Hire the Best Medical Mastermind Medical Billers Services

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Muhammad S.

Expert RCM Specialist | ABA & Behavioral Health Billing | 12+ Years

Islamabad, Pakistan
$12 per hour
18 jobs

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. โœจ 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. ๐Ÿ› ๏ธ 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 (97151โ€“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. ๐Ÿ’ป Software Expertise (The "Everything" List) If itโ€™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. ๐Ÿฉบ 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 Workersโ€™ Comp. ๐Ÿ“Š 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. Beyond medical billing, I provide complete financial oversightโ€”from initial LLC formation and credentialing to daily bookkeeping, accounting, and compliant US taxation preparation for healthcare practices. Keep your practice compliant, audit-ready, and financially sound with healthcare-tailored accounting services: Healthcare Bookkeeping: Daily and monthly tracking of practice expenses, provider pay, patient copays, and insurance reimbursements. Financial Statement Preparation: Accurate monthly, quarterly, and annual financial statements (Income Statement/P&L, Balance Sheet, Cash Flow Statements) aligned with healthcare accounting standards. US Taxation Preparation & Compliance: Year-end US tax preparation, tax planning, expense categorization, and tax filing strategy tailored to healthcare LLCs and medical groups. Financial Forecasting & KPI Dashboards: Real-time tracking of Days in A/R, Net Collection Rate, overhead ratios, and 30-to-60-day cash flow projections. I am available full-time and committed to your practice's 100% satisfaction. Letโ€™s build your revenue empire today. HIRE ME! ๐Ÿ˜‰

Mujahid R.

