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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.

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

A strong customer-centric focus, ethical conduct, and goal orientation are my key attributes, with 8 years of experience as Revenue Cycle Specialist my aim is to maximize revenue while ensuring compliance with regulations and maintaining patient satisfaction. Managing the financial aspects of patient care services, skill set that includes knowledge of healthcare regulations, proficiency in medical coding and billing, expertise in health information systems, and a deep understanding of insurance policies. Effective communication and problem-solving skills, attention to detail, and the ability to work collaboratively with healthcare providers and patients. Prior experience in medical billing/coding, healthcare administration, and software proficiency including but not limited to- . Patient Scheduling . Transcription & Medical Coding . Eligibility Verification & Prior Authorization . Patient Demographics & Charge Entry . Payment Posting Accounts Receivable Management . Denial Management . Provider Credentialing

✅ Top Rated Plus | Medical Billing & RCM Specialist ✅ 10+ Years Experience | Denials, Appeals & AR Recovery ✅ Outpatient Clinics | Medicare, Medicaid & Commercial Payers ✅ Recovered ~$50K from Denied BCBS Claims (Behavioural health Upwork Project) I help Physical Therapy, Mental Health, and outpatient clinics get paid accurately and on time by fixing denied, underpaid, and aging claims. With 10+ years of hands-on experience in U.S. medical billing and Revenue Cycle Management, I specialize in denial management, appeals, and AR follow-up, especially with Medicare, Medicaid, and commercial payers. Recently, I helped a Florida mental health clinic recover approximately $50,000 from 2024 denied claims through structured appeals and aggressive payer follow-up. How I Help Providers Improve Collections ✔ Full Revenue Cycle Management or task-based support ✔ Insurance eligibility & benefits verification ✔ Charge entry & clean claim submission ✔ Payment posting (ERA/EOB) ✔ Denial analysis, appeals, and AR follow-up (30 / 60 / 90+ days) I focus on finding the root cause of denials, correcting payer-specific issues, and following through until payment is received. Proven Results ✔ Recovered unpaid and denied claims through structured appeal processes ✔ Reduced aging AR by identifying payer and billing workflow issues ✔ Improved cash flow for Physical Therapy and Behavioral Health clinics ✔ Secured faster reimbursements from Medicare, Medicaid, and BCBS plans Specialties I’ve Worked With ✔ Physical Therapy & Orthopedics ✔ Mental & Behavioral Health ✔ Urgent Care / Walk-in Clinics ✔ Family & Internal Medicine ✔ Pulmonary & Primary Care Billing Systems & Knowledge EMRs / PM Systems: eClinicalWorks · Athena · Kareo/Tebra · Prompt EMR · CollaborateMD · AdvancedMD · Practice Fusion · Practice Suite · officeAlly Expertise: CPT · ICD-10 · HCPCS · Insurance guidelines · HIPAA-compliant workflows Why Clients Choose Me ✔ Strong track record with denials & appeals ✔ Detail-oriented and highly organized ✔ Clear communication and consistent follow-up ✔ Comfortable with both short-term AR cleanup and long-term RCM support Next Step If you’re dealing with denied, underpaid, or aging claims, message me. I’m happy to review a few claims and discuss how I can help improve your collections.

I have backed with 15+ years of extensive experience in US Healthcare Revenue Cycle Management. I worked on multiple specialties such as Oncology & Hematology, Cardiology, Vascular Surgery, Pain Management, Internal medicine, Cervical/Thoracic/Lumbar Spine Surgery, General Surgery, Gynecology & Obstetrics, Pain Management, Chiropractic, Physical Therapy, Speech Therapy, Home Health, Mental Health & Substance Abuse, Acute Inpatient (DRG-Group), Independent Clinical Laboratory, Radiology & Imaging. I am comfortable working in any PMS/EHR software, such as Athena, DrChrono, Advanced MD, Kareo, GE Centricity, NextGen, Practice Perfect, Therapy Notes, eCW, EPIC, PracticePerfect, CareCloud, LIS, etc. Thoroughly experienced in all Microsoft programs, google-suite management, insurance portals like Navinet, Gateway, Availity, Emdeon (Change), NGS Connex, Noridian, Optum, Emblem/GHI/HIP/Beacon, Magellan, etc. worked with Clearinghouses such as Change Healthcare, Trizetto, Availity, Emdeon & Office Ally. Worked with all payers such as Medicare, Medicaid, Commercial, PPO, HMO, POS, EPO, Workers Comp, auto no-fault. I am offering the following services to my clients: 1. Appointment Scheduling 2. Prior Authorization Request 3. Eligibility & Benefits Verification 4. Charge Entry 5. Claims Scrubbing & Submission 6. AR Follow-up 7. Denial/Rejection Management 8. Appeals 9. Payment Posting 10. Patient statements & collection 11. Reporting- Including AR Aging, Financial Dashboards, Monthly Charge vs Payments, underpayments, etc. 12. Credentialing. I use to serve my clients single-handedly with complete end-to-end support. I used to take challenges in a reduction in Overall Aging at 15-20 % within 30 calendar days and turn dead collections into revenue. I hope my expertise will help the practice to get improved revenue cycle management. I am excited to work with you, to provide reliable, constant, and High-Level solutions to your challenges. Please contact me, so we can discuss how we can work together to sufficiently meet your business needs. Thank you & have a great day!

