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✅ HIPAA Certified Healthcare Credentialing & Medical Coding Specialist | Provider Enrollment & CAQH, PECOS, NPPES (NPI Type 1 & Type 2) Registration & Management, Medicad and Medicare Enrollment sepecialist. ⭐ About Me I am a Certified Credentialing & Medical Coding Expert with hands-on experience in provider enrollment, payer credentialing, and medical coding. As a Credentialing Specialist with over 4 years of hands-on experience, I have successfully completed 50+ provider enrollments, revalidations, and primary source verifications across multiple states. I manage the full end-to-end credentialing lifecycle—from initial application submission to final approval and ongoing maintenance—ensuring providers are fully network-ready without delays or compliance risks. I have extensive experience working with major commercial and government payers, including Aetna, Optum, Cigna, Blue Cross Blue Shield, Humana, UnitedHealthcare, as well as government programs such as Medicare and Medicaid (multi-state). I work as a reliable back-office partner, handling the complexity of credentialing and coding so providers can focus on patient care. 💼 Services I Offer ✔ Provider Credentialing & Re-Credentialing ✔ Provider Enrollment (Medicare, Medicaid & Commercial Payers) ✔ CAQH Profile Setup, Updates & Attestation ✔ NPPES (NPI Type 1 & Type 2) Registration & Management ✔ PECOS Enrollment & Maintenance ✔ ICD-10-CM, CPT & HCPCS Medical Coding ✔ Compliance Review & Documentation Audit ✔ Payer Follow-ups & Status Tracking ✔ Revenue Cycle Management (RCM) Support ❌ Common Problems Clients Face ➡️ Long delays in provider credentialing ➡️ Rejected or incomplete payer applications ➡️ Denials due to coding or compliance errors ➡️ Outdated CAQH or NPI records ➡️ Poor communication with insurance payers ➡️ Lost revenue from inactive or expired credentials ✅ How I Solve Them ✔ Complete and accurate application preparation ✔ Proactive follow-ups with payers to speed up approvals ✔ Error-free medical coding aligned with current guidelines ✔ Organized tracking of deadlines and renewals ✔ Clear status updates and transparent reporting ✔ HIPAA-compliant handling of sensitive data ➡️ Result: Faster credentialing, fewer denials, and improved revenue flow. 🧠 Tools & Platforms ✔ CAQH ProView ✔ PECOS ✔ Medicare & Medicaid Portals ✔ Commercial Payer Portals ✔ EHR & Practice Management Systems 🚀 Why Hire Me on Upwork / Fiverr? ✔ Certified & detail-oriented professional ✔ Strong knowledge of payer requirements ✔ Proven accuracy and compliance focus ✔ Fast response and clear communication ✔ 100% confidentiality & HIPAA compliance 📩 Ready to Get Started? Whether you are: ➡️ Opening a new practice ➡️ Adding new providers ➡️ Re-credentialing existing staff ➡️ Facing enrollment delays or denials ✅ I am here to help you get credentialed, stay compliant, and get paid on time. 👉 Send me a message today and let’s get your providers enrolled without delays.

Welcome to my Profile! I am a HIPAA certified medical Billing specialist, AR representative, payment poster with more than 8 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!

I'm a RCM Consultant and Certified Medical Coder with more than 8 years of experience in Revenue Cycle Management (RCM), Medical Billing, Medical Coding, Practice Management, Healthcare Operations, and Revenue Cycle Consulting. I help healthcare providers, hospitals, medical practices, billing companies, and healthcare technology organizations optimize their revenue cycle, improve reimbursements, reduce denials, automate reporting, and streamline operational workflows using automated reporting modules. My expertise spans the complete healthcare revenue cycle from patient registration through payment posting, reporting, and financial reconciliation. I have extensive experience working with physician practices, hospitals, emergency departments, outpatient clinics, ambulatory surgery centers, and multi-specialty healthcare organizations across the United States. My Core Services Revenue Cycle Management (RCM) * Complete end-to-end Revenue Cycle Management * Appointment Scheduling * Medical billing and claims management * Charge entry and charge review * Claims submission (Electronic & Paper) * Claims scrubbing and validation * Payment posting (ERA/EOB) * Insurance follow-up * Accounts Receivable (AR) management * Denial management and appeals * Patient billing * Refund processing * Credit balance resolution * Revenue optimization * Aging analysis * Financial reporting * Revenue analytics and KPI tracking Medical Coding * ICD-10-CM Coding * CPT Coding * HCPCS Level II Coding * Modifier assignment * Diagnosis validation * Procedure coding * Coding audits * Documentation review * Coding compliance * HCC Coding * Medical necessity review Insurance & Payer Services * Eligibility verification * Benefits verification * Prior Authorization * Referral management * Credentialing support * Provider enrollment * ERA/EFT enrollment * EDI enrollment * Clearinghouse configuration * Payer setup and maintenance Claims & Denial Management * Denial analysis * Root cause identification * Appeals preparation * Corrected claims * Reconsideration requests * Timely filing resolution * Rejection management * Clearinghouse troubleshooting * Payment reconciliation Reporting & Healthcare Data Analytics * Automated healthcare reporting * Custom report development * Report automation * Scheduled report generation * Excel dashboard creation * KPI dashboards * Revenue cycle analytics * AR aging reports * Claims status reports * Payment posting reports * Denial trend analysis * Provider productivity reports * Financial performance dashboards * Operational reporting * Executive reporting * Automated report exports (Excel, CSV, PDF) * Data validation and reconciliation * Business intelligence reporting * Custom report exports from EMR/EHR systems Practice Management & Consulting * Revenue Cycle Assessment * Workflow optimization * Billing process improvement * Operational consulting * Standard Operating Procedures (SOPs) * Staff training * Quality assurance * Productivity improvement * Compliance review EHR / EMR / Practice Management Systems I have worked extensively with Collaborate MD, ModeMed, Practice EHR/EMR, Epic, Cerner, Athenahealth, eClinicalWorks (eCW), Meditech, AdvancedMD, Kareo, NextGen, CareCloud, DrChrono, Practice Fusion, Insight Care, Claim.MD, Availity, Office Ally, Waystar, Change Healthcare, Optum, and Instamed. Why Clients Hire Me * CPC Certified Professional Coder * 8+ Years of Healthcare Industry Experience * End-to-End Revenue Cycle Management Expertise * Medical Billing & Coding Specialist * Automated Reporting & Data Export Solutions * Custom Healthcare Reports & Dashboards * Strong Knowledge of US Healthcare Regulations * HIPAA-Compliant Work Practices * High First-Pass Claim Acceptance Focus * Reduced Denials & Faster Reimbursements * Process Improvement & Workflow Automation * Detail-Oriented, Reliable, and Results-Driven I specialize in helping healthcare organizations maximize revenue, improve billing efficiency, automate operational reporting, and build scalable revenue cycle processes. Whether you need medical billing support, coding expertise, denial management, AR recovery, provider enrollment, reporting automation, custom dashboards, or RCM consulting, I am committed to delivering accurate, timely, and measurable results. Let's work together to optimize your revenue cycle and drive better financial performance for your practice.