Medical Billing | Insurance Credentialing RCM, Healthcare Practices

Rawalpindi, Pakistan
$11 per hour
55 jobs
$50K+ total earnings

Denied claims. AR aging past 90 days. Providers still waiting on credentialing. That's revenue you already earned, sitting in someone else's account. I get it back. I'm Mujahid a Top Rated Plus Medical Billing, Coding & Credentialing Specialist with 7+ years in US healthcare Revenue Cycle Management. HIPAA-compliant remote setup, US business hours, full ownership from eligibility check to final payment. ๐—ฅ๐—˜๐—ฆ๐—จ๐—Ÿ๐—ง๐—ฆ ๐—œ ๐——๐—˜๐—Ÿ๐—œ๐—ฉ๐—˜๐—ฅ โ–ช Denial rate below 3% โ–ช Clean claim rate above 98% โ–ช Days in AR down to 18โ€“34 days โ–ช Up to 30% revenue lift after a full workflow cleanup ๐— ๐—˜๐——๐—œ๐—–๐—”๐—Ÿ ๐—•๐—œ๐—Ÿ๐—Ÿ๐—œ๐—ก๐—š & ๐—–๐—ข๐——๐—œ๐—ก๐—š โ–ช Medical billing and coding: CPT, ICD-10, HCPCS and modifier accuracy + claim scrubbing โ–ช Eligibility verification, benefits checks, prior authorization and referrals โ–ช NCCI edits, MUE compliance and bundling rules โ–ช Telehealth billing (POS 02/10, modifiers 95 and GT) โ–ช Denial management: root-cause analysis, appeals, peer-to-peer support โ–ช AR follow-up by aging bucket (0โ€“30, 31โ€“60, 61โ€“90, 90โ€“120+) โ–ช Charge entry, payment posting and ERA reconciliation ๐—–๐—ฅ๐—˜๐——๐—˜๐—ก๐—ง๐—œ๐—”๐—Ÿ๐—œ๐—ก๐—š & ๐—ฃ๐—ฅ๐—ข๐—ฉ๐—œ๐——๐—˜๐—ฅ ๐—˜๐—ก๐—ฅ๐—ข๐—Ÿ๐—Ÿ๐— ๐—˜๐—ก๐—ง โ–ช Provider enrollment, individual and group: Medicare, Medicaid, Tricare, all major commercial payers โ–ช CAQH registration, attestation and ongoing maintenance โ–ช NPPES / NPI setup and updates โ–ช Primary Source Verification and recredentialing โ–ช License and malpractice expiration tracking โ–ช ERA / EFT / ACH enrollment and PMS linking ๐—˜๐—›๐—ฅ ๐—ฆ๐—˜๐—ง๐—จ๐—ฃ & ๐—–๐—Ÿ๐—˜๐—”๐—ฅ๐—œ๐—ก๐—š๐—›๐—ข๐—จ๐—ฆ๐—˜ ๐—–๐—ข๐—ก๐—™๐—œ๐—š๐—จ๐—ฅ๐—”๐—ง๐—œ๐—ข๐—ก โ–ช Full EHR / EMR build: payer setup, fee schedules, code libraries, encounter templates โ–ช EDI and ERA connections: Availity, Waystar, Change Healthcare, Trizetto, ClaimMD, Office Ally โ–ช Workflow automation for submission, posting and daily operations ๐—ฅ๐—˜๐—ฃ๐—ข๐—ฅ๐—ง๐—œ๐—ก๐—š & ๐—ฃ๐—ฅ๐—”๐—–๐—ง๐—œ๐—–๐—˜ ๐—™๐—œ๐—ก๐—”๐—ก๐—–๐—œ๐—”๐—Ÿ๐—ฆ โ–ช Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, collections โ–ช Fee schedule review and payer rate negotiation support โ–ช Cash flow planning and HIPAA/payer compliance checks โ–ช Written SOPs for every RCM workflow ๐—ฃ๐—Ÿ๐—”๐—ง๐—™๐—ข๐—ฅ๐— ๐—ฆ ๐—œ ๐—ช๐—ข๐—ฅ๐—ž ๐—œ๐—ก eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, AthenaHealth, AdvancedMD, CollaborateMD, SimplePractice, TherapyNotes, Insync/Qualifacts, Office Ally, KanTime, EmpowerEMR, Apollo, SessionHealth, Lauris Online โ€” and more. Not listed? Just ask. ๐—ฆ๐—ฃ๐—˜๐—–๐—œ๐—”๐—Ÿ๐—ง๐—œ๐—˜๐—ฆ Primary Care, Urgent Care, Emergency Medicine, Mental & Behavioral Health, Physical Therapy, Dermatology, Cardiology, Pain Management, Pediatrics, Plastic Surgery, Wound Care & Grafting, Birth Centers, Home Health, Nurse Practitioners. Outpatient and hospital settings both โ€” which means I know how payer behavior shifts across care settings. ๐—ช๐—›๐—ฌ ๐—–๐—Ÿ๐—œ๐—˜๐—ก๐—ง๐—ฆ ๐—ฆ๐—ง๐—”๐—ฌ Most billers submit claims and move on. I build the system: documented workflows, trained staff, reporting you can actually read. I'm also co-developing an EHR platform as the healthcare domain expert, so I know exactly where billing, clinical workflow and technology break โ€” and how to fix it. ๐—ฅ๐—˜๐—”๐——๐—ฌ ๐—ง๐—ข ๐—ฆ๐—ง๐—”๐—ฅ๐—ง? Message me with three things: your specialty, your EMR, and your biggest bottleneck (denials, AR, or credentialing). I'll tell you where I'd start and what it takes to fix it. Free 20-minute call on Zoom or Google Meet.

Mubashar Z.

