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Rating is 4.9 out of 5.
4.9/5
based on 1,104 client reviews
  • $20 hourly

    • 4.1/5
    • (13 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 ten years of experience in US Healthcare administrative and clinical functions associated with claims processing, payment, and collection of patient service revenue. ✅ Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. ✅ Familiarity with CPT and ICD-10 Coding. ✅ Effective communication abilities for phone contacts with insurance payers to resolve issues. ✅ Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. ✅ Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and reasonably handle conflict. ✅ Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections. ✅ A calm manner and patience working with either patients or insurers during this process. ✅ Knowledge of medical terminology likely to be encountered in medical claims. ✅ Maintaining patient confidentiality per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). ✅ Ability to multitask. Delivers exceptional service with a sense of responsibility and accountability. Demonstrated ability to research required information through available resources. Provides timely feedback and heads up to clients—a calm, flexible, deadline-driven individual in fast-paced environments.🧑🏻‍💻💯📌💪🏻
    Featured Skill Medical Records Software
    Mental Health
    Insurance Verification
    Insurance Claim Submission
    ICD Coding
    Medical Billing & Coding
    Customer Service
    Document Review
    Phone Communication
    Data Entry
    BPO Call Center
    Email Communication
    Administrative Support
    File Management
    Microsoft Excel
  • $10 hourly

    • 4.3/5
    • (7 jobs)
    I'm a Certified Medical Billing Specialist with almost 8 years of experience, proficient in medical billing processes. Skilled in handling insurance claims, resolving billing discrepancies, and ensuring compliance with healthcare regulations. Experienced in collaborating with healthcare providers and insurance companies to streamline billing procedures and maximize revenue. Job Responsibilities: : Patient Registration/patient management. : Eligibility and benefits verification. : Claim submission. : Obtaining prior and retro authorizations. : Applying payments to accounts from ERA/EOB/websites and also patient payments. : Aging report/Followup/Appeals. : Customer services and administrative assistance. : Denial management.
    Featured Skill Medical Records Software
    Clerical Procedures
    Communications
    Data Entry
    Medical Billing & Coding
    Google Docs
    Scheduling
    Data Analysis
    Accounts Receivable
    Medical Translation
    ERP Software
    Administrative Support
    Accuracy Verification
  • $20 hourly

    • 5.0/5
    • (9 jobs)
    Hi there! I'm Hazel, a highly skilled and passionate certified medical coder with almost 10 years of experience in medical coding. I specialize in delivering top-notch medical coding services mostly for outpatient accounts (E/M, ED, SDS, etc.), with a strong focus on quality, timely delivery, and customer satisfaction. Whether you’re looking for a medical coder, need help with medical transcription, medical billing charge entry or claims denial checking, I’m here to bring your vision to life. Why Choose Me? • Expertise: Proven success in my projects here in Upwork. • Quality: I provide high-quality work that meets your exact requirements. • Timeliness: Punctuality and efficiency are my top priorities. • Communication: I ensure smooth, open communication throughout the project to ensure your needs are met. I’m here to help you achieve your goals and exceed your expectations. Let’s work together and create something amazing! Medical Coder 📌 Evaluation and Management ( Office visits, Consultation, Home visits, Telehealth, etc.) 📌 Same Day Surgery. ( Cardiothoracic, ENT, Plastic Surgery, Orthopedics, Podiatry, OB-Gyne, Ophthalmology, etc. ) 📌 Emergency Department ( coding and auditing ) 📌 Radiology ( X-rays, Ultrasound, MRI, CT-Scan, etc.) Medical Biller • Charge entry – preparing claims and checking CPT and ICD-10 codes before sending to insurances • Payment posting • Checking denied claims for any coding discrepancies and resend claim to insurances. Medical Data Annotator • Identify and highlight medical conditions or diagnoses. • Labels clinical summaries with ICD-10 codes to help AI algorithms learn and make predictions. Medical Transcriptionist • Converts audio recordings of clinical visits into written reports. EMR/EHR software used: ✅ eClinicalWorks ✅ EPIC ✅ Citrix ✅ Medgen ✅ Athena ✅ Practice Fusion Coding Tools used: ✅ Optum CAC ✅ 3M ✅ AAPC Codify
    Featured Skill Medical Records Software
    Epic Systems Medical Software
    Electronic Medical Record
    Medical Condition Coding
    Medical Records Research
    Medical Billing
    HIPAA
    Data Annotation
    Data Entry
    ICD Coding
    Medical Procedure Coding
    Medical Transcription
    Healthcare Common Procedure Coding System
    Medical Translation
    Medical Billing & Coding
  • $35 hourly

