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Zulqernain B.

Lahore, Pakistan

$10/hr
5.0
2 jobs

I help U.S. healthcare providers improve cash flow, reduce claim denials, and get paid faster through accurate and efficient medical billing. With 3+ years of hands-on experience in Revenue Cycle Management (RCM), I have worked with medical practices to manage the full billing cycle, from patient eligibility to final payment posting. I understand how critical clean claims, timely follow-ups, and proper documentation are for maintaining a healthy revenue stream. What I can help you with: • End-to-End Medical Billing (RCM) • Insurance Verification and Eligibility Checks • Prior Authorization Processing • Accounts Receivable (AR) Follow-ups • Denial Management and Appeals • Payment Posting (ERA/EOB) • Credentialing and Provider Enrollment (CAQH, PECOS) • EDI, EFT, and ERA Setup and Management I have hands-on experience using industry tools such as Trizetto, AdvancedMD, and Waystar to ensure accurate claim submission, faster reimbursements, and minimal errors. I have managed high volumes of claims, communicated directly with insurance payers, and consistently followed up on outstanding balances to reduce aging AR and improve collection rates. My approach is simple and results-driven: • Submit clean and error-free claims • Track and follow up on unpaid claims consistently • Identify and resolve denials quickly • Maintain clear communication and reporting I specialize in working with U.S.-based medical practices and understand payer systems, compliance requirements, and billing workflows. If you are looking for someone reliable, detail-oriented, and committed to improving your billing performance, I am ready to help. Send me a message and I will review your current billing process and identify areas where you may be losing revenue.

  • Medical Billing
  • Revenue Cycle Management
  • Project Management
  • Virtual Assistance
  • Microsoft Project
  • Data Entry
  • General Transcription
Sardar Afaq A.

Rawalpindi, Pakistan

$10/hr
5.0
2 jobs

I am a dedicated Medical Billing Professional with comprehensive expertise in the complete Revenue Cycle Management (RCM) process. I help healthcare providers, clinics, physician groups, and medical practices optimize reimbursements, reduce claim denials, and improve cash flow. ✅ My End-to-End Medical Billing Expertise Includes: 🔹 Patient Registration & Insurance Verification 🔹 Eligibility & Benefits Verification 🔹 Prior Authorization Management 🔹 Charge Entry & Charge Posting 🔹 Medical Coding Review (ICD-10, CPT, HCPCS) 🔹 Claim Creation & Electronic Submission 🔹 Clearinghouse Rejection Management 🔹 Claim Scrubbing & Compliance Checks 🔹 Payment Posting (ERA/EOB Processing) 🔹 Accounts Receivable (A/R) Management 🔹 Denial Analysis & Appeals Processing 🔹 Insurance Follow-Up (Commercial, Medicare & Medicaid) 🔹 Underpayment Identification & Recovery 🔹 Patient Billing & Collections Support 🔹 Credit Balance & Refund Management 🔹 Revenue Cycle Optimization 🔹 Aging Reports & Financial Reporting 🔹 KPI Monitoring & Performance Analysis 📈 What I Deliver: ✔ Faster Claim Processing ✔ Reduced Denial Rates ✔ Increased Collection Ratios ✔ Improved Clean Claim Rate ✔ Reduced A/R Days ✔ Enhanced Revenue Performance ✔ Accurate Documentation & Compliance 💻 Software & Billing Platforms Experienced with various EHR/EMR, Practice Management Systems, Clearinghouses, and Medical Billing Software. 🌟 Why Choose Me? • Detail-Oriented & HIPAA Compliant • Strong Insurance Follow-Up Skills • Excellent Communication & Problem Solving • Results-Driven Revenue Recovery Approach • Commitment to Accuracy and Timely Delivery My goal is simple: maximize your reimbursements, accelerate cash flow, and keep your revenue cycle running smoothly from patient registration to final payment collection.** Let's work together to improve your practice's financial performance and achieve measurable results! 🚀

  • Virtual Assistance
  • Data Entry
  • Project Management
  • Medical Billing & Coding
  • Revenue Cycle Management
  • Customer Service
  • Preauthorization
  • Mental Health
  • Medical Billing
  • Analytics
  • Account Reconciliation
  • Quality Audit
  • Financial Audit
  • Financial Reporting
  • Data Analysis
Mujahid R.