I am a person with 9 years of experience in Medical billing , AR and RCM.. What value can I add to your project, and how can I be the best candidate for your project? Well, I love what I do; I'm serious about being a long-term success. My ultimate goal is to provide error-free work and focus on continuous improvement service delivery for my clients. What do I provide to my client? 1-Provide Reliable & Cost-Effective Solutions 2-Provide First Time Resolution (FTR) 3-Service Delivery within Turn Around Time (TAT) 4-Innovative & Continuous Improvement in service. 5-Provide Quality work & unlimited Customer Support. I have 9 years of experience in the USA healthcare Industry (Medical Billing), HIPAA privacy rules, Transcription, Management skills, Quality Compliance, and customer support. I have worked on all segments of Medical billing and also did quality checks for the same. Please see my portfolio and attached PPT on medical billing. I am willing to work with you on a long-term basis. You may see my services on a trial basis and then decide about my candidacy for the project. I assure timely delivery of the task with quality. I have excellent communication and management skills, virtual assistant tasks . I am an accurate, a quick learner, and can follow instructions and perform multitask to meet deadlines. Apart from this, I am a proactive, self-starter and can carry out various activities without supervision, team player. Most of the time, I am available on Skype or e-mail for fast and hassle-free communication. I began my career as an AR executive with a NASDAQ listed company where I performed various activities. I have worked as a Project Manager with some of the topmost USA healthcare outsourcing companies. My expertise is in several areas of Medical billing and Transcription. I have worked on all functions of medical billing (Patient registration, Transcription, Insurance Verification, charge entry, coding, Payment posting, AR follow up, Collection and Refund) and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I always try to identify opportunities to improve the billing cycle and focus on continuous improvement in the process by applying six sigma methodologies. I have worked for the below-mentioned specialties of the provider’s claim. 1. Anesthesiology 2. Chiropractic 3. Dermatology 4. E&M 5. DME 6. Family Practice 7. Gastroenterology 8. General surgery 9. Gynecology and obstetrics 10. Internal Medicine 11. Orthopedic 12. Pathology 13. Physical Medicine and Rehabilitation 14. Physical Therapy 15. Psychiatry 16. Neurology 17. Radiology 18. Skill Nursing Facility 19. Behavioural Health 20. Chiropractic I have exposure to working on the below-mentioned functions of Medical billing and also did quality checks for the same. 1. Patient Registration 2. Insurance Verification 3. Pre Authorization Request and verification 4. Charge Posting / Superbill review 5. Evaluation of valid HCPCS codes, ICD 9-10 and Modifier 6. Work on Edits of rejected electronic claims 7. Checking clearinghouse reports (Emedeon, Availity) 8. Provider PIN calling ( for verifying provider TAX id, NPI, and billing address) 9. EOB and check search via websites and batches 10. Payment Posting 11. AR Follow up on denied claims via call or websites 12. Appeal project 13. Collection / Refund Current Job Responsibility My focus points:- 1. Daily audit of sample size. 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients. 3. Working on new projects to improve process accuracy and productivity. 4. Doing calibration with QCA, Team leader, and SME to reduce process variances. 5. Tracking or identifying root causes and process variances. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audit of associates 10. Analyzing trends in quality check data and finding variations and their root causes. Work Experience of Software I have work experience of below software mentioned in medical billing. I have excellent grasping power, so it will not take much time to navigate new software. 1. MD Rhythm 2. Autumn 8 3. Kareo 4. Eclipse 5. Practice Mate 6. Aprima 7. Encoder Pro 8. Footprints 9. Citrix 10. Office Ally 11. Advanced MD 12. Drchrono 13. Eclinical works 14. Collaborate MD 15. Central Reach Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna I do have experience in Corporate RCM Pre-Process Training. Given Training to Wipro AR Teams.