    • 4.9/5
    • (95 jobs)
    To work as a Medical Billing Project Manager or in another Healthcare position which, fully utilizes my skills and experience while offering an opportunity for advancement. I have worked 20+ years in a US-based company. From a Medical billing specialist, AR, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. As Manager Operations I lead the group of 120 employees and look after all of their administrative and operational tasks. As a Manager Special Projects, Manager CPI and a Strategic Analyst I have worked on Company top priority projects. I have also made company's Business and strategic plans and also worked on highest priority projects and acquisitions assigned by company CEO and GM. I was the part of company's top managements so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. Financial analysis also been done for different projects. I have also experience to communicate with US doctors and other third party healthcare staff i.e. insurances, doctors, clearing houses and other third party payers. I have also visited US and visited doctors’ offices and hospitals to completely know about their processes. a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Super bill review - Appeals (b). Medical Coding - To research the right DX and CPT code according to medical records - Provide right DX pointers for the first time to avoid payment delays - Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynaecology and obstetrics Internal Medicine Pneumology Orthopaedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
    Featured Skill Medical Records Software
    Medical Records Research
    Medical Billing & Coding
    Accounts Receivable Management
    ICD Coding
    Insurance Policy Analysis
    Healthcare Common Procedure Coding System
    Customer Support
    Insurance Document Production
    Insurance Consulting
    Administrative Support
    Microsoft Excel
  • $12 hourly

    • 5.0/5
    • (26 jobs)
    Detail-oriented Medical Billing/AR Specialist and QA Analyst with 10+ years of experience managing complete Medical Billing Revenue Cycle Management. I have diversified experience working on different provider specialties, EHR, and PM software for many clients with satisfaction. Our expertise is listed below. • Patient Scheduling • Prior Eligibility • Prior/Retro Authorization • Charge Creation with Verifying LCD, NCCI, Coding, and Eligibility • Coding and Billing • Charges verification and Submission • Payment/Denial Posting • Patient Payment Posting • AR Follow-up and Denial Fixation • Creating and sending appeals (if required) • Quality Assurance of AR • Patient Statements • Audit and Consultation • Financial & RCM Reports Software and Applications Expertise - CureMD - AdvancedMD - eCW (Eclinicalworks) - Kareo - Practice Mate – Office Ally - Care Cloud - Athena - EPIC - Therapy Notes - Encoder Pro - Trizetto, Avality, Navinet & Emdeon Further, I have worked with clients and helped Medical Billing Companies as a Medical Biller, AR specialist, and Billing Supervisor. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurance, doctors, clearing houses, and other third-party payers. I also specialize in Medical Billing QA with overall Financial & RCM Reports.
    Featured Skill Medical Records Software
    Accounts Receivable Management
    EMR Data Entry
    Medical Mastermind Medical Billing Services
    Revenue Management
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    Medical Transcription
    Medical Terminology
    Medical Report
    Medical Procedure Coding
    Medical Records Research
    Microsoft Excel
    Medical Billing & Coding
    ICD Coding
  • $10 hourly

    • 4.5/5
    • (12 jobs)
    I am a highly skilled and HIPAA Certified Medical Biller with over 7 years of extensive experience in the US healthcare industry. Specializing in medical billing and coding, insurance claim processing, and reimbursement procedures, I have developed a deep understanding of the intricacies involved in managing billing tasks for a diverse range of medical specialties. One of my key strengths lies in my proficiency with various billing software systems, including eCW (eClinicalworks), AdvancedMD, KAREO, Nextgen, CareCloud, Brightree, AdvancedMD, CureMD, Medisoft, Mod-Med, DrChrono, Niko Health and Athena. This expertise allows me to navigate these platforms seamlessly and efficiently. I have gained hands-on experience working with many medical specialties, such as Internal Medicine, Pathology, Orthopedic, Anesthesia, DME, Nephrology, Chiropractic, Allergy and Immunology, Dermatology, Diagnostic radiology, Emergency medicine, Family medicine, and Medical genetics. In my role, I excel in executing a wide range of billing tasks with utmost precision and accuracy. These include verifying eligibility through insurance portals for each patient, generating and submitting claims daily, whether electronically or on paper, for all payers, including government, commercial, workers' compensation, personal injury protection, out-of-network, and in-network providers. I ensure that all billing entries adhere to ICD-10 coding guidelines and state LCD regulations, allowing for swift and error-free billing procedures. My expertise extends to addressing unpaid claims and denials promptly, ensuring timely payment and a steady cash flow. I handle patient, insurance carrier, and employer queries with efficiency and professionalism. I possess the ability to apply payments and adjustments accurately, resolve immediate denials, work on denied/rejected claims based on EDI reports, and update patient and insurance demographics accordingly. Central to my approach is a strong commitment to maintaining compliance with HIPAA regulations and safeguarding the confidentiality and security of patient information. I possess exceptional communication skills, which enable me to foster effective collaboration with healthcare providers, insurance companies, and patients alike. If you are seeking a dependable and seasoned HIPAA Certified Medical Biller who can expertly manage all aspects of your medical billing process, I invite you to reach out to me. I would be delighted to discuss how I can contribute to streamlining your medical billing operations and optimizing your revenue cycle management.
    Featured Skill Medical Records Software
    Accounts Receivable Management
    Customer Service
    Scheduling
    Accuracy Verification
    Medical Referrals
    Administrative Support
    Form Completion
    Medical Billing
    Microsoft Excel
    Phone Communication
    Data Entry
    Revenue Cycle Management
    Accounts Receivable
    Insurance Verification
    Medical Billing & Coding
  • $12 hourly