I am a CPC-certified medical coder (ID: 02146003) with 6+ years of proven experience in medical billing, coding, auditing, and clinical documentation improvement (CDI). With a dual background as a licensed Physical Therapist (Master’s in Neuromuscular PT) and a certified coder, I bridge the gap between clinical care and financial accuracy, ensuring providers get faster reimbursements, fewer denials, and compliant documentation. ✨ What I Deliver: ✔️ Accurate CPT, ICD-10-CM & HCPCS coding (multi-specialty) ✔️ End-to-end medical billing & clean claim submissions ✔️ Denial management & revenue cycle optimization ✔️ Clinical documentation review & improvement (CDI) ✔️ Confidential, HIPAA-compliant healthcare documentation 💡 Specialties & Settings: Outpatient | Inpatient | ED | Same-Day Surgery Orthopedics | Pain Management | Cardiology | Pediatrics OB/GYN | Internal Medicine | Radiology | Surgery | Lab | E/M 📈 My goal: To help healthcare practices maximize revenue, reduce claim rejections, and maintain 100% compliance through precise coding and billing. 🔹 If you need a trusted coding & billing partner who understands both clinical care and revenue cycle management, let’s work together to streamline your practice’s success

🏆 Top Rated Plus | ⭐ 5-Stars Review | 💎 Positive + Feedback & Comments | 💯% Job Success Score 💀 👇🏻 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 Nine 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 💻 Kareo/Tebra 💻 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.

Struggling with aging Accounts Receivable (AR) and frequent claim denials? I help healthcare providers optimize their medical billing cycle through accurate charge entry, fast payment posting, and proactive insurance follow-ups to maximize reimbursements and improve cash flow. Dedicated Medical Billing Specialist with expertise in Revenue Cycle Management (RCM), Payment Posting, AR Follow-up, Denial Management, and Insurance Claims Processing. I help healthcare providers maintain smooth billing operations with accuracy, efficiency, and HIPAA-compliant workflows. I have hands-on experience managing the complete medical billing cycle, including eligibility verification, charge entry, claim submission, payment posting, denial resolution, appeals, patient billing, and insurance follow-up. My goal is to ensure faster reimbursements, clean claims, and improved financial performance for healthcare practices. Services I Offer ✔ Insurance Eligibility & Benefits Verification ✔ Charge Entry & Claim Submission ✔ Payment Posting (ERA/EOB) ✔ AR Follow-up & Aging Reports ✔ Denial Management & Appeals ✔ Medicare & Commercial Insurance Billing ✔ ICD-10, CPT & HCPCS Coding Knowledge ✔ Patient Billing & Collections ✔ Credentialing & Provider Enrollment ✔ ERA/EDI Enrollment ✔ Insurance Claims Follow-up Medical Specialties ✔ Mental Health/Behavioral Health ✔ Pediatrics ✔ Internal Medicine ✔ Physical Therapy ✔ Urgent Care ✔ Dermatology ✔ Cardiology ✔ Oncology ✔ Laboratory Billing Software & Tools Experience ✨ AdvancedMD ✨ Kareo ✨ Office Ally ✨ eClinicalWorks (ECW) ✨ DrChrono ✨ Athenahealth ✨ CureMD ✨ WebPT Insurance Portals & Payer Systems 🖥️ CGS Medicare 🖥️ WPS Medicare 🖥️ Palmetto GBA 🖥️ Noridian Medicare 🖥️ Novitas Solutions 🖥️ NaviNet 🖥️ Availity 🖥️ UnitedHealthcare (UHC) 🖥️ Cigna 🖥️ Optum 🖥️ PaySpan 🖥️ Humana 🖥️ Molina Healthcare 🖥️ Health First Clearinghouses 🖥️ Availity 🖥️ Waystar 🖥️ TriZetto 🖥️ Emdeon 🖥️ Office Ally Why Clients Choose Me ✔ Accurate and detail-oriented work ✔ Fast communication and timely delivery ✔ Strong denial-resolution expertise ✔ HIPAA-compliant workflow ✔ Reliable and professional support I am committed to helping healthcare providers improve revenue, reduce denials, and maintain efficient billing operations through high-quality medical billing services. Thank you for visiting my profile. I look forward to working with you and contributing to your success. Muhammad Hasnain Khan