Kohat, Pakistan

$9/hr
5.0
47 jobs

If your claims keep getting denied, your AR is aging past 90 days, or your providers are still waiting on insruance credentialing and enrollment, you are losing revenue that is already yours. I recover it. I do not just submit claims and move on. I build systems, document workflows, train staff where needed, and stay accountable with regular reporting. I am Mujahid, a Top Rated Medical Billing and Credentialing Specialist with 7+ years of hands-on US healthcare RCM experience. My setup is fully HIPAA-compliant, I work US business hours, and I bring end-to-end ownership to every engagement: from eligibility verification and prior auth all the way through denial appeals, payer enrollment, EMR configuration, and monthly KPI reporting. My clients have increased revenue by up to 30% after optimizing their billing workflows with me. On average, I bring denial rates below 3%, clean claim rates above 98%, and Days in AR into the 18 to 34 day range. I follow CMS and commercial payer guidelines closely, apply NCCI edits correctly, and use the right CPT, HCPCS, ICD, modifier, add-on, drug administration codes, and MUEs to ensure every claim is clean and payable on first submission. I am currently co-developing an EHR system as the healthcare domain expert, which means I understand how billing, clinical workflow, and technology connect at a level most billers do not. Medical Billing and Coding CPT, ICD-10, HCPCS, and modifier accuracy with claim scrubbing before submission Eligibility verification and benefits checks Prior authorization and referral coordination Telehealth billing: POS 02/10, modifier 95 and GT NCCI edits, MUE compliance, and bundling rules Complex denial management: root-cause analysis, trend identification, and appeals including peer-to-peer review support AR management by aging buckets: 0 to 30, 31 to 60, 61 to 90, and 90 to 120+ days Credentialing and Provider Enrollment Individual and group enrollment: Medicare, Medicaid, Tricare, and all major commercial payers CAQH registration, attestation, and ongoing maintenance NPPES/NPI setup and updates Primary Source Verification (PSV) and recredentialing License and malpractice expiration tracking and renewal coordination ERA/EFT/ACH enrollment and bank/PMS linking Clearinghouse setup and configuration: Change Healthcare, Waystar, ClaimMD, Trizetto, Availity, and others EHR and EMR Setup and Optimization Full EMR configuration: payer setup, fee schedules, CPT/ICD/modifier entry, and encounter templates Clearinghouse EDI setup and ERA linking Workflow automation for claims submission, remittance posting, and daily operations Front Desk and Pre-Authorization Support Verification of Benefits (VOB) and eligibility checks Prior authorization and referral coordination Patient statements, invoicing, and follow-up communication Practice Financials and Reporting Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, adjustments, and payment reconciliation Fee schedule review and payer rate negotiation support Cash flow improvement planning HIPAA and payer compliance checks SOP documentation for all RCM workflows Project and task management via ClickUp, Monday, Trello, or Asana EMR and EHR Platforms I Work In: eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, CollaborateMD, Athena Health, AdvancedMD, SimplePractice, TherapyNotes, Insync/Qualifacts, OfficeAlly, Apollo, EmpowerEMR, KanTime, SessionHealth, Lauris Online, and several others. If your system is not listed, ask me directly. Specialties I Serve: Urgent Care, Emergency Medicine, Primary Care, Mental Health and Physical Therapy, Dermatology, Birthcenter, Plastic Surgeon, Cardiology, Pain Management, Pediatrics, Wound Care and Grafting, Nurse Practitioners, and more. I have billed for both outpatient practices and hospital settings, which gives me a broader understanding of payer behavior across care settings. Why clients keep working with me: I do not just submit claims and move on. I build systems, document workflows, train staff where needed, and stay accountable with regular reporting. My remote setup is HIPAA-compliant, my communication is clear, and my turnaround times are fast. I treat every practice's revenue as if it is my own problem to solve, because that is what gets results. Let's connect over Zoom or Google Meet to talk through your specific situation and figure out where to start.