    • 4.9/5
    • (15 jobs)
    Greeting, Certified HIPAA professional and Certified professional biller from AAPC and working in the medical billing Industry since 2014. I have 9 years of diversified experience dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centers, Hospitals (Profane - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centers and other solo practices. CERTIFICATIONS: - 1. CPB (Certified Professional Biller)- AAPC 2. CPC (Certified professional coder)- AAPC 3. CCS- AIHMA 4. HIPAA Certification 5. Advance Excel and pivot Skill Set and core Expert Area:- -Account Receivable specialist -Medical research writer, QA, and Regulatory pharmacist, • 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, Emails, and calls handling * Insurance and eligibility verification • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances. Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, Next Gen, Cerner, Practice Fusion, Ms. Office, Ms. Excel, ECW, JANEAPP, ADVANCEMD, DENTRIX, OPENDENTAL, CRITERION, THERANEST, SIMPLE PRACTICE, OFFICEALLY, AVAILITY and many others Medical Billing : I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receivables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynecology and obstetrics Internal Medicine Pneumology Orthopedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology
    Featured Skill Medical Records Software
    Preauthorization
    Insurance Consulting
    Electronic Funds Transfer
    Medical Billing & Coding
    Revenue Management
    Electronic Health Record
    Practice Fusion
    Accounts Receivable
    Medical Procedure Coding
    Office 365
    Insurance Verification
    eClinicalWorks
    Electronic Data Interchange
    Microsoft Excel
  • $10 hourly

    • 4.7/5
    • (20 jobs)
    As a registered nurse (RN) by profession, I bring a deep understanding of healthcare, patient care, and medical knowledge. My experience as an RN has equipped me with strong communication, organizational, and multitasking skills. Transitioning to a virtual assistant or freelance role allows me to leverage these skills in a remote setting, supporting clients with different tasks. This blend of clinical expertise and virtual support allows me to make a positive impact in healthcare from a flexible, digital workspace. Furthermore, working as a freelancer allows me to combine my passion for helping others with the flexibility to work from anywhere. Whether it's handling administrative tasks, providing customer support, medical billing, or managing healthcare-related projects, my goal is to offer reliable and compassionate support to help clients achieve their goals.
    Featured Skill Medical Records Software
    Medical Billing & Coding
    Dropshipping
    Bookkeeping
    WooCommerce
    Social Media Management
    Web Design
    WordPress
    Shopify
    Data Entry
  • $10 hourly

    • 3.6/5
    • (13 jobs)
    Thank you for visiting my profile, I am a highly trained individual with over 8 years of experience in medical billing and coding who understands the complex and ever-changing world of healthcare revenue cycle management. Medical coding, claim submission, payment posting, and follow-up, as well as patient billing and collections, are among my areas of competence. I am skilled at using a variety of medical billing tools and have an eye for detail, ensuring that all claims are correctly tagged and submitted on time. Throughout my career, I have consistently provided outstanding results, assisting healthcare providers in increasing income while reducing administrative load. I am proud of my ability to efficiently interact with both patients and insurance companies, ensuring that all parties are kept informed and satisfied. My commitment to excellence, ethics, and transparency has won me a reputation as a trustworthy and trusted professional. I am committed to remaining current on industry developments and laws in order to provide the best service possible to my clients. Please contact me if you are searching for a knowledgeable and experienced medical billing and coding professional to help improve your revenue cycle management. I am always delighted to discuss your concerns and offer tailored solutions to match your individual goals.
    Featured Skill Medical Records Software
    Poster
    Administrative Support
    Virtual Assistance
    Denial-of-Service Attack Mitigation
    Insurance Claim Submission
    Accounts Receivable
    Revenue Management
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Appointment Scheduling
    ICD Coding
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Customer Support
    Healthcare Management
  • $10 hourly

