Hire the best ICD Coding Specialists in Pakistan
Check out ICD Coding Specialists in Pakistan with the skills you need for your next job.
- $35 hourly
- 5.0/5
- (29 jobs)
Hi! I am CPC certified Medical Coder and CPMB certified Medical biller with HIPAA compliant having more than 03 years of experience for US Healthcare Industry. QUALIFICATION : Pharm-D (Doctor of Pharmacy) CERTIFICATIONS ● CPC (Certified Professional Coder) ●CPMB (Certified Professional Medical Biller) - Certificate ID : 105301414 ● Basic IT (1-year diploma including MS Office complete,Typing,Google sheets & docs..etc ) I have attained vast experience on processing following mentioned nature of services: -Medical Coding: As a Coding Specialist with a Bachelors in Pharmacy (Pharm-D), I have extensive experience working with different multinational companies such as Medcare MSO, P3 care, Physician Revenue Group(PRG) in various roles such as in-patient and outpatient facility coding, physician coding, Skilled Nursing Facility, Wound Care Management, Gastro, Mental Health, Psychiatry, CPT/HCPCS coding, ICD-10-CM coding, medical policies reviewer and mapping specialist, making me an expert in medical revenue cycle management. With my expertise in ICD-10, CPT mapping, medical policy mapping, medical record reviewing and auditing, and presentation of upcoming and new policies for providers, I can help optimize your medical practice's coding process. -Medical Billing: With my knowledge and experience in medical billing, I can help healthcare professionals and medical facilities optimize their revenue cycle management. I am familiar with coding systems, insurance claim submissions, payment posting, and denial management. I can navigate billing software efficiently and provide accurate and timely billing services. I have also hand-on experience and proficient in patient demographic entry, charge entry in EHR/EMR, eligibility verification with payers, medical claim scrubbing, claim submission, denial management, account receivable follow up, email and call handling, payment posting and adjustment management, patient billing for patient's responsibility, medical scribing, patient scheduling, and calendar management. -Medical Transcription: My expertise in medical transcription ensures accurate and timely conversion of audio recordings into written documents. I possess a strong understanding of medical terminology, attention to detail, and excellent listening skills, which allow me to deliver high-quality transcriptions for medical professionals and organizations. -Virtual Assistant: As a virtual assistant, I excel at providing administrative support (google spreadsheets, excel, images, NetSuite, Products Categorization, Photoshop), managing calendars, handling emails, conducting research, data entry, organizing files, and coordinating tasks. With excellent organizational skills and attention to detail, I ensure efficient operations and seamless communication for my clients. I have worked extensively with different specialties such as Mental Health, Chiropractic, and Physical Therapy, Physician, etc. My hands-on experience with Codify, Optum Encoder, MCD coding coverage, MS Office(Word, Excel, Outlook etc), Google Docs, Google sheets and numerous software platforms like OfficeAlly, ECW, Practice Fusion, CareCloud, EZ Claim, Availity, Trizetto, and Kareo allows me to navigate various systems efficiently and effectively. My commitment to hard work and honesty is unwavering. I strive to foster long-term professional relationships with my clients and ensure their 100% satisfaction before considering any project complete. With my solid background in health operations management, billing, and coding, I am ready to bring my skills, dedication, and passion to your team. Best Regards, Muhammad Atif Javed (PharmD, CPC, CPMB)ICD CodingMedical TranscriptionMedical Procedure CodingInsurance Claim SubmissionEMR Data EntryMedical Mastermind Medical Billing ServicesElectronic Health RecordMedical Records SoftwareHealthcare Common Procedure Coding SystemMedical Billing & CodingHIPAAMicrosoft WordMicrosoft ExcelData Entry - $8 hourly
- 5.0/5
- (8 jobs)
Medical Billing / AR & Coding Specialist | Home Health & Hospice Billing Manager | Mental Health / Psychiatry Billing Specialist | DME and Other Specialties Billing Professional | Medical Credentialing & Enrollment Expert | Practice Manager | Denials Management / AR Follow Up / Collections & Payment Posting Expert | Medical Virtual Assistant /Data Entry & Scheduling | Medical Scribe 𝐀𝐫𝐞 𝐲𝐨𝐮 𝐋𝐨𝐨𝐤𝐢𝐧𝐠 𝐟𝐨𝐫 𝐚 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥 𝐰𝐢𝐭𝐡 𝐞𝐱𝐜𝐞𝐥𝐥𝐞𝐧𝐭 𝐤𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐞 𝐚𝐧𝐝 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐬𝐤𝐢𝐥𝐥𝐬? 𝐃𝐨 𝐲𝐨𝐮 𝐧𝐞𝐞𝐝 𝐬𝐨𝐦𝐞𝐨𝐧𝐞 𝐭𝐨 𝐡𝐚𝐧𝐝𝐥𝐞 𝐭𝐡𝐞 𝐞𝐧𝐝-𝐭𝐨-𝐞𝐧𝐝 𝐛𝐢𝐥𝐥𝐢𝐧𝐠 𝐩𝐫𝐨𝐜𝐞𝐬𝐬 𝐚𝐧𝐝 𝐞𝐧𝐬𝐮𝐫𝐞 𝐭𝐡𝐚𝐭 𝐞𝐯𝐞𝐫𝐲𝐭𝐡𝐢𝐧𝐠 𝐫𝐮𝐧𝐬 𝐬𝐦𝐨𝐨𝐭𝐡𝐥𝐲? I am a dedicated, experienced, and hardworking professional with over 10 years of experience in the Medical billing industry. I have worked across various medical specialties and on numerous projects. If you are facing challenges or need assistance with claims, clearing backlogs, handling denials, navigating the entire Revenue Cycle Management (RCM) process, or need support for the growth of your healthcare business, agency, or practice, I would be happy to help. I have collaborated with various healthcare professionals, including physicians, mental health providers, psychiatric clinics, chiropractic clinics, home health and hospice agencies, family medicine practices, Durable medical equipment (DME) providers, dental practices, and laboratories. Below are details about my expertise and the services I offer. 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗜𝗟𝗟𝗜𝗡𝗚 𝗦𝗘𝗥𝗩𝗜𝗖𝗘𝗦 𝐨𝐫 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞⦂ ✅ Eligibility and Benefits Verification/Payer Setup/Insurance Verification ✅ Prior Authorization approval before services rendered ✅ Patient demographic and charge Entry of any speciality ✅ Payment Posting, Reconciliation & Adjustments ✅ Claims Scrubbing ✅ ICD/HCPCS & CPT Coding ✅ Account Receivable Follow-up ✅ Create appointments on the scheduler while receiving patient calls ✅ Insurance claims submission (Primary, Secondary or tertiary) ✅ Revenue Cycle Management, Accounts receivable analysis, Collections, DAR and FTPR ✅ Denial Management by strong follow-up ✅ Handling patient/insurance/attorney calls ✅ Appeals on denials via call, written, or fax for reprocessing ✅ Monthly and annual reports preparation ✅ Custom reports where required ✅ Customers Support ✅ Lab Order Entry/ Sample Collections. ✅ Credentialing/Enrollment with all Government and commercial payers ✅ Super Bill Preparation, HIPAA Disclosure Forms, and other forms (where required) ✅ Analytics and KPI ✅ EHR/EMR Solutions ✅ Worker's Compensation and No-Fault Claims submissions/Follow Up. ✅ Healthcare AI automation. APIs integration. ✅ Home Health & Hospice billing /QA Auditing /Oasis submission and clinical docs reviewing ✅ Home Health & Hospice Pre-Claim review. ✅ DME and Dental billing ✅ Invoicing, Scheduling & Data Entry ✅ Medicare Cost and Credit Balance report preparation. 𝗧𝗼𝗼𝗹𝘀: ✅ Excellent Typing skills (35-50wpm). ✅ MS Office / Office 365. ✅ Microsoft Excel/ Microsoft Teams ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox. ✅ Basecamp ✅ Lotus Freelance ✅ ClickUp, Slack, Calendy, Monday.com, Jira, ✔️ 𝗕𝗜𝗟𝗟𝗜𝗡𝗚 𝗦𝗢𝗙𝗧𝗪𝗔𝗥𝗘'𝘀 𝗘𝗫𝗣𝗘𝗥𝗧𝗜𝗦𝗘: ✅ AdvancedMD, Athenahealth, (ECW) eClinicalWorks ✅ MIS (MTBC)/ MTBC Talk EHR , DrChrono , Opendental ✅Dentrix, Eaglesoft, Practice mate (OFFICE ALLY), Practice Fusion ✅CareCloud, Nextgen, Sevocity, MDVISION, NueMD ✅CureMD, All Scripts, Centricity, DuxWare, WebPT ✅Axxess Home Health, Alora Home Health, Hospice MD ✅AllegianceMD, Allscripts, Sandata EVV, HHAeXchange ✅Tellus, Vista, Inovalon ( Ability Ease), KanTime, AxisCare ✅MatrixCare, Homecare Homebase, PracticeSuite, SimplePractice ✅ChiroTouch , Tebra (Kareo) , Perfect , ContinuLink , AxisCare ✅EpicCare, Therapy notes, Lytec, PrognoCIS, OpenPM ✅Aprima, Raintree, CharmHealth, ICANotes, eTHOMAS ✔️ 𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗧𝗜𝗘𝗦: Ambulatory Surgical Centers (ASC), Anesthesia / Pain Management, Mental Health / Psychiatry, Cardiology, Chiropractic, Home Health / Home Care & Hospice, Dental, Dermatology, DME Billing, Emergency Room, Family Practice / Primary Care, Gastroenterology, General Surgery, Hematology & Oncology / Radiation Oncology, Radiology, Internal Medicine, Neurology, Nursing Home/SNF, OB/ GYN, Ophthalmology, Orthopedic Surgery, Otolaryngology (ENT), Pathology, Pediatrics, Podiatry, Physical Therapy and Rehabilitation, Pulmonary, Urology, Wound Care, CORF Therapy, Out Patient Therapy. ✔️𝗖𝗟𝗘𝗔𝗥𝗜𝗡𝗚 𝗛𝗢𝗨𝗦𝗘 𝗪𝗢𝗥𝗞𝗘𝗗 𝗢𝗡: Availity, Apex, Emdeon, Waystar, Trizetto, Inovalon (Ability Ease), Change Healthcare If you're looking for top-quality Medical billing services that are precise, timely, and effective, you've come to the right place! Contact me anytime, and let's discuss how I can meet your needs excellently. Your satisfaction is my priority!ICD CodingMedical TerminologyAccount ReconciliationVirtual AssistanceMedical Mastermind Medical Billing ServicesAdministrative SupportEMR Data EntryCustomer ServiceBusiness ManagementHealthcare ManagementHIPAAMedical Billing & CodingPayment ProcessingAccounts Receivable ManagementAccounts ReceivableElectronic Medical RecordInsurance Policy AnalysisOnline ResearchMedical TranscriptionData Entry - $5 hourly