Reduce AR & Maximize Revenue with HIPAA-Certified Billing Expert

Islamabad, Pakistan
$12 per hour
26 jobs

Hello and welcome to my profile! I am a HIPAA-certified medical biller with 6 years of experience in the healthcare industry. I have a deep understanding of medical billing codes, insurance regulations, and reimbursement procedures, which allows me to ensure that medical claims are accurately and efficiently processed. Experience with the following: โœ… Medical Billing โœ… Verification of Benefits & Authorization โœ… Insurance Verification โœ… Posting insurance and patient payments/EFT's โœ… Insurance claims follow up โœ… Appointment Setter/Scheduler โœ… Chat/Email Support โœ… Aging report/Follow-up/Appeals โœ… Handling patient calls regarding payments and billing records โœ… Denials management โœ… Patient statements and collection procedures โœ… Data Entry Tools: โœ… Excellent Typing skill โœ… MS Office. โœ… Microsoft Excel. โœ… Google Docs. โœ… Google Spreadsheet. Specialties I have experience in: ๏ƒผ Mental health ๏ƒผ Internal Medicine ๏ƒผ Chiropractic ๏ƒผ Psychiatry ๏ƒผ Home healthcare (CCM, RPM, and HHC) ๏ƒผ Family practice ๏ƒผ Internal medicine ๏ƒผ Cardiology ๏ƒผ Radiology ๏ƒผ Pain care ๏ƒผ Pain management Medical billing software I am proficient in: ๏ƒผ TherapyNotes ๏ƒผ SimplePractice ๏ƒผ TherapyMate ๏ƒผ Doctor.com ๏ƒผ Officeally ๏ƒผ QuickPractice ๏ƒผ ECW ๏ƒผ Collaborate ๏ƒผ MobileMediclaim ICANotes Session Health Clearing houses I have experience using: ๏ƒผ Trizetto ๏ƒผ Availity ๏ƒผ ClaimMD ๏ƒผ Zermid EHR/EMRs I am familiar with: ๏ƒผ Practice Fusion ๏ƒผ Kareo EHR ๏ƒผ AdvanceMD EHR Insurance web portals I have used: ๏ƒผ CGS (Medicare) ๏ƒผ WPS (Medicare) ๏ƒผ Palmetto GBA (Medicare) ๏ƒผ Noridian (Medicare) ๏ƒผ Novitas (Medicare) ๏ƒผ Navinet ๏ƒผ Availity ๏ƒผ UHC ๏ƒผ Cigna ๏ƒผ Optum ๏ƒผ Payspan ๏ƒผ Humana ๏ƒผ Molina Healthcare & many more. Please message me to see how I can help reduce your patient and insurance AR and better your billing practices! Thank You!

Muhammad B.

Expert in Medical Billing & Insurance Credentialing | RCM | Coding

Bat Khela, Pakistan
$10 per hour
5 jobs
$20 total earnings

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 Bilal, 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.

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What does a medical Mastermind medical Biller service do?

A medical Mastermind medical Biller service manages the full revenue cycle for healthcare providers by preparing, submitting, and reconciling insurance claims through specialized practice-management workflows. This role converts patient encounter data into standardized electronic transactions that clearinghouses route to payers for adjudication. The biller monitors every claim from initial submission through final payment posting to maximize collected revenue and minimize outstanding accounts receivable.

  • Prepares professional or institutional insurance claims by assigning accurate diagnosis and procedure codes to patient encounter data within the Medical Mastermind ecosystem. The biller validates all required fields against payer-specific rules before generating X12 837 electronic transactions for submission through a clearinghouse.
  • Tracks claim status by reviewing payer acknowledgements and remittance advice files returned via X12 835 transactions. When a payer denies or rejects a claim, the biller investigates the specific error code, corrects the underlying documentation or coding issue, and resubmits the claim to secure payment.
  • Posts payments and adjustments directly to patient accounts based on the processed remittance outcomes received from insurance carriers. This action updates the accounts receivable ledger and closes out resolved encounters in the billing work queues to maintain accurate financial records for the practice.

How to hire a medical Mastermind medical Biller service on Upwork

Step 1: Post a job

Define your revenue-cycle needs clearly so candidates understand the specific billing workflows you require. Use the Job Post Generator powered by Umaโ„ข, Upwork's Mindful AI to draft a precise description from a few sentences about your practice. You can write a new post, update a saved draft, or reuse an existing post to start hiring immediately.

  • Specify whether the role requires submitting professional or institutional claims using X12 837 transactions through your clearinghouse.
  • List the practice-management software or EHR work queues the freelancer must navigate to process encounter data and insurance information.
  • Detail the volume of claims per month and any specific payer rules that often cause denials in your specialty area.

Step 2: Evaluate candidates

Look for proof of experience with electronic claim submission and remittance posting within the Medical Mastermind ecosystem. Uma can run instant video interviews and build shortlists with side-by-side comparisons to help you identify qualified billers quickly.

  • Review work history for examples of resolving denied claims by correcting data and resubmitting them successfully to payers.
  • Check for familiarity with X12 835 remittance advice files to verify they can post payments and adjustments accurately to patient accounts.
  • Seek evidence of managing billing reports that track claim status and reconcile accounts receivable until every encounter is resolved.