    • 4.2/5
    • (21 jobs)
    Greeting of the Day, My name is Muhammad Saklan Ayub. I am a professional Medical Biller, Credentailing,Account Receiveable(AR) and Virtual Assistant. My goal is to work in a growing and fast paced environment, requiring someone with an up-to-date skills in complete revenue cycle management. I can provide your organization, the greatest financial return through my services. I am transparent, dependable, and responsive to clients' needs. Let me improve the efficiency of your medical practice by reducing the burden at the front office while ensuring a top-quality RCM services, so you can focus more on what matters the most - Patient Care! As an RCM specialist, I have done various audits for medical practices and highlighted issues, and gave suggestions, how to improve the revenue of practice and minimize billing errors. In this duration, I made myself capable of doing Medical Billing,Credentailing ,AR follow-up in that detailed manner I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers. I have performed various duties such as HCPCS research, fee investigation for similar providers, as well as development of procedure manuals. HIPAA COMPLIANCE: I am HIPPA Certified.I take the privacy of data seriously and have a comprehensive understanding of HIPAA and HITECH laws, rules, and regulations by taking more than enough. My Expertise are in : Medical Billing AR Follow-up Credentialing Medical Virtual Assistant Medical Billing Services: To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and by Phone. Full Patient Demographics, Insurance Information, Charge Entry, and Payment Posting. Broad knowledge on claims follow-up for all insurances (Government ,Worker Compensation ,No Fault and Commercials Carriers). Insurance claims submission (primary, secondary or tertiary) To check claim status from insurance, websites, auto response unit and via live calls. - To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding Super bill review Appeals Daily, Monthly and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions Virtual Assistant: Add records for new patient Appointment setting and referrals Scheduling, managing cancelations, and sending reminders to patients. Creating a schedule in EHR/PM Medical billing issues resolution Follow-ups and checking on patients after appointments Prescription refills Email management responding to messages and cleaning your inbox Credentialing Services: Initiating Credentialing Process Updating CAQH Accounts PECOS and EPACES Provider Enrollments Filing Applications NPPES Updation Credential new providers and re-credential current providers Licenses and Affiliation Check PreChecks and Onboarding Payer Contract Evaluations and Negotiations Re-Enrolment and Re-Validation Solutions Maintain individual provider files to include up-to-date AR Follow-up: Accounts Receivables for pending claims Prioritize unpaid claims by appeal and reprocessing Try to convince insurance companies to pay the outstanding claims Evaluate unpaid insurance claims Send corrected claims after making DX changes or any missing information SPECIALTIES: Physical Therapist Chiropractic Accupuncture Behavioral Health Podiatrist Cardiology Skilled Nursing Facility Dermatology Emergency Medicine Endocrinology Family Practice and many more.. Billing Software’s (PM/EHR) : ECW Advanced MD Rain tree Practice Fusion Intake Q Simple Practice ClaimMD Care Cloud Web soft Therapy Notes Office Ally Waystar and many more.... I am pretty aware of the ICD-10 updated version, and I know how to check LCD and correct use of ICD-10 according to their CPT, modifiers, deductible, copay coinsurance, network, or out-of-network insurance issues. Additional Experience: I've worked with commercial and government payers for credentialing in TX,NY,NJ,CA,NV,AZ,MA ,PA,WA,FL,MI,OH and many other states. I've used various EHR and EMR software such as Epic, ShareNote, PIMSY, Emdeon (Change Healthcare), Trizetto, Waystar, Optum, Kareo, Simple Practice, AdvancedMD, and Availity. Google Suites, Outlook, Sharepoint, Access, Microsoft Excel/PowerPoint/Word, and OneDrive My work hours are flexible to meet your needs. I am excited to partner with you to get your project completed successfully and on time and budget. I look forward to discussing how we can strategically improve your revenue cycle and build a solid financial infrastructure for practice. I am looking forward to use my expertise for the better growth of your healthcare business, I am willing to work at challengeable positions, with my consistency and full devotion. Best Regards, Muhammad Saklan
    Featured Skill Medical Records Software
    Medical Billing & Coding
    Customer Support
    Accounts Receivable
    Accounts Payable Management
    Account Reconciliation
    Medical Mastermind Medical Billing Services
    Administrative Support
    HIPAA
    Email Support
    Virtual Assistance
    Microsoft Office
    CRM Software
  • $14 hourly

    • 5.0/5
    • (9 jobs)
    I have backed with 15+ years of extensive experience in US Healthcare Revenue Cycle Management. I worked on multiple specialties such as Oncology & Hematology, Cardiology, Vascular Surgery, Pain Management, Internal medicine, Cervical/Thoracic/Lumbar Spine Surgery, General Surgery, Gynecology & Obstetrics, Pain Management, Chiropractic, Physical Therapy, Speech Therapy, Home Health, Mental Health & Substance Abuse, Acute Inpatient (DRG-Group), Independent Clinical Laboratory, Radiology & Imaging. I am comfortable working in any PMS/EHR software, such as Athena, DrChrono, Advanced MD, Kareo, GE Centricity, NextGen, Practice Perfect, Therapy Notes, eCW, EPIC, PracticePerfect, CareCloud, LIS, etc. Thoroughly experienced in all Microsoft programs, google-suite management, insurance portals like Navinet, Gateway, Availity, Emdeon (Change), NGS Connex, Noridian, Optum, Emblem/GHI/HIP/Beacon, Magellan, etc. worked with Clearinghouses such as Change Healthcare, Trizetto, Availity, Emdeon & Office Ally. Worked with all payers such as Medicare, Medicaid, Commercial, PPO, HMO, POS, EPO, Workers Comp, auto no-fault. I am offering the following services to my clients: 1. Appointment Scheduling 2. Prior Authorization Request 3. Eligibility & Benefits Verification 4. Charge Entry 5. Claims Scrubbing & Submission 6. AR Follow-up 7. Denial/Rejection Management 8. Appeals 9. Payment Posting 10. Patient statements & collection 11. Reporting- Including AR Aging, Financial Dashboards, Monthly Charge vs Payments, underpayments, etc. 12. Credentialing. I use to serve my clients single-handedly with complete end-to-end support. I used to take challenges in a reduction in Overall Aging at 15-20 % within 30 calendar days and turn dead collections into revenue. I hope my expertise will help the practice to get improved revenue cycle management. I am excited to work with you, to provide reliable, constant, and High-Level solutions to your challenges. Please contact me, so we can discuss how we can work together to sufficiently meet your business needs. Thank you & have a great day!
    Featured Skill Medical Records Software
    Microsoft Excel
    Medical Report
    ICD Coding
    Healthcare Management
    Google Docs
    Virtual Assistance
    Accuracy Verification
    Medical Billing & Coding
    Medical Procedure Coding
    Data Entry
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    Database
  • $10 hourly