- 5.0/5
- (12 jobs)
Medical Biller PRO | Payment Poster | Eligibility Verification | AR and Denial Management | Rejections Specialist | Credentialing | Coding and Audits| EMR Demographics Entry - More Than 10 years Experience - Proficient in medical billing, coding, and credentialing processes. - Expertise in accurate submission of claims, payment posting, and denial management. - Skilled in medical coding across various specialties. - Experienced in provider credentialing with insurance companies. - Utilize advanced billing software for streamlined operations. - Committed to compliance and staying updated with industry regulations. I have more than 10 years experience in Medical Billing, Coding and Credentialing field. Following services are included; HCFA, Demographic Entry, Charge Entry, Payment Posting, Reviews and Rejection, Patient Payment Maintenance. Denial Management. Now I'm working Advanced MD, E clinical works and Kareo software.I can work on any billing software. Credentialing Includes: Apply for NPI Medicare and Medicaid Credentialing Applications Submission and Follow up All Commercial Payers Application submission and Follow up Group, Providers, Home Health Agencies, and DME Credentialing With your desirable payers. Coding Services: (Have a team of Certified coders) Office coding Medical, surgery, and home health coding Do Core coding as well, Complete Medical Billing -RCM Services • Patient Demographic Entry. • Charge entry – All Specialties. • Payment Posting (Manual and Electronic) • Denial/rejections analysis, re-billing. Denial Management: • Correspondence and research of denied EOB's to validate the determination or else arrive at corrective measures. • Research the denials and work the client’s office and the insurance company to fix the problems and to get paid. Working Knowledge In Software’s: Isalus OfficeAlly Intergy Criterions Advanced MD All scripts Centricity Thera bill Webpt Charm EHR Nextgen E clinical WorksICD CodingReport WritingData AnalysisElectronic Medical RecordeClinicalWorksAccount ReconciliationInsurance VerificationHealthcare Common Procedure Coding SystemEMR Data EntryHIPAAGoogle SheetsAccounts ReceivableMedical Records SoftwareMedical Records ResearchMedical Billing & Coding - $10 hourly
- 4.9/5
- (26 jobs)
🚀Are Medical Billing, Coding, or RCM Challenges Holding You Back? Let me transform your practice’s financial performance! With 10+ years of expertise in RCM and a proven track record of boosting revenues while minimizing denials, I’m here to simplify your processes and maximize profitability. 🔍 What I Bring to the Table: ✅ Comprehensive Medical Billing & Coding Expert handling of billing and coding duties to reduce costs and improve compliance. ✅ Efficient Claims Management Seamless claims submission, follow-ups, and appeals to ensure faster reimbursements. ✅ Strategic Denial Management Proactive resolution of claim denials to minimize revenue leakage. ✅ Patient Collections Professional billing and collection services to enhance cash flow. ✅ Process Optimization A detailed review of your RCM activities to increase efficiency and reduce errors. 💼 Why Clients Choose Me: Proven Results: Over a decade of success in improving revenue and reducing denials. Tailored Solutions: Services customized to meet your practice’s unique needs. Attention to Detail: Accurate and compliant medical billing practices. Clear Communication: Transparent, prompt, and professional collaboration. Reliable Delivery: Punctual completion of all tasks to keep your practice running smoothly. 🎯 Let’s Achieve Success Together! Whether you’re an urgent care clinic, private practice, or multi-specialty provider, I’m here to handle the complexities of your revenue cycle. Let’s collaborate to enhance your financial outcomes. 📞 Contact me today, and let’s get started!ICD CodingInsurance Claim SubmissionInsurance Policy AnalysisEMR Data EntryMedical Mastermind Medical Billing ServicesMultitaskingInsurance VerificationAccounts Receivable ManagementHIPAAMedical Billing & CodingClerical ProceduresGoogle SheetsProblem SolvingAccuracy VerificationMedical Records Software - $8 hourly
- 5.0/5
- (2 jobs)
I am a Medical Billing Specialist having an experience spanning over 5 years. I can remotely handle the revenue cycle management of the provider offices in US.ICD CodingHealthcare ManagementEnglish TutoringMedical Billing & CodingHealthcare Common Procedure Coding SystemAcademic WritingAcademic ProofreadingRevenue Cycle ManagementMedical TerminologyEmail CommunicationCustomer ServiceeClinicalWorksMonth-End Close AssistanceInsurance Claim SubmissionData EntryMicrosoft ExcelEmail CopywritingPayment ProcessingMathematics TutoringCopywritingContent Writing - $6 hourly
- 5.0/5
- (16 jobs)
HIPPA Certified experienced medical biller/AR and coder with over 8 years of experience in multiple specialties. Proven experience with reducing insurance and patient AR by 70% and strong follow up skills with insurance on claims processing/follow-up. I pride myself on having strong attention to detail and finding efficient ways to get a job done on time and correctly. Experience in the following specialties: • Orthopedic • Primary Care • Pulmonology • Internal Medicine • chiropractic • Anesthesia • Mental Health and Psychology Testing Experience with the following EMR/EHR software and billing websites: • EClinicalWorks (eCW) • Care Cloud • Ipatient Care • Centricity/Athena • Epic • ModMed (dermatology) • Therapy Notes • Allscripts • Availity • Navinet • Payspan • Payerpath • Collaborate MD • Experian Experience with the following insurances: • Anthem BCBS • Aetna and Aetna Better Health (VA) • Medical Mutual • Medicaid (CT and VA) • Medicare • Cigna • United Healthcare • Tricare • Humana • Most Medicare Secondary/Supplemental Plans • Christian based sharing plans • Optima (commercial and Medicaid) • Virginia Premier • Harvard Pilgrim Experience with the following: • Posting charges • Insurance eligibility and benefit verification • Obtaining prior authorizations • Patient statements and collection procedures • Posting insurance and patient payments/EFT's • Explaining charges and EOB's to patients • Insurance claims follow up • Creating billing manuals • Bank and account reconciliations •. Coordinating front desk duties (answering phones, scheduling, checking-in, training, etc) • Setting up Care Credit and Alphaeon for patient payments States I worked with are •CA •IL •MO •NY •FL •NJ •NC •OH and more Please send me a message to see how I can help reduce your patient and insurance AR and better your billing practices!ICD CodingMedical Procedure CodingMental HealthHIPAAElectronic Medical RecordEMR Data EntryHealthcare Common Procedure Coding SystemPractice FusionInsurance ConsultingInsurance Claim SubmissionInsurance VerificationMedical Mastermind Medical Billing ServicesMedical Billing & CodingAccounts ReceivableInsurance Policy Analysis - $8 hourly
- 4.6/5
- (21 jobs)
