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
ICD Coding
Medical Billing & Coding
Medical Condition Coding
Healthcare Common Procedure Coding System
Medical Procedure Coding
Medical Billing
Medical Transcription
Electronic Medical Record
Electronic Health Record
Preauthorization
Insurance Verification
Insurance Claim Submission
Accounts Receivable Management
EMR Data Entry
HIPAA
Medical Mastermind Medical Billing Services
Reeti S.
Mohali, India
$5/hr
5.0
3 jobs
Perform secondary desk search on clinical trials, company pipelines, and completive intelligence and analyze data to meet key business endpoints.
Clinical trials database management and maintenance for simple PK/PD studies to complex clinical trials. Manual entry of Phase I-IV clinical trials and preclinical to launched drugs. Tracking novel, generic, and biosimilar drugs.
You are tracking information from active studies on clinical trial.gov and EudraCT.
Working in collaboration with the project management team and responsible for the completeness, timely delivery, and quality data for clinical studies.
Performs spot checks for team quality and report to the QC team.
Acquisition of data from the internet, Case Report Forms (CRFs) & Data Clarification Forms (DCFs), company registries, co-operative groups, PubMed database, Pharma web sites, medical centers and universities, conferences, FDA site, and EMEA site.
Data summarization from clinical studies, publication in pre-reviewed journals, or presentation at professional meetings/conferences
Drug database maintenance with information related to generic and brand names of the drugs, pipeline drugs, preclinical and clinical studies, mechanism of the drug, chemical name, formula, indications for pipeline drugs, marketing information of the drug and route, medium technology for which drug is being developed. Data cleaning, tracking, mergers/acquisitions, and updating the database.
ICD Coding
Medical Device
Data Analysis
Regulatory Intelligence
Astracore Clinical Trials
Competitive Analysis
Medical Condition Coding
Medical Report
Joginder N.
Mohali, India
$10/hr
4.6
9 jobs
Hello, I’m Joginder Negi — a results-driven professional with 12+ years of expertise in Medical Billing, RCM, and Credentialing, along with strong technical skills in IT Infrastructure, Cybersecurity, and Cloud Support. This unique combination enables me to deliver comprehensive business and technical solutions tailored to healthcare practices and organizations worldwide.
🏥 Professional Medical Billing & RCM Specialist
12+ Years of Proven Experience in end-to-end Revenue Cycle Management.
Managed successful billing for multiple specialties: OBGYN, Mental Health, Physical Therapy, Internal Medicine, and more.
Expert in CPT & ICD-10 Coding, Denial Management, and Compliance (HIPAA, GDPR, SOC-2, ISO).
Credentialing Specialist for Medicare, Medicaid, UHC, Cigna, Tricare, Availity, and commercial payers.
Proficient with major PMS/EMR platforms: InSync, NextGen, Athena, eCW, Office Ally, AdvancedMD, and more.
Achievements: Renowned for optimizing billing processes, reducing denials, and improving revenue flows.
💻 IT, Cloud & Security Support Professional
Office 365, Google Cloud, and Infrastructure Support.
Windows & Linux Server Administration with end-point protection expertise.
Firewall & Network Security: Cisco, Palo Alto, Fortinet.
Cybersecurity: SOC L1/L2/L3, VAPT, Security Audits, CISSP-aligned practices.
Endpoint Security & EDR Tools: Trend Micro, McAfee, SentinelOne, CrowdStrike.
Compliance: HIPAA, GDPR, SOC-2, ISO standards.
Helpdesk & Support Operations: L1–L3 troubleshooting, enterprise support, and infrastructure optimization.
🔑 What Sets Me Apart
🎯 Versatility: Dual specialization in Healthcare Billing/RCM and IT/Security Support.
📈 Proven Track Record: Success with practices, healthcare providers, and IT-driven organizations.
🔐 Compliance-Driven: Strong adherence to HIPAA, GDPR, SOC-2, and ISO guidelines.
🤝 Client-Focused: Collaborative, transparent, and solution-oriented approach.
🌍 Global Experience: Adaptable to diverse industries, systems, and regulatory environments.
🚀 Services I Offer
Healthcare & Billing
✔ Comprehensive Medical Billing Services
✔ Efficient Claims Submission & Follow-Up
✔ Expert Credentialing & Enrollment Assistance
✔ Thorough Coding & Documentation Reviews
✔ Consulting Services to Optimize Revenue Cycle
IT & Security
✔ Infrastructure & Cloud Support (Office 365, Google Cloud)
✔ Security Audits, VAPT, SOC Implementation
✔ Firewall & Endpoint Protection (Cisco, Palo Alto, Fortinet, CrowdStrike, etc.)
✔ Windows & Linux Server Administration
✔ Helpdesk Support (L1–L3)
🌐 Let’s Work Together
Whether you need seamless medical billing & credentialing services or robust IT/security support, I bring a unique blend of expertise to help your organization thrive.
📩 Let’s connect and discuss how I can add value to your project!
Medical Billing & Coding
Medical Billing
Revenue Cycle Management
Medical Mastermind Medical Billing Services
Medical Records Software
Microsoft Word
CRM Software
Data Entry
Database
Microsoft PowerPoint
Lead Generation
Medical Condition Coding
Accuracy Verification
Insurance Verification
Harpreet S.