    • 4.7/5
    • (45 jobs)
    Hello, I'm Sumit. I’m a seasoned medical billing and coding specialist with 16 years of experience in healthcare revenue cycle management. I’ve worked with a broad range of specialists—including cardiologists, OB-GYNs, pediatricians, psychiatrists, therapists, chiropractors, and more—delivering tailored billing solutions that drive revenue, reduce denials, and streamline operations. What I Offer: Expert Coding & Billing: Proficient in ICD-9/ICD-10, CPT, and HCPCS coding to ensure accurate, compliant claim submissions and optimal reimbursement. Diverse Specialty Experience: Deep understanding of billing nuances across specialties like internal medicine, surgery, mental health, weight loss, and laboratory/pathology services. Leadership & Team Building: Successfully led billing teams (up to 24 members), enhancing workflow efficiency, proactive denial management, and timely follow-ups. Software Proficiency: Extensive experience with leading billing and EHR systems—Office Ally, Practice Mate, Kareo, AthenaHealth, AdvanceMD, eClinicalWorks, AdvanceClaim, Collaborate MD, Emed, Dr Chrono, Open PM, and Trimed. Process Optimization: Developed and implemented process improvements that consistently reduced claim denials, improved cash flow, and generated significant profit increases. Core Attributes: Hardworking, adaptable, and a quick learner with a keen eye for detail, strong communication skills, and a passion for continual improvement. I’m dedicated to excellence in health operations and ready to bring modern, innovative billing solutions to your team. Let's work together to optimize your revenue cycle and drive success in your healthcare practice.
    Featured Skill Medical Records Software
    Customer Service
    Medical Translation
    Accounts Receivable
    Revenue Management
    Electronic Medical Record
    Accounts Receivable Management
    Medical Records Research
    Medical Billing & Coding
    ICD Coding
    Medical Mastermind Medical Billing Services
    Data Entry
    Microsoft Excel
  • $25 hourly

    • 4.7/5
    • (21 jobs)
    Outsourcing Veteran for US Businesses & Medical Practices I am a business strategy and operations expert with over 10 years of experience in outsourcing, customer service, and medical billing. I help clients create lucrative and productive operations by providing high-quality outsourced business solutions that lower operational costs and improve customer experience. I have founded and managed several successful outsourcing companies that offer a wide range of services, such as virtual assistant, back office, social media management, quality assurance, media editing, and content writing. I have also coached and mentored hundreds of employees and developed best practice procedures for various campaigns and projects. I am an AHIMA member with several certifications in quality management, inbound supervision, and HIPAA. I am passionate about learning new things and solving problems. I am always open to new opportunities and challenges that can help me grow personally and professionally. Unless I am 100% sure that I can meet the job requirements and exceed your expectations for the level of service, I won’t take the job. It’s that simple. If you want to streamline your business processes to increase efficiency without compromising quality, you’ve come to the right place. All you have to do is contact me to schedule your FREE consultation, and I’ll be more than happy to explain how we can make outsourcing work for you. I am looking forward to hearing from you. - Wasseem El Wardany
    Featured Skill Medical Records Software
    Insurance Claim Submission
    HIPAA
    Revenue Cycle Management
    Healthcare Common Procedure Coding System
    Healthcare Software
    Healthcare Management
    ICD Coding
    Insurance Verification
    Debt Collection
    Medical Procedure Coding
    Medical Condition Coding
    Accounts Payable
    Medical Billing & Coding
    Customer Service
  • $22 hourly