Welcome to my Profile! I am a HIPAA certified medical Billing specialist, AR representative, payment poster with more than 10 years of cross-functional operations, revenue cycle, and Medical billing experience in a US-based healthcare billing company. Over the years, I have been working with doctors of multiple specialties with multiple states by utilizing various software. I have Sound knowledge of medical billing for medium to large healthcare clients. Specialties I have been working are as, Mental Health, Home healthcare, internal Medicines, DME for wound care, NEMT, Pediatrics, General practice, Family practice, surgery clients, Cardiologist, Neurologist, Physical therapist, Foot care, Gynecologist, Behavioral therapist, Podiatry, Urgent care, Chiropractor, Infectious disease, Psychiatric, Speech therapy, Dietitians billing, etc. Fast and accurate service 100% Accuracy 100% Satisfaction If you have any questions, feel free to ask me anything. Medical billing services: Patient Registration/demographics/insurance information Checking patient eligibility and benefits verification Creating and submitting clean claims to insurance companies. Primary, Secondary and tertiary payers claim to process. Account Receivable follow up Denials management Resolve/ Repair the claims rejected by clearing house in electronic submission. Prepare appeals for denied claims. Obtaining prior and retro authorizations for services Payments posting from ERA/EOB/websites, patient payments and adjustment management Aging report/Follow-up/Appeals Handling patient calls regarding payments and billing records Sending invoices to different offices and clients. Data Reconciliation Account Management Appointment Setting/Scheduler Chat/Email Support Customer services Tools: Excellent Typing skill (50-100wpm). MS Office. Microsoft Excel. Google Docs. Google Spreadsheet. Dropbox. Slack Teams Google meet Skype Medical Billing software’s/ EHR/EMRs: Office Allay AdvancedMD EHR Modmed kareo/Tebra Docutap ECW/eClinicalWorks Ethomas CureMD Athena DrChrono Collaborate ChiroTouch (CT) PracticeFusion Practice Suite TheraNest ICANotes OpenPM(Open practice) Kinnser Alora plus Devero Web PT Insurance web portals that I have used: CGS(Medicare) Caloptima Medicaid WPS (Medicare) Palmetto GBA (Medicare) Noridian (Medicare) Novitas (Medicare) Navinet Availity UHC Cigna Optum Payspan Humana Molina healthcare Health First HRSA uninsured Ambetter Core Skills and Competencies ICD-10 codes CPT codes HCPCS codes Medical Terminology Medicare and Medicaid Guidelines Knowledge of Payer Reimbursement Characteristics and Billing Policies Medical Documentation review and Auditing Daily/Weekly/Monthly/Quarterly Reconciliation Performs well with little\without supervision Resources: I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection. Looking forward to hearing from you. Thanks!ICD CodingVirtual AssistanceHIPAAMedical ReferralsMedical Mastermind Medical Billing ServicesElectronic Medical RecordFinancial ReportCustomer ServiceInsurance Claim SubmissionInsurance VerificationAccounts ReceivableMedical Billing & CodingEmail CommunicationMicrosoft Excel - $10 hourly
- 5.0/5
- (9 jobs)
🩺 Experienced Mental Health, NEMT- Ambulance and Medical Biller with over 5 years of experience, Providing VOB, Authorization, Billing and AR- Denial Management Services 📊 Welcome to my profile! I am HIPAA Certified Medical Biller with over Five Years of experience in handling medical billing tasks efficiently. If you're seeking a dedicated professional to streamline your billing processes and maximize revenue, you've come to the right place. 🔍 Why Choose Me? ✅ Expertise: I possess in-depth knowledge of medical billing Cycle, terminology, and regulations, ensuring accuracy and compliance in all billing activities. ✅ Efficiency: My goal is to expedite the billing process while maintaining precision. I utilize the latest billing software and technologies to optimize workflows and reduce turnaround time. ✅ Attention to Detail: I understand the importance of meticulousness in medical billing. Each claim is thoroughly reviewed to minimize errors and maximize reimbursements. ✅ Adaptability: Whether it's insurance billing, claims management, or patient invoicing, I am adaptable and can handle various aspects of medical billing with ease. 📈 Services Offered: 🔹 Insurance Verification and VOB 🔹 Authorization Inquiry and Followup] 🔹 CPT and ICD-10 Coding 🔹 Claims Submission, Rejections and Follow-up 🔹 Payment Posting and Reconciliation 🔹 Account Receivables (Insurance and Patient) 🔹 Denials Management, Appeals and Reconsiderations 🔹 Patient Billing and Account Management 📊 EMR/ EHRs I am Convenient in using a variety of EMR/EHRs Office Ally, Dr. Chrono, Innovalon Health/My Ability, Zoll Billing, CollaborateMD, Kereo/Tebra, Simple Practice, Prctice Fusion, Sunwave EMR, Nexgen, AdvancedMD, eCW, Therapy Notes, Raintree, Nextech, Nexgen, Athena, CareCloud, Websoft, and sharp to learn other EMRs/EHRs as well. 🩺 Specialities I Worked on both In and Out of Network provide including NEMT Billing, Ambulance Billing, Internal Medicine, Family Medicine, Mental health, Physical Therapy, Ambulatory Surgical Center-ASC, Auditory, Wound Care, Breast Mammoplasty, Obstetrics and Gynecology (OB/GYN), Ophthalmology, Psychiatry, Radiology, Rheumatology. I worked with a PCP and Specialist as well. 🌟 Client Satisfaction Guaranteed 🌟 My commitment is to deliver results that exceed your expectations. I am dedicated to open communication, prompt responses, and collaborative problem-solving to ensure your billing needs are met effectively. 💬 Let's Connect! If you're ready to optimize your Medical, Mental Health, or NEMT/Ambulance billing processes and unlock greater revenue potential, I'm here to help. Feel free to reach out to discuss your requirements, and let's work together to achieve your goals...!ICD CodingPreauthorizationMedical Mastermind Medical Billing ServicesVOBElectronic Health RecordElectronic Medical RecordMedical Condition CodingMedical BillingRevenue Cycle ManagementAccounts ReceivableMedical Procedure CodingMedical Billing & CodingInsurance Claim SubmissionInsurance Verification - $8 hourly
- 5.0/5
- (9 jobs)
I am a Medical Biller/Coder Healthcare Financial Professional providing personalized services for hospitals, healthcare facilities, small business practices includes the claim submission, denial management, insurance calling, AR follow-up, dead collections, Patient calling, Patient AR follow up, analyzing the patient's account and sending the patient statement accordingly, credentialing, Benefits verification and much more. In dep't knowledge of HIPAA Compliant ensure highest standards of security and confidentiality. Skills: CPT, ICD-10-CM, Compliance, Diagnosis Coding, Facility/Professional Coding, Revenue Cycle Management, Telehealth visit, UB-04, CMS-1500, Software's, and many more. Specialties: Podiatry, Pediatric, Family/Internal Medicine, Behavioral/Mental Health, general Surgeries, orthopedic, gastrology, and much more.. Software Experience: AdvancedMD, Kareo, Allscripts, Vision, Practice EHR, OpenPM, OfficeAlly, Chirotouch Experiences : Working with a clients of different specialties and the daily billing /coding, charge entry, claims, payments, reimbursement, Denial management, and insurance follow-ups, practice such as Behavior Mental Health, Podiatry, Pediatric, Evaluation and Management, Surgeries, and many other specialties. Take on high-capacity projects and develop workflows to improve productivity levels so that revenue cycle management and coding / billing run smoothly. Provide transparent reports to practices such as weekly / monthly revenue reports (billing performance, AR aging, movements and trends), operational reports (number of appointments made, number of incoming and outgoing calls), claims management, profitability analysis and much more for easy understanding of what is happening within the practice.ICD CodingHealthcare Common Procedure Coding SystemHIPAAInsurance VerificationCommunicationsMicrosoft OfficePhone CommunicationMedical Billing & Coding - $8 hourly
- 5.0/5
- (6 jobs)
