your project, we offer a trial period of 2 to 7 days before you commit to larger engagements. Why Choose Us? • Proven track record of success with major DME suppliers. • Extensive expertise in navigating Medicare guidelines, CPT, ICD-10, HCPCS, and payer-specific requirements. • Competitively priced services tailored to meet your needs. • Dedicated support for handling claims, denial resolution, and collections. Technical Skills: • Billing Software: BFLOW, Brightree, DMEhub, Athenahealth • Claims Management Platforms: TriZetto Enrolment Portal, Que Portal • Medical Coding: ICD-10, CPT, HCPCS • Payer Portals: Medicare, Medicaid, Commercial Insurance Payers • Other Portals: Availity, Integra Que portal and payer portals • Reporting & Analytics Tools: MS Office, CRM reports • DME Guidelines: Complete knowledge of Medicare guidelines and DME products. We are confident in exceeding your expectations and delivering unmatched value in the industry. Let's collaborate to streamline your billing processes and optimize your revenue!

✅ Top Rated Plus | Medical Billing & RCM Specialist ✅ Recovered approximately $50,000 from denied BCBS claims (Behavioral Health) ✅ 10+ Years Experience | Denials, Appeals & AR Recovery Denied claims? High aging AR? Delayed insurance reimbursements? I help Physical Therapy, Behavioral Health, and outpatient clinics recover revenue and improve cash flow through expert Revenue Cycle Management (RCM), denial management, and insurance follow-up. With over 10 years of hands-on experience in U.S. medical billing, I specialize in identifying the root cause of claim denials, resolving payer issues, and following claims through to successful payment. What I Can Help You With: ✔ Full Revenue Cycle Management or task-based support ✔ Insurance eligibility & benefits verification ✔ Charge entry & clean claim submission ✔ Payment posting (ERA/EOB) ✔ Prior Authorization ✔ Claims Processing & Electronic Claim Submission ✔ Denial analysis, appeals, and AR follow-up (30 / 60 / 90+ days) ✔ Underpayment & Claim Resolution ✔ Patient Billing & Insurance Follow-up Proven Results ✅Resolved complex insurance denials through structured appeal strategies. ✅Reduced aging Accounts Receivable by identifying payer-specific billing issues. ✅Improved reimbursement timelines through proactive claim follow-up. ✅Helped providers maximize collections while maintaining accurate and compliant billing processes. Industries Served: ✔ Solo Practices ✔ Multi-Provider Clinics ✔ Physical Therapy Practices ✔ Behavioral Health Clinics ✔ Urgent Care Centers ✔ Medical Billing Companies Insurance Experience: Medicare, Medicaid, BCBS, UHC, Aetna, Cigna, Humana, Tricare, Commercial Insurance Plans & Workers Comp. EMR / Practice Management Systems & Billing Expertise: ✅Athena ✅eClinicalWorks ✅Kareo / Tebra ✅Prompt EMR ✅CollaborateMD ✅AdvancedMD ✅Practice Fusion ✅PracticeSuite ✅Office Ally Expertise: CPT * ICD-10 * HCPCS * Insurance guidelines * HIPAA-compliant workflows * Medical Billing Compliance Why Clients Choose Me ✔ Strong expertise in denial management and appeals ✔ Detail-oriented with excellent analytical skills ✔ Consistent and proactive insurance follow-up ✔ Clear communication and timely updates ✔ Reliable support for both short-term AR cleanup and long-term Revenue Cycle Management. ✔ Dedicated to improving collections and reducing claim turnaround time ✔ I provide regular updates, maintain clear communication, and ensure every claim receives thorough follow-up until resolution. 📌Let's Improve Your Revenue Cycle Whether you need help with denied claims, aging AR, insurance follow-up, or full Revenue Cycle Management (RCM), I'm here to help improve your collections and streamline your billing process. I'm comfortable working during U.S. business hours and collaborating remotely with providers, practice managers, and billing teams. Send me a message to discuss how I can help maximize your reimbursements and improve your practice's cash flow.

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