Hire the Best Medical Mastermind Medical Billers Services

Welcome to my profile! I’m a HIPAA-certified medical billing specialist with over 10+ years of experience in the revenue cycle, medical billing, and claims management for US-based healthcare providers. My extensive background includes working across multiple specialties and states, using a wide range of billing software and systems to streamline operations and ensure efficient reimbursement processes. My work in refining claim submission processes and improving denial management has led to more consistent revenue streams and better financial stability for healthcare practices. What I Offer: • End-to-End Medical Billing & Claims Management: I handle everything from patient registration, insurance verification, and clean claim submissions to follow-ups, denials management, and appeals. • Denial & Rejection Management: I specialize in analyzing and resolving denied claims, identifying root causes, preparing appeals, and improving overall claim acceptance rates. Medical Billing & Credentialing Services: • Patient Registration & Eligibility Verification • Claims Submission (Primary, Secondary, Tertiary) • Clearinghouse Rejections & Denials Management • Payment Posting (ERA/EOB/Web) • Aging Reports, AR Follow-up, Appeals • Prior & Retro Authorizations • Credentialing & Re-credentialing (Medicare, Medicaid, Commercial) • Group & Individual NPI Setup • Invoice Generation, Scheduling, and Patient Support Specialties: I’ve worked with healthcare providers across various specialties, including: • Behavioral Health, Mental Health, Home Healthcare • Pediatrics, Family Practice, Internal Medicine, Radiology, Podiatry. • Orthopedic Surgery, Cardiologist, Neurologist, Physical Therapy • Psychiatry, Speech Therapy, Dietitians, Chiropractic, Podiatry • DME for Wound Care, Urgent Care, and more. Billing Tools & Software I Use: I am proficient in a variety of medical billing tools and EHR/EMR systems, including: Officially, AdvancedMD, Kareo, EclinialWorks, AthenaHealth, DrChrono, TheraNest, PracticeFusion, Chiorotouch, OpenPM, CS, and many more. Insurance Portals: I have hands-on experience with insurance portals such as Availity, UHC, Cigna, Optum, Humana, Medicare (CGS, Palmetto GBA, Noridian), Medicaid, and others. Core Competencies: • ICD-10, CPT, HCPCS coding • Medicare & Medicaid billing guidelines • Payer reimbursement policies & audits • Medical documentation review and analysis Tools & Technical Skills: • Exceptional typing speed (50-100 WPM) • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) • Expertise in Google Docs and Google Sheets • Experienced with Dropbox for file management and sharing • Skilled in communication and collaboration using Slack and Microsoft Teams • Comfortable using Google Meet and Skype for virtual meetings Why Choose Me: • Fast & Accurate Service: I deliver results with 100% accuracy, ensuring timely claim resolutions and increased reimbursements. • Client Satisfaction: My goal is always to provide high-quality, results-driven services that align with your practice's needs. • Proactive Approach: I identify potential issues before they become problems, ensuring smooth billing processes and reduced denials. If you have any questions or would like to discuss your specific needs, feel free to reach out. I look forward to the opportunity to work with you! Best Regards, Asifa Anjum

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.

Welcome to my Profile! I’m a HIPAA-certified credentialing and medical billing specialist with over 10 years of experience in U.S.-based healthcare billing companies. I specialize in end-to-end revenue cycle management, credentialing, and payer enrollment, delivering accurate, timely, and compliant billing services to providers across multiple specialties. Specialties I Support: I’ve worked with healthcare professionals across many specialties, including: • Mental & Behavioral Health • Internal Medicine, Family Practice, Pediatrics • DME/Wound Care, Surgery, Gynecology • Neurology, Cardiology, Physical Therapy • Chiropractic, Urgent Care, Speech Therapy • Psychiatric, Podiatry, Home Health Care, and more Medical Billing & Credentialing Services: • Patient Registration & Eligibility Verification • Claims Submission (Primary, Secondary, Tertiary) • Clearinghouse Rejections & Denials Management • Payment Posting (ERA/EOB/Web) • Aging Reports, AR Follow-up, Appeals • Prior & Retro Authorizations • Credentialing & Re-credentialing (Medicare, Medicaid, Commercial) • Group & Individual NPI Setup • Invoice Generation, Scheduling, and Patient Support Billing/EHR Platforms: Simple Practice, Kareo, AdvancedMD, ECW, Athena, DrChrono, PracticeSuite, ChiroTouch, TheraNest, ICANotes, and more. Insurance Portals: • Availity, NaviNet, Palmetto, Noridian, Novitas, Medicaid (multiple states), UHC, Cigna, Molina, Optum, Payspan Other Tools: • MS Office, Excel, Google Suite, Slack, Teams, Skype, Dropbox • Typing speed: 50–100 WPM Key Competencies: • ICD-10, CPT, HCPCS Coding • Medicare/Medicaid Guidelines & Payer Policies • Medical Documentation Audits & Compliance • Strong Communication & Minimal Supervision Required Why Work With Me? • 100% Accuracy • Fast Turnaround • Reliable, HIPAA-Compliant Service • Full Infrastructure (USA Phone, High-Speed Internet, Secure Systems) Whether you’re a solo therapist, medical group, or multi-specialty clinic, I can help you optimize your billing and credentialing so you get paid faster, with fewer delays and denials. Let’s talk about how I can support your practice! Best Regards, Sohail Majeed