Step 3: Interview your top choices

Discuss their approach to handling rejected claims and maintaining clean billing queues during your conversation. Schedule and conduct these interviews within Upwork Messages, which generates an immediate transcript and summary after each session.

  • Ask how they investigate payer responses to distinguish between simple rejections requiring correction and complex denials needing additional documentation.
  • Request examples of how they manage scheduling and encounter processing to prevent bottlenecks in the claim creation workflow.
  • Verify their method for applying payments and adjustments from ERA files to ensure patient balances reflect accurate financial data.

Step 4: Agree on scope and begin work

Set clear milestones for claim submission volumes and reconciliation accuracy before starting the contract. Use Upwork Messages and the contract workroom for all communication and project management, while identity verification, payment protection, hourly tracking, and project funds keep the engagement secure.

  • Define deliverables such as weekly billing reports summarizing claim activity and payment postings for your review.
  • Establish a workflow for reviewing and approving corrected claims before they are resubmitted to the clearinghouse.
  • Agree on specific metrics for tracking resolved encounters and maintaining low denial rates in your accounts receivable queue.

Upwork is not affiliated with and does not sponsor or endorse any of the tools or services discussed in this article. These tools and services are provided only as potential options, and each reader and company should take the time needed to adequately analyze and determine the tools or services that would best fit their specific needs and situation.

The rates and information provided in this article are based on current data and industry sources available at the time of publication. Freelance rates can vary depending on factors such as experience, location, project scope, and market conditions. Readers are encouraged to conduct their own research to confirm current rates and trends, as this information may change over time.

How much does hiring a medical Mastermind medical Biller service cost?

$300-$1,200 per project is a typical range for focused medical Mastermind medical Biller service work. Final pricing depends on claim volume, denial complexity, required integrations, source-material quality, revision needs, and the freelancer's experience level.

Claim submission batch

$300-$600/project

Entry-level to mid-level
  • Verified encounter data and insurance details for claim creation
  • Filed electronic claims via X12 837 transactions
  • Initial status report for submitted encounters

Denial management cycle

$600-$1,200/project

Mid-level
  • Reviewed payer responses and identified denial reasons
  • Updated documentation and resubmitted corrected claims
  • Record of resolved issues and updated claim statuses

Payment posting and reconciliation

$1,200-$2,500/project

Mid-level to senior-level
  • Parsed X12 835 remittance advice for payment data
  • Applied payments and adjustments to patient accounts
  • Summary of posted funds and outstanding balances

Revenue cycle audit

$2,500-$4,500/project

Senior-level
  • Assessed current billing queues and practice-management processes
  • Identified errors in coding or submission workflows
  • Recommended steps to reduce denials and improve cash flow

Full RCM integration

$4,500-$8,000/project

Expert-level
  • Aligned EHR work queues with clearinghouse EDI paths
  • Validated claim submission and remittance receipt cycles
  • Guided team on new billing protocols and reporting tools

Frequently asked questions

Is hiring a medical Mastermind medical Biller service worth it?

For most businesses, yes: hiring a medical Mastermind medical Biller service is worthwhile. This support removes the administrative burden of claim submission and denial management from clinical staff. It allows your team to focus on patient care while a specialist handles revenue-cycle tasks.

How do I evaluate medical Mastermind medical Biller service candidates?

Look for candidates who demonstrate specific experience with X12 837 claim submission and X12 835 remittance processing within the Medical Mastermind ecosystem. A strong candidate will describe how they investigate denied claims, correct data errors, and resubmit transactions to resolve accounts receivable issues.

What tasks does a medical Mastermind medical Biller service handle?

These specialists prepare encounter data, submit electronic insurance claims, and monitor payer responses for acknowledgements or denials. They also post remittances to patient accounts and manage billing queues to ensure all claims reach resolution.

Which tools does a medical Mastermind medical Biller service use?

Billers work within Medical Mastermind practice-management workflows and use EDI transactions for claim routing. They rely on clearinghouse paths to send X12 837 files and receive X12 835 electronic remittance advice for payment reconciliation.