    • 5.0/5
    • (54 jobs)
    With over 10 years of successful practice management experience, I specialize in both business and operations management consultation for medical, behavioral health, pain management, Urgent care, Primary care clinics, chiropractic, physical therapy and medical massage therapy practices. I have helped private practices streamline their day-to-day business operations, solve logistical problems, clean up their RCM, increase patient flow and have helped to save them thousands of dollars in operating costs each month. ✅ Are you a new start-up private practice and struggling to integrate your front office and back office? ✅ Do you need assistance with streamlining daily operations to save your clinic money but not sure where to start? ✅ Do you need training on how to better use your EHR system? ✅ Are you struggling to get your claims paid or are in need of RCM cleanup support? Allow me to add value to your private practice by providing: -Practice Management Development and Training -Business Operations Management Development and Training -Front and Back Office Integration -EHR Training (Theranest,Therapynotes, ECW, Tebra, Advanced MD,Simple practice etc) -Insurance Billing Procedures, Assistance and Training -Full RCM Management Training Support -Front Desk/Phone Training ✅ Medical Billing -Provider Credentialing -Medical Billing and coding - Patient Registration/patient management. - Insurance Verification and benefits. - Claim submission. - Obtaining prior and retro authorizations. - Applying payments to accounts from ERA/EOB/websites and also patient payments. - Aging report/Followup/Appeals. - Denial management. - Handling patient concerns/invoicing. - Bookkeeping/QuickBooks - Daily, Weekly, Monthly or Quarterly Reconciliation - Medical Documentation review and Auditing - Customer services, DATA ENTRY and administrative assistance. ✅ PROVIDER SPECIALITIES: Urgent care, Primary care, Physical therapy, Occupational therapy, Speech therapy, Cognitive and Behavioral Therapy, Mental health, Acupuncture, Family practice, Internal medicine, Cardiology, Radiology, Podiatry, Dietitians,Inpatient billing for Surgeons/Assistant Surgeons, Gynecology, Oncology etc ✅ BILLING SOFTWARES and EMR/EHRs Simple Practice AdvancedMD kareo PM/ERH OfficeAlly PM/EHR Docutap Athena, Therabill ECw EZclaim Candid Theranest CMD, ClinixPM Ethomas Healthie Intergy Therapy Notes, NextGen Iclinic, Webpt, Practice Fusion HelloNote, Salesforce, DaisyBill, ICANotes, Experity, Nexttech cloud RXNT Chirofusion ChiroHD ChiroSpring Kinnser KaneTime ✅ INSURANCE CARIERS Medicare/Medicaid, Tricare, HMO/PPOs/IPAs, UHC, BCBS, Cigna, Aetna, Humana, WellCare and Magnacare etc ✅ Insurance Webportals Availity, Navinet, Medicare/Medicaid portals, UHC/Optum. Provider Express, Cigna, Ash,Fidelis, Eblue,RadMD.com, AIM, specialty health,Echo etc ✅ CLEARING HOUSES Navicure / ZirMed, Officeally, Availity, ClaimMD, Emdeon,Trizetto Provider Solutions, Athenahealth, Change healthcare, Eligible, Inc I strive for perfection in all areas of my work. I work smart to produce steady high-performance work to ensure my clients get my very best outcome. I am here to be that extra set hands when there are just not enough hours in the day for you to do it all. I want your business to succeed above and beyond the average business. I am a quick learner and willing to learn new platforms. When learning something new I try and take in all there is to learn about that program. I will reach out with questions and I will also do self-research to better understand how a program works and ways to be more efficient within that program. Please feel free to read through the feedback my previous clients have left on past work. Professionally Momin Shah
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  • $13 hourly

    • 4.9/5
    • (7 jobs)
    I have over 7+ years of work experience in Medical Billing/ US healthcare industry. I can manage the Medical billing practice complete Revenue cycle management operations smoothly. I have a vast experience to identify and fixing the practice common problems resulting major increase in revenue. I will be responsible for directing and coordinating the overall billing functions by utilizing experience and skills billing including code punching, • Strong Client communication in order to build good relation to discuss and resolve their concerns. • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. – • Ability to make independent decisions when circumstances warrant; make prompt and accurate judgments regarding AR, billing and other office duties. • Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy. • Ability to conceptualize work flow, develop plans, and implement appropriate actions. • Worked in multi-specialty group practice. • To Audit the Medical Billing entered by Billing Dept and fixing their billing Error. • Implement of Modifiers according to billing of the Doctors. • Submission of the claims electronically and on Paper. • To fix the Rejected claims received from Clearing Houses and to make them ready to send again • To follow up of the Pending claims by calling insurance companies customer service lines. • To fix the Denied claims over the phone on the bases of the Insurance policies. • To get paid claims Posted into the Medial billing Software. • To Work on denied EOB (explanations of Benefits). • To coordinate with American office staff to get things done in timely manners • Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, rejections, payment posting, accounts receivable follow-up, and reimbursement management. • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues. • Maintains contacts with all departments to obtain and analyze additional patient information to document and process billings. 4-Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports. 5- Audit current procedures to monitor and improve efficiency of billing and collections operations. 6-Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements. 7- Participate in the development and implementation of operating policies and procedures. 8-Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures. 9-Supervises billing office personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance. 10-Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques. 11- Work on new clients getting on board. 12- Pull all clients reimbursement reports on weekly and monthly basis to bill our clients. 13- Working closely on new client’s old AR recovery, billing and credentialing process. 14- Efficient enough to argue on denials and extract right information from insurance representatives 15- Working on denials and appeals (Negotiation, dispute, resolution etc) 16- Working on rejections & Denied EOBs/ERAs. 17- Proactive approach for denials 18- Familiarity with policies, CMS guidelines, Credentialing Issues 19- Familiarity with Appeals process 20- Understanding of denial codes and re-submission.
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  • $12 hourly