3 years full-time Customer Service Representative for Anthem of CA. 3 years full-time Accounts Receivable Specialist 2 years full-time Eligibility and Benefits Verification Specialist Major Insurance Companies handled and locations: * Medicare Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Medicaid Health Plan (California, Georgia, Illinois, New Mexico, North Carolina, Michigan, Ohio, Texas) * Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian / Wellcare, Molina Healthcare Inc., UnitedHealth Care * ChampVA, Tricare East, Tricare West, Tricare for Life, Medical Billing Specialization: 1. Accounts Receivable on ENT, Speech Therapy, Behavioral Health (Mental Health and Substance Abuse) 2. Processing of Insurance Claims 3. Claims Creator, follow up on Claims, Sending Appeals for Denied Claims 4. Posting payments of Insurance Companies and Patients to Providers (physicians, clinics, etc.) 5. Comprehensive monthly reports on payments, rejected claims, pending claims. 6. Assess the eligibility of patients for insurance claims or benefits. 7. Providing solutions for Health Care Providers in order for insurance claims to be approved and paid. 8. Team leader for a group of Medical Billers to make sure all claims are posted before the deadline, payments are posted on time, and appeals are processed quickly. 9. Verification of patient's eligibility and benefits 10. Verification of the provider's participating status with the patient's plan Customer Service Specialization: 1. Handling Customer Service for BlueCross and BlueShield providers. 2. Quotation for eligibility and benefits of patients. 3. Providing information for claims process inquiry, claims status, and claims denials. 4. Processing Appeals for Denied Claims. 5. Providing easy communication between Health Care Providers and Medical Billers. Billing Software Experience: * Phicure * Citrix * Trizetto * Company-owned Electronic Health Record (EHR) and Practice Management Systems (for WRS Health) *Kareo With proven ability to collect and manage information efficiently and accurately. Can manage multiple assigned tasks and prioritize according to the level of urgency. Excellent written and verbal communication skills and a team player enjoying work and learning process. Conscientious in time management to make sure all deadlines are met beforehand. Willing to be trained for specific programs your company may be using. Above else, all data I come across are handled with utmost privacy and security. Contact me for full-time or part-time projects. I am available (and I prefer) to work during US business hours and can be flexible with any US time zones.

Are you launching a new practice or struggling to scale your existing revenue? Stop leaving money on the table. I am a HIPAA-certified Revenue Cycle Management (RCM) Architect with over 12 years of hands-on experience in the US Healthcare industry. I specialize in the "high-complexity" niches: Applied Behavior Analysis (ABA), Mental Health, PRP, and Psychiatry. I have a proven track record of taking small clinics from $30k/month to over $300k/month by optimizing the entire financial lifecycle. ✨ For Startups: Your "Turnkey" Practice Launch Partner Setting up a new practice is a minefield of paperwork. I provide a comprehensive Startup Infrastructure Package to get you from "Concept to Collections" in record time: Business Credentialing: Type 1 and Type 2 NPI applications, CAQH ProView setup, Medicare/Medicaid and Commercial payers like UHC,CIGNA,AETNA,HUMANA,BCBS and many other state plans and payers enrollment. EDI/ERA/EFT Master Setup: I handle all Electronic Data Interchange (EDI) enrollments, Electronic Remittance Advice (ERA) links, and Electronic Funds Transfer (EFT) setup via Availity, Waystar, and Change Healthcare. Software Selection & Implementation: Expert guidance on choosing the right EHR/PM (Kareo, CentralReach, etc.) based on your budget and workflow. Payer Portal Authority: I create and manage accounts for Optum, UHC, Cigna, Aetna, BCBS, and Humana. 🛠️ My Specialized RCM Workflow (12+ Years Mastery) I don't just "submit claims." I provide an aggressive, data-driven RCM strategy: Eligibility & Benefits (E&B): Real-time verification of deductibles, co-pays, and out-of-pocket maximums before the patient is seen. Authorization Lifecycle Management: Specialized unit tracking for ABA (97151–97158) to ensure zero unauthorized sessions. Claim Scrubbing & Submission: Daily electronic claim submission with a 98% clean claim rate. Payment Posting & Reconciliation: Accurate posting of ERAs and EOBs with daily bank deposit reconciliation. Aggressive AR & Denial Management: I perform deep root-cause analysis on all rejections. I specialize in clearing 90+ day old AR that other billers have given up on. Single Case Agreements (SCA): Professional negotiation with payers for out-of-network patient approvals and maximum allowable rates. 💻 Software Expertise (The "Everything" List) If it’s a medical billing software, I am an expert in it: ABA & Behavioral: CentralReach, Rethink, Catalyst, NPAWorks, AccuPoint, Procentive, Therapy IQ. Mental Health/Psych: TherapyNotes, SimplePractice, Valant, OsMind, ICA Notes, Carepatron. General & Large Group: Kareo (Tebra), AdvancedMD, eClinicalWorks (eCW), Epic, NextGen, DrChrono, AthenaHealth, Office Ally, CollaborateMD, CureMD, Charm EHR. Specialized: WebPT, Therabill, Lytec, E Thomas, Chiro8000, Med Mode, Open PM, Hint Health, Procentive. Clearinghouses: Waystar, Availity, Change Healthcare, Trizetto, Eligible. 🩺 Specialties & Expertise Core Focus: ABA (Applied Behavior Analysis), Mental Health, PRP (Psychiatric Rehabilitation), Psychiatry, Psychology, Social Work. Full Medical Suite: Laboratory (Toxicology/Clinical), Cardiology, Radiology, Family Medicine, Internal Medicine, Pediatrics, Rheumatology, Neurology, Oncology. Therapy & Allied: PT, OT, ST, Chiropractic, Dietitians, Podiatry, DME Billing, Home Health, and Workers’ Comp. 📊 Reporting & Analysis I provide transparent, MGMA-standard reporting so you always know where your money is: Monthly Financial Forecasting: Predict your cash flow for the next 30-60 days. KPI Dashboards: Track Days in AR, Net Collection Rate, and Denial Percentages. Customized Administrative Reports: Weekly updates on billing status and pending authorizations. I am available full-time and committed to your practice's 100% satisfaction. Let’s build your revenue empire today. HIRE ME! 😉