Hi my name is Tamoor Ashraf. Enthusiastic and experienced HIPAA-certified professional Medical Biller and Dental billing Specialist with over 7 years of expertise in providing top-notch RCM solutions for US-based healthcare billing companies. Proven track record in handling medium to large healthcare clients, both in-network and out-of-network billing. Proven expertise in A/R follow-up, denials management, payment posting, clearinghouse rejections, enrollment & credentialing, financial analysis, audits, HIPAA compliance, reporting, and relevant tasks. Practice Management Responsibilities: • Facilitated new practice setup for providers • Implemented strategies to improve practice revenue • Oversaw all aspects of medical billing, coding, and compliance coordination • Conducted insurance audits • Analyzed financial data to drive decision-making • Provided training to employees • Nurtured client relationships Billing: • Verified eligibility and benefit coverage • Handled prior authorization/referral processes • Scheduled patient appointments • Managed patient demographics and charge entry • Submitted insurance claims (primary, secondary, tertiary) • Analyzed Accounts Receivable and conducted collections • Followed up on denials and managed denial management • Initiated appeals on denials through calls, written communication, and fax for reprocessing • Prepared monthly and annual custom reports List of Billing Software and EHR Experience: • DME Works • Kareo |• Dentritic • Open Dental • Eagle • Collaborate MD • RXNT • Simple Practice • Therapy Notes • Office Ally • NextGEN • Nextech • Claim MD • Advance MD • ECW • Insync • eThena • Raintree • Carecloud • SPECIALTIES: DME, Mental health, Psychologist, Psychiatrist, Psychotherapist. Podiatry, Pain Management, Dental billing, internal medicine, Family Medicine surgery, Dermatology, Anesthesiology, Physical Medicine & Rehabilitation, chiropractor, Dental, Wound careICD CodingDentistryElectronic Health RecordEMR Data EntryInsurance Claim SubmissionAccounts ReceivableInsurance VerificationMedical Mastermind Medical Billing ServicesRevenue Cycle ManagementMedical Billing & CodingElectronic Medical RecordHIPAAMicrosoft ExcelSchedulingData Entry - $15 hourly
- 5.0/5
- (6 jobs)
I am a certified medical billing and coding specialist with CPC and CPMA certifications from AAPC, CPB training, and HIPAA certification. With over 7 years of experience, including my role as a Supervisor of Medical Coding, Billing, and Auditing, I have developed extensive expertise in medical coding, billing, credentialing, and revenue cycle management. My experience includes working with multinational companies such as MTBC. (Care Cloud), iRCM Inc., HMS Inc., and RMB. Where I demonstrated proficiency with a wide range of billing software systems and EHR/EMR platforms, these include Care Cloud, Medisoft, AdvancedMD, ECW, NextGen, 3M Encoder, PowerChart, Cerner CDI, CMD, Office Ally, Dentrix, Epic, NueMD, Sevocity, Practice Fusion, and other commonly used systems. I am skilled at navigating complex EHR systems, ensuring compliance with regulatory requirements, and managing credentialing processes. My capabilities extend to ICD-10-CM, CPT/HCPCS, and ICD-10-PCS coding, charge entry, eligibility verification, claim scrubbing, denial management, and accounts receivable follow-up. I take pride in delivering high-quality work and have received accolades for my contributions as a medical coding specialist. Recent accomplishments include successfully reducing denials and increasing revenue for healthcare providers through effective revenue cycle management strategies and improving accounts receivable processes to decrease the average time to collect payments and boost cash flow. Overall, I am a dedicated healthcare solutions expert committed to providing exceptional service. Contact me today to learn more about how I can support your practice's success.ICD CodingMedical Records ResearchHealthcare Common Procedure Coding SystemMedical Billing & CodingQuality AssuranceElectronic Medical RecordInvoicingOptima Healthcare Solutions RehabOptimaAccuracy VerificationVirtual AssistanceMedical Records SoftwareMedical TranscriptionGeneral TranscriptionScience & Medicine - $10 hourly
- 5.0/5
- (6 jobs)
Hi there! I'm Tariq Mehmood, and I've been working in medical billing for over nine years. Along with the basic functions of medical billing like patient and claim entry, claim submissions, posting payments and denials, working on rejections, and generating appeals and reconsiderations to insurance, I'm also great at handling all the tough parts of medical billing, such as ensuring claims are correct and dealing with denials. I know about different medical codes, forms, and insurance companies, both government and private. My real strength is sorting out accounts and managing claim denials. I'm good at talking to patients, answering their questions, and handling their finances. Plus, I'm skilled with Microsoft Office, so I can easily create reports and presentations. I've worked with many medical specialties, from Anesthesiology to Physical Therapy, so I'm very adaptable. I'm also familiar with various billing systems and online portals, so I can handle almost anything. If you choose to work with me, you'll get a dedicated expert who will make your medical billing process smooth and easy.ICD CodingHealthcare ManagementMedical TerminologyInsurance Policy AnalysisHIPAAElectronic Medical RecordMedical Mastermind Medical Billing ServicesAccounts ReceivableMedical Procedure CodingMicrosoft Excel PowerPivotMedical Billing & CodingCustomer ServiceRevenue Management - $8 hourly
- 5.0/5
- (9 jobs)
🩺 Welcome to My Profile! 🩺 ✨ Experienced HIPAA-Certified Medical Biller with 10+ Years of Expertise ✨ As a dedicated professional, I specialize in streamlining medical billing processes, ensuring accuracy, and maximizing revenue for healthcare providers. If you're looking for someone who understands the nuances of medical billing and can deliver top-tier service, I am here to help. 🎓 Certified & HIPAA-Compliant 🎓 I am fully HIPAA certified and committed to upholding patient privacy and data security at every step. 📈 Services I Offer: 🔹 Accounts Receivable (A/R) Management: Timely follow-up on unpaid claims, minimizing aging balances. 🔹 Insurance Verification & Eligibility: Accurate validation of patient data and coverage. 🔹 Denial Management: Expert handling and resolution of claim denials to ensure reimbursement. 🔹 Payment Posting: Precision in posting ERA and manual payments, ensuring accuracy in records. 🔹 Patient Communication: Compassionate and professional handling of patient inquiries, fostering positive relationships. 📊 EHR/PMS Systems Experience: I have hands-on experience working with a variety of Electronic Health Records (EHR) and Practice Management Systems (PMS), including: ✅ EHR Systems: Epic, Cerner, AdvancedMD, DrChrono, PracticeFusion, Kareo, MDVision, CollaborateMD, and more. ✅ Clearinghouses: GatewayEDI, ClaimMD, OfficeAlly, Waystar. ✅ Comprehensive Solutions: AthenaHealth and other platforms. 🩺 Specializations: I have experience working across various medical specialties: ✅ Internal Medicine ✅ Mental Health ✅ Family Practice ✅ Gynecology & Obstetrics ✅ Orthopedic Surgery ✅ Urology ✅ Telehealth ✅ Vision Labs ✅ And more! 🌟 Why Choose Me? 🌟 I’m committed to delivering exceptional results and ensuring that your billing needs are managed with precision and professionalism. With a focus on clear communication, timely delivery, and a collaborative approach, I’m here to help you achieve your goals efficiently. 💬 Let's Connect! If you’re looking for a reliable, detail-oriented medical billing professional, I’m just a message away. Whether you need help with a one-time project or ongoing support, let’s collaborate to ensure smooth operations and optimize your billing process.ICD CodingInsurance VerificationMedical ReferralsElectronic Medical RecordMedical Procedure CodingAccounts ReceivableGoogle SheetsData EntryHealthcare ManagementSchedulingMedical Billing & CodingHIPAAElectronic Health Record - $8 hourly
- 4.9/5
- (8 jobs)