  • Medical Billing
  • Medical Billing & Coding
  • Insurance Verification
  • Insurance Claim Submission
  • EMR Data Entry
  • Revenue Cycle Management
  • Medical Records
  • Medical Terminology
  • Medical Mastermind Medical Billing Services
  • HIPAA
  • Electronic Medical Record
  • Insurance Consulting
  • Electronic Health Record
  • Virtual Assistance
  • Appointment Scheduling
Shahid A.

Rawalpindi, Pakistan

$10/hr
4.8
19 jobs

Dear Recruiter, I am highly organized, accomplished, detailed oriented and focused professional medical biller with more then 6 years of experience in challenging business environments requiring strong organizational, analytical, and follow-through capabilities. Dynamic problem solver with proven effectiveness in identifying system inefficiencies and implementing corrective measures to improve cash flow, reduce costs and strengthen business relationships. Demonstrate exceptional interpersonal and communication skills in relating to management, colleagues, vendors, and customers. Consistently achieves outstanding results in fast-paced, deadline-driven environments. Key responsibilities Patient Access * Insurance Verification * Claims Submissions * EHR Solutions * Accounts Receivable * Coding and Coding Audit Services * AR Recovery * Payment Posting and Reconciliation * Denial Management Services * KPI and Analytics * Physician and Group Credentialing Services PROVIDER SPECIALITIES: Urgent care Home healthcare Physical therapy Occupational therapy Speech therapy Cognitive and Behavioral Therapy Mental health Acupuncture Family practice Internal medicine Cardiology Radiology Podiatry Dietitians Inpatientlling for Surgeons/Assistant Surgeons Gynecology Oncology BILLING SOFTWARES and EMR/EHRs  Simple Practice AdvancedMD  kareo  OfficeAlly Docutap  Athena  Therabill  ECW  EZclaim  Theranest  CMD  ClinixPM  Ethomas  Intergy  Therapy Notes  NextGen  Iclinic  Kareo EHR  Webpt  Practice Fusion  HelloNote  Salesforce  Officeally INSURANCE CARRIERS Medicare/Medicaid, Tricare, HMO/PPOs/IPAs, UHC, BCBS, Cigna, Aetna, Humana, WellCare and Magnacare etc Regards Shahid

  • Data Entry
  • Medical Mastermind Medical Billing Services
  • Customer Service
  • Healthcare Common Procedure Coding System
  • Electronic Medical Record
  • Project Management Office
  • Invoicing
  • Healthcare Management
  • Medical Billing & Coding
  • ICD Coding
  • Intuit QuickBooks
Anmol H.

Gurugram, India

$8/hr
4.9
108 jobs

Data Architect | Full-Stack Attribution: Segment ➔ Appsflyer ➔ Mixpanel ➔ BigQuery ➔ Looker Studio I architect end-to-end data pipelines that turn fragmented user interactions into a single source of truth. My expertise lies in the technical implementation of the Modern Data Stack, moving beyond basic tracking to building robust ETL/ELT workflows. Core Technical Workflow: Data Collection & Orchestration: Full-stack Segment implementation (Protocols & Functions) to centralize data streams from web and mobile. Mobile Attribution: Expert AppsFlyer configuration, including SDK event mapping, OneLink smart scripts, and cost-aggregation. Behavioral Analytics: Advanced tracking in Mixpanel and Amplitude to monitor complex conversion funnels, retention cohorts, and user journeys. Data Warehousing: Automating data pipelines from Segment/Mixpanel into BigQuery for advanced modeling and long-term storage. Visualization: Engineering high-fidelity Looker Studio dashboards that sync directly with BigQuery to track CAC, ROAS, and LTV. By bridging the gap between raw tracking and warehouse-level reporting, I ensure your marketing spend on Google Ads and Meta Ads is backed by 100% accurate, multi-touch attribution.