    • 4.6/5
    • (16 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: ✅ Medical Billing ✅ Verification of Benefits & Authorization ✅ Insurance Verification ✅ Posting insurance and patient payments/EFT's ✅ Insurance claims follow up ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Aging report/Follow-up/Appeals ✅ Handling patient calls regarding payments and billing records ✅ Denials management ✅ Patient statements and collection procedures ✅ Data Entry Tools: ✅ Excellent Typing skill ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. Specialties I have experience in:  Mental health  Internal Medicine  Chiropractic  Psychiatry  Home healthcare (CCM, RPM, and HHC)  Family practice  Internal medicine  Cardiology  Radiology  Pain care  Pain management Medical billing software I am proficient in:  TherapyNotes  SimplePractice  TherapyMate  Doctor.com  Officeally  QuickPractice  ECW  Collaborate  MobileMediclaim Clearing houses I have experience using:  Trizetto  Availity  ClaimMD  Zermid EHR/EMRs I am familiar with:  Practice Fusion  Kareo EHR  AdvanceMD EHR Insurance web portals I have used:  CGS (Medicare)  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  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!
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  • $15 hourly

    • 4.8/5
    • (26 jobs)
    My name is Bien, and I graduated with a degree in business marketing. I have over 8 years of experience working in a variety of disciplines, including advocacy, project management, communication, quality control, and quality assurance. I am a Medical Virtual Assistant who is deeply compassionate about helping people and who has a passion for managerial excellence in healthcare. I like nothing more than being of service to others and seeing how much better they feel. I am committed to giving prompt, accurate medical care in my capacity as a medical virtual assistant and to making the experience pleasant for patients and clinicians. I recognize the honor of being there for someone when they most need assistance. I play a crucial role in delivering top-notch patient care as a member of healthcare teams. I am interested in working with healthcare professionals, hospitals, wellness organizations, and humanitarian healthcare efforts on projects that are centered on total wellbeing. This comprises non-profit organizations, law firms, and medical associations that prioritize health, wellbeing, women's empowerment, and work-life balance. I urge you to get in touch with me through Upwork if you'd like to benefit from my experience in fields like advocacy, project management, quality control, or communication, or if you have any other inquiries. Let's strive for excellence in healthcare and general well-being together to have a beneficial impact on the world. 🎯Medical Practice Management 🎯Project Management: 🎯Reception and Correspondence Support 🎯EMR Data entry 🎯Appointment Scheduling and Confirmation: 🎯Medical Content Writing: 🎯Medical Referral Management and Prior Authorization 🎯Insurance Benefits Verification: 🎯Receiving or Submitting Medical Records: 🎯Medical Billing & Payment Posting: 🎯And much, much more! I welcome the opportunity to discuss your needs and how you can use my skills to meet them. Sincerely, Bienvenido Latuhan Jr
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  • $15 hourly

    • 3.9/5
    • (5 jobs)
    Welcome to my Profile. My name is Daniel Flores. I am a licensed teacher, but I did not pursue my profession because I had worked as a Medical Biller since when I was in college. I previously worked in a Medical Billing Company in New York named WRS Health, and we are specializing different specialties such as Mental Health, Ortho, Dental, Chiro, etc. I worked as a Billing Coordinator, Billing Escalation, AR Specialist, RCM, Insurance Verifier, Prior Authorization Specialist, and Payment Poster. I also worked in Fulgent Genetic Testing in CA, and we are dealing with COVID patients. My task is to check patient's eligibility, patient's benefits, charge entry, clearinghouse rejections or denials, posting payments from insurance, and claims follow-up. I have four years of experience in US Healthcare and Insurance Billing. I am knowledgeable on using the correct and appropriate CPT codes, ICD-10, modifiers, etc. I have experience in obtaining prior authorization, doing provider credentialing, and submitting provider paper works. I have been exposed to most of the areas in Patient and Insurance Billing, such as : 1. Patient account management, which includes patient registration and appointment scheduling 2. Verification of patient eligibility and benefits and identification of correct payers 3. Claims Creation from EMR or Superbills 4. Resolving Clearinghouse rejections and some EDI errors 5. Verification of Provider's Contract Info [contract, network participation, contract fee schedule] with payers/insurances to assure that providers are being paid correctly 6. Payment Posting from insurances and patient and dealing with Zero-Paid EOB's 7. Setting up ERA and assisting in provider's EFT setup 8. AR follow up which includes insurance phone calls 9. Resolving claim issues and denials 10. Registration of provider tools such as Availity, Navinet, UHC-Link, Optum, etc. 11. Interpretation of patient EMR 12. Received phone calls from the Patient/Provider 13. Scheduling an Appointment. 14. I have a strong background as a CPC billing the correct ICD, CPT, Modifiers depending on the service. These are the EHR that I am familiar with; * Kareo * Athena Health * AdvancedMD * Office Ally * WRS Health * Xifin * Zendesk Let me know if you need more details about me, and I am very willing to interview anytime at floresdaniel2128@gmail.com. Regards, Flores, Daniel
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  • $12 hourly