Hello! I have extensive experience in Medical Billing, Mental/ Dental Billing, Physician Billing Homehealth Billing and Hospice Billing, coding and credentialing expert with nearly 10 years of experience. I am friendly, loyal, and dedicated, to my work. My Solution & Expertise: Specialization: * Insurance Verification * Medical Billing * Medical Scrubbing * Credentialing PECOS/CAQH * Appointment Setting/Scheduler * Chat/Email Support * Data Entry * Medical Transcription * Customer services Tools: * Excellent Typing skill (35-50wpm). * MS Office. * Microsoft Excel. * Google Docs. * Google Spreadsheet. * Dropbox. * Teams * Slack * Webex *Rocket Chat Job Responsibilities: * Patient Registration/demographics/insurance information * Checking patient eligibility and benefits verification * Creating and submitting clean claims to insurance companies. Weekly, monthly, annually billing and coding audit services. . * Obtaining prior and retro authorizations for services * Payments posting from ERA/EOB/websites and also patient payments. * Denials management * Aging report/Follow-up/Appeals * Handling patient calls regarding payments and billing records * Sending invoices to different offices and clients. * EDI 835/837 enrollment * Charge posting and Demographic entry. 5.Payment posting on claims through ERA/ EOB/ Web site, IVR, Fax. * Billing primary and Secondary Claims and to patients where required. * Resolve/ Repair the claims rejected by clearing house in electronic submission. * follow up on unpaid claims within standard billing cycle timeframe. * prepare appeals for denied claims. * Telephonic conversation with insurance companies for issue resolution and claim status 11.A/R Management. And much more... Specialties I have been working for are as follow: * Ophthalmology * Urgent care * General Paediatric * Skilled Nursing * Physical Therapy * Psychiatric * Mental Health * Home healthcare * Family practice * Internal medicine * Pain Care * Pain Management * Medical Billing * Physician Billing * Hospice Billing Billing Software's I have used: 1.Kinnser. Wellsky 2.officeAlly 3.Devero 4.Healthcare First 5.MatrixCare 6.Kantime 7.Countinulink 8.Allegheny 9.point click 10. DSL 11. Medbillit 12. NextGen 13.Athena 14.Modmed 15.Eclinical work 16.Kareo 17.AdvanceMd 18. Careficient 19.PracticeFusion 20.Practice Suite 21. TheraNest 22.IHeal 23 Alora plus 24.Open Practise 25. EMD and much more.. Clearing House that I have used: * Emdeon * Zirmed (Waystar) * Trizzeto * Emedix 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 * MS Medicaid * HRSA uninsured *NH healthy Families *HealthTrio Connect Skills and Competencies * ICD-10 codes * CPT codes * HCPCS codes * Medical Terminology * Medicare and Medicaid Guidelines * Knowledge of Payer Reimbursement Characteristics and Billing Policies * Medical Documentation review and Auditing * Daily/Weekly/Monthly/Quarterly Reconciliation * Performs well with little\without supervision. Resources : I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection. Why You Should Hire me ? Fast and accurate service 100% Accuracy 100% Satisfaction If you have any questions, feel free to ask me anything. Looking forward to hearing from you. Best Regards, Wajiha Khan.ICD CodingHealthcareCustomer ServiceAccounts ReceivableMedical Mastermind Medical Billing ServicesInsurance VerificationElectronic Medical RecordMedical ReferralsFinancial ReportMedical Billing & CodingInsurance Claim SubmissionEMR Data EntryHIPAAPhone Communication - $5 hourly
- 5.0/5
- (8 jobs)
I have an experience more than 7 years in the medical billing field and still I am working. I would assist you with patient eligibility and benefits, submitting clean claims to insurance companies, clearinghouse rejections, Posting payment via ERAs, and EOBs, patient payment, working on denied claims and getting them resolved by taking corrective action, working on aging reports, checking claim status from web portals, making insurance calls, generate patient statements, sending fax, email, appeals. I worked on multiple specialties such as Oncology & Hematology, Cardiology, Internal Medicine, Family Medicine, Pain Management, Anesthesiology, Physical Medicine & Rehabilitation, General Surgery,Physical Therapy,Home Health, Mental Health & Substance Abuse,Independent Clinical Laboratory, Radiology & Imaging. I am offering the following services to my clients: Strong knowledge of medical coding (CPT, ICD-10, HCPCS) Patient Demographic and Charge Entry Eligibility and benefits verification. Claims Submission and Fixing Rejections Obtaining prior and retro authorizations. Payment/ERA/EOB Posting. AR Calling and Denial Management (AR follow-up) HIPAA Compliance Revenue Cycle Analysis and Reporting. I am well-versed in utilizing a comprehensive range of billing software, including: eClinicalworks (ECW), CureMd, Practice Mate (OFFICE ALLY), Practice Fusion, , AdvancedMD PM/EHR, CollaborateMD, Kareo and otherICD CodingPreauthorizationeClinicalWorksElectronic Medical RecordSchedulingHIPAAEMR Data EntryMedical Mastermind Medical Billing ServicesPayment ProcessingMedical Billing & CodingRevenue Cycle ManagementInsurance VerificationMedical BillingAccounts ReceivableInsurance Claim Submission - $10 hourly
- 5.0/5
- (7 jobs)
Managing a growing practice during these times can feel overwhelming. However, with the right people, I can help you save unnecessary resources. HIRE ME!😉 I am a Medical Claims Biller/Revenue Cycle Specialist with over 6 years of experience in US Healthcare administrative and clinical functions associated with claims processing, payment, and collection of patient service revenue. ☑Why Choose Me for Your Medical Billing and Credentialing Services? 🏆 Proven Success: Benefit from a proven track record of successfully managing the entire billing and credentialing lifecycle, ensuring timely reimbursements. 💡 Coding Expertise: Leverage extensive knowledge of medical coding and billing regulations to maximize reimbursements and minimize claim denials. ☑ Comprehensive Services: Navigate medical coding, billing, and credentialing complexities to optimize revenue flow. ☑ Primary Source Verification: Conduct thorough primary source verifications to maintain accurate provider data. ☑ Provider Enrollment: Streamline provider applications and renewals for operational efficiency. 🌟 HIPAA Compliance: Ensure your practice's data is fully protected and HIPAA compliant. ☑ Authorization Management: Efficiently manage authorizations for seamless patient care and claims processing. ☑ Credentialing Database Maintenance: Keep credentialing databases up-to-date for accuracy. ☑ Monitoring & Auditing: Monitor and audit credentialing activities for precision. 🎯 CAQH Profile Management: Stay current with timely updates to your CAQH profile. 🚀 Provider Onboarding & Contract Negotiations: Smoothly onboard providers and manage contract negotiations effectively. 📈 Data-Driven Insights: Utilize data-driven reports to enhance practice efficiency and financial performance. ☑ Insurance Policy Navigation: Expertly navigate insurance policies for smooth claims processing. ☑ Denied Claims Resolution: Swiftly resolve denied claims to optimize accounts receivable. ☑ Follow-Up & Collections: Ensure a robust revenue cycle through diligent follow-up and efficient collections. ☑ Patient Scheduling Optimization: Specialize in scheduling new patient projects for enhanced care. ☑ Payer EDI Enrollments: Manage Payer EDI Enrollments for seamless transactions. ☑ Provider Payer Account Setup: Streamline claim processing with provider account creation on payer websites. ✅Software's Proficiency -Office Ally -Advanced Md -Valant -Tebra -Care cloud -OsMind -Therapy Notes -NextGen -ECW -Eclipse -Dr Chrono and Many Others EHR & EMR ✅Clearing Houses Proficiency -Change Healthcare -Office Aly -Waystar -Availity RCM ✅Office Applications Proficiency -MS Office Tools Like Words, Excel, PowerPoint -Slack, teams, google Chats & Emails -Ring Central, Open phone, Skype, Google Voice, google meet, 8x8 and Intwine Connect 🏆 Client Testimonials: ☑ Credentialing Services: "Muhammad's dedication, expertise, and attention to detail were truly impressive. I couldn't be more satisfied with the results. Thank you for exceeding my expectations and delivering exceptional service. Highly recommended!" ☑ Practice Management: "Muhammad was very spontaneous, thorough, detailed, and efficient with the job of credentialing and billing for my private practice. He is also a very trustworthy and reliable guy." With my comprehensive expertise in medical billing and credentialing, I am committed to maximizing your practice's revenue potential while ensuring compliance and efficiency. Trust me to handle your billing and credentialing needs with precision and dedication. Thank You.ICD CodingMedical TerminologyInsurance ConsultingElectronic Health RecordMental HealthSchedulingHIPAAMedical Procedure CodingElectronic Funds TransferPayment ProcessingMicrosoft ExcelData EntryRevenue Cycle ManagementAccounts ReceivableMedical Billing & Coding - $5 hourly