  • Facebook Ads Manager
  • Google Ads
  • Data Science
  • Mixpanel
  • Data Visualization
  • Looker Studio
  • Data Analytics
  • Data Analysis
  • Looker
  • Taboola
  • Amplitude
  • Data Segmentation
  • Pay Per Click Advertising
  • Microsoft Power BI Data Visualization
Amir T.

Rawalpindi, Pakistan

$6/hr
5.0
3 jobs

Hello! I am a Medical Billing and Revenue Cycle Management (RCM) professional with 8+ years of experience supporting healthcare providers, clinics, and multi-specialty practices within the U.S. healthcare system. My work focuses on managing the entire billing cycle in a structured and accurate way — from patient eligibility and charge entry to claim submission, denial resolution, and payment follow-up. I aim to help healthcare practices maintain steady cash flow, minimize claim rejections, and ensure compliance with insurance and CMS billing standards, including proper ICD-10 and CPT usage. Throughout my career, I have handled both independent responsibilities and team-based operations, including workflow coordination, high-volume billing accounts, and communication with insurance payers across different specialties. 🚀 Areas of Expertise I provide full-cycle Revenue Cycle Management services, including: • Complete Medical Billing Operations • Insurance Eligibility & Benefits Verification • Clean Claim Submission (CMS-1500 / UB-04) • Denial Management, Appeals & Claim Corrections • Accounts Receivable (AR) Follow-up and Aging Management • Payment Posting and ERA/EOB Reconciliation • Prior Authorization Processing and Referral Handling • Provider Credentialing and Enrollment (CAQH, PECOS) • ICD-10, CPT, and HCPCS Coding Support • HIPAA-Compliant Data Handling and Documentation 🏥 Healthcare Experience I have worked with a wide range of specialties, including: Internal Medicine | Family Practice | Behavioral Health | Psychiatry | Psychology Dermatology | Cardiology | Orthopedics | Podiatry | Physical Therapy Urgent Care | Laboratory Services | DME | Pain Management | Telehealth Workers’ Compensation and No-Fault (PIP) Billing I am also comfortable adapting to new specialties and workflows quickly based on client needs. 💻 Systems & Software Experience eClinicalWorks | Kareo/Tebra | AdvancedMD | NextGen | Office Ally Athenahealth | ModMed | CollaborateMD | DrChrono | Medisoft TherapyNotes | Practice Fusion | SimplePractice 🌐 Insurance & Payer Knowledge Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare Humana | Tricare | Molina Healthcare | Commercial and State Insurance Plans 📊 What I Have Achieved In my professional experience, I have consistently contributed to: • Increasing clean claim rates through accurate billing review • Reducing outstanding AR by improving follow-up processes • Strengthening revenue cycle performance for healthcare practices • Supporting billing teams with training and workflow improvements • Assisting with successful credentialing and payer enrollment processes 💡 What You Can Expect ✔ Reliable and accurate billing support ✔ Strong understanding of U.S. insurance and CMS guidelines ✔ Focus on reducing denials and improving reimbursements ✔ Organized workflow and clear communication ✔ Commitment to improving overall revenue cycle performance.

  • Medical Billing & Coding
  • Insurance Verification
  • HIPAA
  • Accounts Receivable Management
  • Insurance Claim Submission
  • Electronic Health Record
  • eClinicalWorks
  • General Transcription
  • Microsoft Excel
  • Microsoft Word
  • Data Entry
  • Project Management
  • Accounts Payable
  • Appointment Scheduling
  • Medical Billing
  • Medical Mastermind Medical Billing Services
  • Healthcare Management

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