Mohali, India
$8/hr
5.0
1 jobs
I’m a Medical Billing & Revenue Cycle Management (RCM) specialist with 15+ years of hands-on experience helping US healthcare providers improve cash flow, reduce denials, and recover aged A/R. I’ve supported multiple specialties and understand how payer rules, documentation, and workflows vary across departments.
Specialty experience includes:
* Dental (PPO/fee schedules, coordination of benefits, eligibility, claim corrections)
* Behavioral Health (authorizations, medical necessity, payer-specific rules, recurring denials)
* Oncology (high-dollar claims, modifiers, prior auth, complex billing workflows)
* Cardiology (testing/procedures, authorization-driven claims, denial trends and appeals)
RCM services I support end-to-end:
* Eligibility and benefits verification
* Charge entry and claim submission (clean claim review and corrections)
* Clearinghouse rejections and claim edits
* A/R follow-up across all aging buckets (including 90+ days)
* Denial management, appeals, reconsiderations, and resubmissions
* Underpayment review and payer follow-up
* Payment posting support and reconciliation assistance
* Patient statements follow-up support and workflow improvements
How I work:
* I focus on root-cause analysis, not just claim-by-claim fixes, so denials reduce over time
* I document actions clearly (call notes, next steps, payer reference details)
* I provide structured updates (daily/weekly) with measurable progress and priorities
* I maintain HIPAA-conscious handling of PHI and follow client SOPs
If you are facing increasing denials, aging A/R, underpayments, or inconsistent collections, I can step in quickly, identify the revenue leakage, and execute a recovery plan that improves results and visibility.
ICD Coding
Medical Billing & Coding
Medical Billing
Revenue Cycle Management
Revenue Management
Financial Analysis
Payment Processing
Medical Transcription
Live Transcription
Insurance Verification
Insurance Claim Submission
Accounts Receivable
Account Reconciliation
Financial Audit
Sunny S.
Mohali, India
$27/hr
5.0
14 jobs
Certified Microsoft Healthcare Specialist | Clinical Quality Measures, HEDIS, MIPS MACRA, PCMH, HIPAA, FHIR, HL7, EMR/EHR Integration, Telemedicine, Clinical Analytics, and AI-driven Healthcare Solutions
With 15+ years of hands-on experience in healthcare technology, interoperability, and compliance, I specialize in developing, integrating, and optimizing enterprise-grade healthcare solutions aligned with U.S. regulatory standards such as HIPAA, HITECH, and Meaningful Use (MU 1, 2, 3,3.5).
My expertise spans EHR/EMR design and integration, clinical data exchange (HL7, FHIR, CCDA, EDI), and AI-driven clinical analytics, supporting healthcare organizations, startups, and payers in achieving operational excellence, compliance, and innovation.
Core Expertise
- Healthcare Technology & Compliance
HIPAA / HITECH Compliance
HL7, FHIR, CCDA, HEDIS, EDI
Meaningful Use (MU 1, 2, 3)
ICD-9/10/11, CPT, SNOMED, LOINC, NDC, HCPCS, RxNorm
Telehealth, Telemedicine, Homecare, mHealth, IoMT
PMS, HIX, and Healthcare Data Exchange
- EHR / EMR Development & Integration
Custom EHR/EMR design for Behavioral Health, OBGYN, Wound Care, Eye Care, and Dental
Integration with major EHR systems:
EPIC | eClinicalWorks (eCW) | Cerner | AllScripts | Athenahealth | NextGen | DrChrono | PracticeFusion | AdvancedMD | GE Centricity | Kareo | IMS | EMD
- Data, Analytics & Business Intelligence
Data Modeling (Transactional + Dimensional)
ETL, Reporting, Dashboards, and KPIs
Tools: IBM InfoSphere Data Architect, Cognos BI, Report Studio, Framework Manager
Population Health, Risk Adjustment, and Care Gap Analytics
- AI & Machine Learning in Healthcare
My team and I leverage AI/ML, NLP, and Computer Vision to create smarter, data-driven healthcare systems.
AI Virtual Assistants for patient engagement
Non-invasive Continuous Glucose Monitoring
Predictive Denial Management & RCM Optimization
AI-based Clinical Decision Support Tools
Wound Detection & Skin Analysis (Computer Vision)
NLP for Risk Adjustment and Clinical Documentation
Radiology & Pathology Image Analysis
Posture/Squat Analysis for Physiotherapy
Disease Quality Analytics (e.g., Diabetes)
Healthcare IT Services
Revenue Cycle Management (RCM)
Healthcare Interoperability (FHIR, HL7, CCDA, EDI)
Medical Billing Systems & Coding Integration
Telemedicine / Remote Patient Monitoring
MU Certification Support & HIPAA Consultancy
Risk Stratification & Preventive Care Platforms
Population Health & Clinical Analytics Solutions
**Why Choose Me**
Microsoft Healthcare & Azure FHIR Specialist
Deep expertise in U.S. healthcare workflows
Proven integration with top EHRs & PMS systems
Focused on compliance, interoperability, and AI innovation
Experienced team combining the healthcare domain + data science
Let’s build secure, scalable, and intelligent healthcare solutions - from EMR integrations to AI-powered telemedicine platforms.
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