- 5.0/5
- (3 jobs)
I am Qaisar Maqsood, (CPC) (CPB), a Certified Medical coder, biller, and credentialing specialist with HIPAA complaint, having 10+ years of experience in the US healthcare system, handling complete RCM of various medical specialties all over the US. Specialization: ✅ Insurance Verification ✅ Medical Billing ✅ RCM manager and Account Receivable Specialist ✅ Credentialing PECOS/CAQH ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Data Entry ✅ Medical Transcription ✅ Referral/AUTH ✅ Medical Auditor holding CPC and CPB from AAPC Tools: ✅ Excellent Typing skill (35-50wpm). ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox. ✅ Basecamp. ✅ cognito Job Responsibilities: ✅ Medical billing services: ✅ Patient demographic entry ✅ Charge Entry in billing software ✅ Eligibility verification with payers ✅ Medical claim scrubbing. ✅ Claim submission to payers ✅ Primary, Secondary, and tertiary payers claim to process. ✅ Denial Management ✅ Account Receivable follow up ✅ Payment posting and adjustment management ✅ Patient billing for patient’s responsibility ✅ Aging report/Follow-up/Appeals ✅ Customized financial reports. ✅ Scheduling calendar ✅ Data Reconciliation ✅ Account Management ✅ Data Reconciliation ✅ Account Management ✅ EDI 835/837 enrollment Expertise: ✅ Acupuncture ✅ Ambulatory ✅ Home Health ✅ DME (Durable medical equipment) ✅ Anesthesiology ✅ Cardiology ✅ Skilled Nursing Facility ✅ Dermatology ✅ Oncology ✅ Pain Care ✅ Pain Management ✅ CPO, 485s, CCM ✅ Remote Patient Monitoring ✅ Urgent care ✅ General Pediatric ✅ Chiropractic ✅ Behavioral and Mental Health ✅ Home healthcare ✅ Anesthesia ✅ Sports Medicine BILLING SOFTWARE EXPERTISE ✅ Advanced MD PM and EHR ✅ eClinicalWorks (ECW) ✅ Kareo (Tebra) ✅ Collaborate MD ✅ Care cloud ✅ Medisoft ✅ Athena ✅ Dr Chrono ✅ Officially ✅ Docutap ✅ Practice Fusion ✅ e-MED ✅ Synamed ✅ CriterionsEHR ✅ Practice EHR ✅ Centricity ✅ NextGen ✅ Zapier ✅ EZClaim ✅ Allscripts ✅ Med MoD PM ✅ Acumen ✅ Aprima ✅ Greenway Intergy ✅ MicroMD ✅ Lytec ✅ Lominilo ✅ ALMA CLEARING HOUSE WORKED ON: ✅ Trizetto ✅ Practice Fusion ✅ Availity ✅ Kareo EHR ✅ Zirmed ✅ Emdeon ✅ Change Healthcare ✅ waystar ✅ Azalea ✅ Advanced MD EHR ✅ Web PT 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 Core Skills and Competencies ✅ ICD-10 codes ✅ CPT codes ✅ HCPCS codes ✅ Medical Terminology ✅ Medicare and 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 Best Regard Qaisar maqsoodICD CodingEMR Data EntryMedical ReferralsMedical RecordsInsurance VerificationInsurance Claim SubmissionVirtual AssistanceAccounts ReceivableMedical Billing & CodingMedical Mastermind Medical Billing ServicesMedical Procedure CodingElectronic Medical RecordInvoicingPayment ProcessingData Entry - $30 hourly
- 5.0/5
- (15 jobs)
I'm Kamran Khan, a Pharm D and M Phil Pharmacology, Medical Writer and Business Development Professional. With a strong background in clinical research (Cumulative 8 years of experience as a Medical writer and 4years as BD Manager), I've worked as a CRA and Business development and Medical Writing Officer at Contract research organization (OrciTrials and Across Global Alliance). Are you looking for high quality results? Lead generation-Getting emails, emailing, LinkedIn prospecting Decision Makers email list- BD Managers, Clinical Ops. of CROs, Biotech and Pharmaceuticals. PV services Regulatory submissions Medical coding ICD 10, WHODrug Systematic Literature Review Writing RWE services Protocol Writing (More than 15 Phase I-IV Clinical Trial Protocols, ICF, CRF etc. BA/BE studies, RWE, and Observational studies). B2B Marketing LinkedIn Business Development Appointment Schedule Cold Emails Remote Project Management, Decentralized Clinical Trials Monitoring and Management ✔ ✔ Some tools I use:✔ ✔ ✔ LinkedIn Sales Navigator ✔HubSpot ✔ Salesforce ✔ Zoho ✔ Zymewire ✔ Clinical Trials. Gov ✔ Clinical Trials Registries of all countries ✔ CTMS ✔ eTMF ✔ ICD-10 ✔ Clinical Data Management Tools ✔ SPSS ✔ SAS Software, Statistical Analysis ✔ Microsoft teams/ Zoom: Meeting managements ✔ Cochrane ✔ MedDRA ✔ WHODrug Global If you're looking for a skilled professional who can deliver high-quality medical writing and Clinical trials BD, CRA services, Kamran Khan is the perfect candidate for you. #CRA #Business Development #Medical Writing #Leads Generation #Clinical Trial Management End to End services worldwideICD CodingMarket ResearchB2B MarketingLinkedIn Lead GenerationProject ManagementClinical TrialMedical WritingRegulatory IntelligenceHubSpotBudget ProposalSales LeadsCRM DevelopmentAcademic ResearchBusiness DevelopmentIBM SPSS - $10 hourly
- 4.9/5
- (2 jobs)
My name is Raja Waqas Zahoor, and I have over 10 years of experience in the healthcare sector. Mission: My passion is to provide creative solutions for small and large healthcare organizations to facilitate strategic growth! Provider Type: Mental and Behavioral Health, Physical Therapy, Internal Medicine, Home Health, Family Practice, etc. My background is listed below with more detailed information: ✅Experienced Medical Biller with a demonstrated history of working in multinational Medical billing companies. ✅Experienced with ICD-10, HCPCS, and coding-related tasks along with denials/rejection of edits experience. ✅Auditing and reviewing medical documentation for appropriate ICD and CPT coding and documentation ✅Worked on backlogs for clients and completed them by the deadline given ✅Skilled in Microsoft Excel, Customer Service, Insurance, Business Analysis, and Leadership I specialize in the following areas: • identifying gaps in workflows and drafting new workflows • resolving claim denials • Insurance verification • identifying root causes of claim denials • Insurance claim submission and follow-up (In Network, Out of Network, and Self-pay) • validating insurance payments underpayments and overpayments according to contractual agreements • drafting claim appeals • Patient collections Additional Experience ✅I've worked with commercial and government payers in FL, MA, CA, NJ, MD, IL, TN, TX, and VA. ✅I've used various EHR and EMR software such as Emdeon (Change Healthcare), Trizetto, Waystar, Optum, Kareo, Simple Practice, AdvancedMD, Office Ally Practice Mate, ECw, Practice Fusion, Care Cloud, and Availity. ✅Outlook, Microsoft Excel/PowerPoint/Word, and OneDrive I am available for both short/long-term projects for at least 15 hours per week. I am excited to partner with you to get your project completed successfully and on time and within budget. I look forward to discussing how we can strategically improve your revenue cycle and build a solid financial infrastructure. Respectfully yours, Raja Waqas ZahoorICD CodingElectronic Health RecordElectronic Medical RecordMedical Mastermind Medical Billing ServicesMedical Records SoftwareMicrosoft ExcelSchedulingCustomer ServiceAccounts ReceivableRevenue Cycle ManagementEMR Data EntryInsurance VerificationData EntryMedical Billing & Coding - $8 hourly
- 5.0/5
- (7 jobs)