As a highly experienced Medical Billing, Revenue Cycle Management (RCM), Credentialing, and Accounts Receivable (AR) Specialist with over 8 years of hands-on experience, I help healthcare providers maximize reimbursements, reduce denials, and streamline their entire billing process. I specialize in complete end-to-end medical billing solutions including claim submission, denial management, payment posting, insurance verification, provider credentialing, and AR follow-up. My goal is always to improve cash flow, increase clean claim rates, and ensure providers get paid accurately and on time. I have extensive experience working directly with U.S.-based providers, clinics, insurance companies, clearinghouses, and billing teams across multiple specialties and practice sizes. Core Expertise: Medical Billing & Revenue Cycle Management (RCM) Accounts Receivable (AR) & Insurance Follow-Up Denial Management & Appeals ICD-10, CPT & HCPCS Coding Eligibility & Benefits Verification Prior Authorization & Referral Management Payment Posting & Reconciliation EOB & ERA Analysis Electronic Claim Submission EDI Rejection Resolution Credentialing & Provider Enrollment Medicare, Medicaid & Commercial Insurance Billing HCFA-1500 & UB-04 Claim Forms Patient Demographic & Registration Corrections Provider & Staff Coordination High-Volume Billing Operations Medical Billing Services ✔ Claim submission for Primary, Secondary, and Tertiary insurance ✔ AR follow-up and aging resolution ✔ Denied and rejected claims investigation and appeals ✔ Payment posting, adjustments, and reconciliations ✔ Insurance verification and benefits checks ✔ Prior authorization and referral processing ✔ Charge entry and claim scrubbing ✔ EOB/ERA review and discrepancy resolution ✔ Clearinghouse rejection fixes ✔ Patient billing support and account review ✔ End-to-end RCM management from charge entry to collections Credentialing & Provider Enrollment Expertise: End-to-end provider credentialing and re-credentialing with Commercial Payers, Medicare, and Medicaid CAQH profile setup, maintenance, updates, and attestations NPI registration and updates (Individual & Group) Insurance network enrollment and payer application submission ERA, EDI, and EFT enrollment/setup with insurance payers and clearinghouses Electronic remittance and payment enrollment troubleshooting Credentialing follow-up, approval tracking, and payer communication Revalidation management to avoid payment delays and claim denials Handling payer deficiencies, correspondence, and compliance requirements Coordination with providers, clinics, and billing teams for accurate enrollment processing Strong understanding of payer-specific guidelines and U.S. healthcare regulations EHR / PM Software Experience: AdvancedMD Office Ally CareCloud Crystal PM Waystar SimplePractice DrChrono Kareo / Tebra Medisoft eClinicalWorks ICANotes ModMed Jane Chiro8000 ChiroTouch ChiroSpring And many others. Specialties Worked: Mental Health Chiropractic Internal Medicine Cardiology Radiology Ophthalmology & Optometry DME Family Medicine Gastroenterology Orthopedics Podiatry Physical Therapy Why Providers Choose Me? Strong understanding of U.S. insurance guidelines and payer policies Proven success in reducing denials and increasing collections Detail-oriented, accurate, and highly organized Excellent communication with providers, staff, and insurance representatives Fast learner with the ability to adapt to new systems and workflows Reliable, proactive, and committed to long-term client success If you're looking for a dependable Medical Billing and RCM expert who can handle your billing operations efficiently and improve your revenue cycle performance, I’m ready to help.