With over 10 years of extensive experience in medical billing, I bring a proven track record of excellence in managing the complete revenue cycle for healthcare providers. My expertise lies in accurately coding medical procedures, submitting claims, resolving billing discrepancies, and ensuring maximum reimbursement in compliance with industry standards and regulations. 𝗛𝗲𝗿𝗲'𝘀 𝘄𝗵𝗮𝘁 𝐰𝐞 𝗰𝗮𝗻 𝗯𝗿𝗶𝗻𝗴 𝘁𝗼 𝘁𝗵𝗲 𝘁𝗮𝗯𝗹𝗲: 1. Patient record management 2. Eligibility and benefits verification 3. ICD coding 4. Claim creation and submission 5. Claims auditing and scrubbing 6. Denial Management. 7. Payment posting (ERA/EOB) 8. Follow-ups on unpaid claims 9. Appeals for denied claims 10. Virtual assistant services ---𝐏𝐫𝐨𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐢𝐧 𝐋𝐞𝐚𝐝𝐢𝐧𝐠 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐒𝐨𝐟𝐭𝐰𝐚𝐫𝐞---- We leverage industry-leading software to deliver efficient and seamless billing services. Our expertise includes: ✦ Electronic Health Records (EHR): Epic, Cerner, CriterionsEHR, PracticeFusion, MDVision. ✦ Practice Management Software: AdvancedMD, Kareo, DrChrono, CollaborateMD, AthenaHealth. ✦ Clearinghouse Solutions: GatewayEDI, ClaimMD, OfficeAlly, Waystar. ---𝐏𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧𝐚𝐥 𝐀𝐭𝐭𝐫𝐢𝐛𝐮𝐭𝐞𝐬--- ✦ Detail-oriented with a commitment to accuracy and efficiency in all billing operations. ✦ Strong problem-solving skills to handle claim rejections and resolve discrepancies effectively. ✦ Excellent communication and collaboration abilities to coordinate with healthcare providers, insurance companies, and patients. ---𝐀𝐜𝐡𝐢𝐞𝐯𝐞𝐦𝐞𝐧𝐭𝐬--- ✦ Successfully reduced AR days by implementing streamlined billing processes and follow-up procedures. ✦ Recognized for achieving over 95% claim approval rates on first submission consistently. ✦ Trained and mentored junior billing staff, improving team performance and overall productivity.ICD CodingMedical RecordsMedical BillingHealthcare Common Procedure Coding SystemClaim ListingInsurance Claim SubmissionHIPAAElectronic Medical RecordMedical Records ResearchElectronic Health RecordElectronic Data InterchangeMedical Billing & CodingGoogle SheetsData EntryVirtual Assistance - $6 hourly
- 5.0/5
- (4 jobs)
I have worked as a Medical Biller and Denials Specialist in US Medical Billing healthcare companies. I have worked more than 6 years in a US Healthcare Business as a Medical billing specialist, Account Receivable, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. I was part of the company's top management so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. The financial analysis has also been done for different projects. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers. CORE SKILLS:- 📗 Medical Scribing/ Transcription 📗 Medical Billing 📗 Coding 📗 Charge slip creation 📗Payment Posting 📗 Appointment booking 📗 Data Entry 📗 Email / Chat Support SPECIALITIES ✅ Pediatrics ✅ Urgent care ✅ Internal medicine ✅ Pain Management SOFTWARES 💻 Advance MD 💻Office Ally 💻Kareo 💻ECW B. SPECIALITIES 📗 Urgent Care, 📗 Mental Health 📗 Home Healthcare 📗 Internal Medicine 📗 Family Medicine 📗 Lab Billing 📗 Pediatric 📗 Geriatric D. CLEARING HOUSE WORKED ON: 💻Availity 💻Zermid 💻Change Healthcare E. EHR/EMRs WORKED ON: ✅ Kareo EHR, ✅ Practice Fusion ✅ AdvancedMD EHR I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Regard Dilshad AhmadICD CodingeClinicalWorksVirtual AssistanceMedical BillingMedical Billing & CodingInsurance Claim SubmissionMedical RecordsAppointment SchedulingRevenue Cycle ManagementInsurance VerificationAccounts ReceivableDemographyPayment ProcessingEMR Data EntryData Entry - $6 hourly
- 5.0/5
- (2 jobs)
I am a Medical biller and A/R Specialist, assisting Medical Practices/Providers for more than five years. I believe in providing quality services to my clients and client satisfaction is my first priority. To know more about me please have a look below. 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 Checking 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 report/Follow-up/Appeals Customer services and administrative assistance. Handling patient calls regarding payments and billing records Sending invoices to different offices and clients. Specialties I have been working for are as follow: Lab Billing Urgent care General Pediatric Chiropractic Psychiatric Mental Health Home healthcare ( CCM, RPM and HHC) Family practice Internal medicine Cardiology Radiology Pain Care Pain Management Medical Billing software’s QSS Xifin AdvancedMD kareo DrChrono officeally Docutap ECW Ethomas CureMD Collaborate MobileMediclaim Clearing Houses Office Ally Change HealthCare Trizetto Availity ClaimMD Zermid 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 Core Skills and Competencies ICD-10 codes CPT codes HCPCS codes Medical Terminology Medicare and 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 Thank you.ICD CodingInvoicingInsurance VerificationEMR Data EntryHealthcare Common Procedure Coding SystemFile ManagementHIPAAMedical Billing & CodingMedical Procedure CodingRevenue ManagementMedical BillingData EntryEmail Communication - $10 hourly
- 5.0/5
- (2 jobs)
Thank you so much for chosing my proffile. As a highly skilled and experienced medical billing and coding specialist, I bring a unique blend of expertise and professionalism to every project I undertake. With over Eight years of experience in the healthcare industry, I have a deep understanding of the latest tools, techniques, and best practices in the field. I had almost performed all the tasks related to Medical billing. 🙌 👇🏻 **MEDICAL BILLING SERVICES** A. MEDICAL BILLING SERVICES 🔥Eligibility & Benefits verification. 🔥Appointments Scheduling. 🔥Patient Demographics and Charge entry. 🔥Insurance claims submission via clearinghouse and Paper submission. 🔥Accounts receivable and Denial management. 🔥Payment Posting. 🔥Patient billing for PR -1,2,3 and PR 96 and PR 119 etc. 🔥Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...) 🔥Claim status from insurance Portal and calls. 🔥Submitting appeals for denied claims. 🔥ICD 10, CPT, and HCPCS Coding review. 🔥 Patients Communication. 🔥 Authorization Specialist (Prior & Retro Auth) 👉🏼I have extensive experience working with a variety of medical specialties including: 👈🏼 💎Family Medicine 💎 psychiatric specialists 💎 Mental Health 💎 Radiology specialists 💎 Home Healthcare 💎 Internal Medicine 💎Urgent care 💎 Lab Billing 💎 Pediatric 💎 Acupuncture 💎 Geriatrics (CCM,RPM and HHC) 💎 Physical Therapy 💎 Pain Management 💎 COVID TESTs and COVID VACCICNES 👉🏼I am proficient in using a variety of PM Software including: 👈🏼 💻AdvancedMD 💻 Raintree 💻 ECW / eClinicalWorks 💻 CareCould 💻 officially 💻Wep PT 💻 DrChrono 💻Ethomas 💻 Medoffice 💻CureMD 💻Athena 💻 Collaborate 💻 ChiroTouch (CT) 💻 Practice Fusion 💻Practice Suite 💻 TheraNest 💻Allscripts 💻 MedMod PM 💻 EZClaim 💻 Acumen 💻 Greenway Intergy 💻 Aprima 💻MicroMD 💻Lominilo 💻 ALMA 👉🏼I am proficient in using a variety of Clearing House worked on including 👈🏼 🥈 Trizetto 🥈 Waystar 🥈Availity 🥈Zirmed 🥈 Emdeon 🥈 Claim MD 🥈 Change Healthcare 👉🏼I am proficient in using a variety of EHR/EMRs worked on including 👈🏼 🎼 Kareo EHR, 🎼 Practice Fusion 🎼 Claim MD 🎼 AdvancedMD EHR 🎼 Aprima EHR 🎼 Practice Suite EHR 🎼 WeBPT EHR 👉🏼 I am proficient in using a variety of portals including: 👈🏼 🌐 Trizetto 🌐Availity 🌐 United Health care/UHC 🌐 Medicare /WPS/NGS/Noridian 🌐 Waystar 🌐 Navinet 🌐 Change health care 🌐 Molina 🌐 Payspan 🌐 Cigna 🌐 Integra Que 🌐 Epaces 🌐 Fidelis 🌐 Healthfirst 🌐 Metroplus 🌐 Zelis 🌐 Palmetto 👉🏼 I am proficient in Core Skills and Competencies 🔥 ICD-10 codes 🔥 CPT codes 🔥 HCPCS codes 🔥 Medical Terminology 🔥 Daily/Weekly/Monthly/Quarterly Reconciliation 🔥 Performs well with little\without supervision 🔥 Medical Documentation review and Auditing 🔥 Medicare and Medicaid Guidelines 🔥 Knowledge of Payer Reimbursement Characteristics and Billing Policies 👉🏼 Why should place an order Here? 🥈 Fast and accurate service 🥈 100% Accuracy 🥈100% Time for delivery 🥈 100% Data Confidentialit 🥈 100% Quality Assurance 🥈 100% Buyer sanctification 🥈 100% Quick Response 🥈 100% in time Delivery 👉🏼 I am proficient in Worked on Tools: 🎼 Excellent Typing skill (50-100wpm). 🎼 MS Office. 🎼 Microsoft Excel. 🎼 Google Docs. 🎼Google Spreadsheet. 🎼 Dropbox. 🎼 Skype 🎼 Google meet 🎼 Teams 🎼 Slack I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Regards Imtiaz Alam.ICD CodingInsurance Claim SubmissionInsuranceEMR Data EntryInvoicingInsurance VerificationHealthcare Common Procedure Coding SystemFile ManagementMedical Procedure CodingRevenue ManagementData EntryMedical Billing & CodingHIPAAEmail Communication - $6 hourly
- 5.0/5
- (2 jobs)
I have worked as a Medical Biller and Denials Specialist in US Medical Billing healthcare companies. I have worked for 5+ years in a US Healthcare Business. From a Medical billing specialist, Account Receivable, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. 🟧 CORE SKILLS ✅ Eligibility & Benefits verification. ✅ Appointments Scheduling. ✅ Accounts receivable and Denial management. ✅ Payment Posting. ✅ Patient Demographics and Charge entry. ✅ Insurance claims submission via clearinghouse and Paper submission. ✅ Patient billing for PR -1,2,3 and PR 96 and PR 119 etc. ✅ Claim status from insurance Portal and calls. ✅ Submitting appeals for denied claims. ✅ Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...) ✅ ICD 10, CPT, and HCPCS Coding review. ✅ ICD 10, CPT and HCPCS Coding review. 🟧 SPECIALITIES 📗 Internal Medicine 📗 Mental Health 📗 Pain management 📗 Paediatrics Radiology 📗 Psychiatry 📗 Urgent Care 📗 Acupuncture 📗 Behavioural Health 📗 Durable Medical Equipment 📗 Family Practice 🟧 PMS SOFTWARE WORKED ON 💻 Athena 💻 Tebra (Kareo) 💻 Advanced MD 💻 eCW 💻 CPR + 💻 Office Ally 💻 Dr. Chrono 💻 Chirotouch 💻 Central Reach 💻 DocuTap 💻 MDland 🟧 CLEARING HOUSE WORKED ON ✅ Availity ✅ Zirmed ✅ Trizetto ✅ Change Healthcare ✅ Optum EDI 🟧 EHR/EMRs WORKED ON 📗 AdvancedMD EHR 📗 Kareo EHR, 📗 MDland EHR 📗 Practice Fusion I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile. Regard Muhammad YasinICD CodingAppointment SchedulingTypingAccountingeClinicalWorksHealthcare SoftwareInsurance Claim SubmissionMedical RecordsInsurance VerificationPayment ProcessingEMR Data EntryData EntryDemographyAccounts ReceivableRevenue Cycle Management - $6 hourly
- 5.0/5
- (2 jobs)
As a highly skilled and experienced medical billing and coding specialist, I bring a unique blend of expertise and professionalism to every project I undertake. With over 6 years of experience in the healthcare industry, I have a deep understanding of the latest tools, techniques, and best practices in the field. 🔥 My skills include: Demo Eligibility and benefits verification Authorization Charge entry Claims submission Payment posting Denial management Rejections AR specialist Daily, weekly, and monthly reporting ERA/EFT enrollment Provider enrollment 💻 I am proficient in using a variety of software including: AdvancedMD eClinicalWorks Kareo Office Ally Dr Chrono AthenaOne EZClaim Bflow MDland OpenPM Allscript Prognocis 🌐 I am proficient in using a variety of portals including: Trizetto Availity UHC WPS NGS Waystar Navinet Change health care Molina Payspan Cigna Integra Que Noridian Epaces Fidelis Healthfirst Metroplus Zelis Palmetto 🏥 I have extensive experience working with a variety of medical specialties including: Urgent care Pediatrics Mental health Family practice Lab billing Chiropractic Acupuncture DME Worker's compensation Internal MedicineICD CodingInsurance Claim SubmissionAppointment SchedulingRevenue Cycle ManagementInsurance VerificationAccounts ReceivableDemographyPayment ProcessingData Entry - $10 hourly
- 5.0/5
- (4 jobs)
With over 14 years of specialized experience in medical billing and credentialing, I provide comprehensive services to healthcare providers, ensuring seamless operations and efficient financial workflows. My expertise spans various EMR (Electronic Medical Record) software platforms, allowing me to adapt quickly to any system your practice uses. My core competencies include: • End-to-end Medical Billing (including claims submission, coding, and payment posting) • Insurance Verification and Authorization • Provider Credentialing and Enrollment • Accounts Receivable Management and Follow-Up • Compliance with HIPAA and other regulatory standards • Expertise in popular EMR systems (such as Epic, Kareo, Cerner, AdvancedMD, eClinicalWorks, and more) With a deep understanding of the healthcare revenue cycle, I help practices optimize their processes, reduce denials, and improve cash flow. My attention to detail, strong communication skills, and commitment to accuracy ensure that your practice runs smoothly, allowing you to focus on patient care. Let's connect to see how I can assist in streamlining your medical billing and credentialing needs!ICD CodingHIPAAEMR Data EntryEhealthData ManagementAccounts Receivable ManagementCustomer SupportMedical Billing & CodingCustomer ServiceEmail SupportMicrosoft ExcelEmail CommunicationSchedulingData Entry - $35 hourly
- 5.0/5
- (7 jobs)
I am a certified professional biller from PMBA USA, certified professional coder from AAPC and certified coding specialist from AHIMA. And working in the medical billing/coding field for the last 12+ years. I have a diversified RCM handling experience dealing in multiple specialties/settings including but not limited to Ambulatory Surgery Centers (ASCs), Pain Management, Internal Medicine, Orthopedics, OB Gyn, Cardiology, Urology, Endocrinology. Besides this I have successfully performed audit on larger and smaller practices with a good feedback. Certifications: - 1. CPC (Certified Professional Coder) 2. CCS (Certified Coding Specialist) 3. Certification in E&M Coding (AAPC) 4. CPMB (Certified Professional Medical Biller) 5. Certified Electronic Health Records Specialist (EHRS) 6. HIPAA Certification 7. Advance Excel Technical Skill Sets: - 1. Extensive knowledge of medical terminology human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas (Medical Graduate). 2. ASC Professional and Facility claims billing and coding specialist with RCM management. OB Gyn practices coding and billing expert including Antepartum, Deliveries, Postpartum, Ultrasounds, other non-OB visits for both office and all hospital encounters. 3. Individual and group physician practice RCM management. 4. Experience in dealing with multiple specialties including anesthesia, radiology, internal medicine, pain management, Cardiology and Orthopedic, Podiatry, Gastrointestinal, Ophthalmology, Spinal surgeries coding and billing. 5. Certified proficient and experienced in ICD-9-CM, ICD-10-CM and ICD-11-CM coding requirements and procedures. 6. Comprehensive knowledge and utilization of CPT-4, ICD-10-PCS and HCPCS coding guidelines. 7. Working knowledge of compliance regulations HIPAA and PHI requirements. 8. Experienced and efficient in backlog management. 9. Knowledge of MCO, Medicare, Medicaid with SOC requirements and commercial insurance. 10. Using different PM & E.H.R; Office Ally, Nextgen, Practice Mate, Kareo, Athena Health, Advanced, Eclinical Works, Advance Claim, Care Cloud, Medisoft, Advance MD, Simple practice, Practice Fusion and many others. 13. Using different platforms; Gsuite, Microsoft SharePoint, Google Sheets, Office 365, Goto meeting, Zoom, Adobe, Slack and Teams Offering Services: - I provide complete RCM services including but not limited to: 1. Review claim denials and payer requirements for corrective action and prevention in the future. 2. Research and reply promptly to insurance, patient, and internal customer inquiries. 3. Keep accurate records of all activity and conversations for each file. 4. Timely claim submission within 24 hours. 5. Resolve billing and coding issues identified by insurance carriers and patients services. 6. Helping in scrubbing, chart reviewing, and also finding an opportunity to bill some ancillary services to increase revenue. 7. 98% clean claim submission with a guarantee. 8. Timely payment posting, ERA and EFT setup. 9. Work on the denials within 24 hours after receiving an EOB. Manage all appeals, denial, first-level appeals, second level appeals, determination and redetermination. 10. Manage AR bucket under MGMA standards 11. Handle all Insurance correspondence, patients' queries and patients' calls. 12. Managing patient statements and giving you cost estimation before the visit. Please allow me if we can schedule a Zoom/Teams or WhatsApp call with you so I can discuss this opportunity in detail. Regards, Adnan Ali Medical Coding and Billing Certified Specialist | CCS, CPC | CPMB | MBA Fin., BSc CP, CCP |ICD CodingCitrixData EntryTypingMicrosoft ExcelDemographics ProMedical TranslationComputer SkillsPractice FusioneClinicalWorksEnglishMedical RecordsElectronic Medical RecordMedical Procedure CodingMedical Billing & Coding Want to browse more freelancers?
Sign up
How hiring on Upwork works
1. Post a job
Tell us what you need. Provide as many details as possible, but don’t worry about getting it perfect.
2. Talent comes to you
Get qualified proposals within 24 hours, and meet the candidates you’re excited about. Hire as soon as you’re ready.
3. Collaborate easily
Use Upwork to chat or video call, share files, and track project progress right from the app.
4. Payment simplified
Receive invoices and make payments through Upwork. Only pay for work you authorize.