    • 5.0/5
    • (8 jobs)
    Developed the customer service policy for the organization: Developed customer service procedures, performance level and QA standards for the organization. In the list of top performer representatives for monthly stack ranks. Received commendations from the Training and Quality Management forgiving 100% outcome for Quality. Attended “Subject Matter Expert/Assistant Team Leader Training” as a result of good performance. Participants chosen according to ranking which was based on accuracy, customer service, duration of calls and availability.
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  • $10 hourly

    • 5.0/5
    • (2 jobs)
    I am a Medical & dental Biller, credentialing specialist and EDI analyst and have 6+ years of experience and counting. Familiar with different specialties. I have been worked in different domains like Medical Billing, Mental Health Billing and Dental Health Billing. My recent experience is of dental billing. I am a Research Analyst ✅Medical&Dental Billing I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for Dental AR work and also have been guiding an AR team to work with good productivity. I have great experience working on the below-mentioned functions of Medical billing. ✅Patient Registration & Demographic Entries ✅Insurance Verification ✅Pre Authorization Request and verification ✅Charge Creation ✅Evaluation of valid ICDs codes and Modifier ✅Elimination of Rejections in Electronic claims ✅Checking clearinghouse reports (Trizetto, availity, office ally, Dental Exchange, Remote Life and Navinet) ✅EOB and check search via websites and batches ✅Payment Posting of Insurance and Patient ✅AR Follow up on denied claims via call or websites ✅Appeal project ✅Collection / Refund / Over-Payment ✅Scheduling new patients Project Specialization ✅ ✅Software Experience (PM and EMR) Work Experience of Software I have work experience with the below software mentioned in medical billing. I have excellent grasping power, so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software. 1. AdvancedMD 2. Ecw Clinical Works 3. Nextgen 4. Practice Fusion 5. Epic 6. Medifusion 7. Ican Notes 8. Charm 9. Office Ally 10. Kareo 11. Simple Practice 12. Open Dental 13. Practice Web 14. Dentical 15. Tab32 ✅Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna 7. Molina (Medicare, Medicaid and marketplace plans) 8. Tricare 9. ChampVA 10. Humana 11. Guardian 12. Oxford 13. Workers Compensation 14. Delta Dental 15. MCNA 16. Liberty Dental 17. MetLife 18. UHC dental 19. DentaQuest Ability to control multiple assignments and tasks by identifying their level of importance • I have the ability to listen, writing and speaking effectively. • I have excellent interpersonal abilities that help me maintain a good relationship between my employer and colleagues. I am willing to be trained and open to learning new things. I am a fast learner and self-motivated. Looking forward to working with you
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  • $20 hourly

    • 5.0/5
    • (73 jobs)
    Adrian is an Upwork TOP-RATED Medical Records Reviewer and Demand Letter Writer. YOUR TOPNOTCH CHOICE FOR PERSONAL INJURY LAW FIRMS He maintains a proven track record in providing excellent assistance to personal injury law firms. Adrian undoubtedly can scrutinize, review, and organize medical records and other pertinent information and transform them into meaningful demand letters which will surely help your client attain that settlement claim. He works flawlessly, efficiently, and effectively to help you and your law firm achieve your ultimate goal of becoming the premier institution in personal injury settlement. Adrian is also proficient with the use of the following computer and internet tools: • Case management software – Filevine, Clio, Smokeball, MyCase, Needles • Microsoft office – word, excel, powerpoint, outlook, and publisher • Google suite applications – calendar, document, spreadsheet, slides • Document storage – dropxbox, google drive, and other cloud services • Communication software – 8x8, ring central, dialpad, skype, slack, viber, what’s app, wechat, meet, and zoom • Email services – yahoo, google, outlook live Adrian exudes the knowledge and skills necessary to perform most tasks most efficiently and effectively as possible. He is/has: • Honest • Proactive • Organized • Self-starter • Fast learner • Strong computer skills • Efficient time-manager • Great attention to detail • Excellent communication skill • Familiar with current technologies • Trustworthy of confidential information • Proven experience as a virtual assistant • Excellent client reviews from different fields An extraordinary client like you plus a dependable freelancer like him equals significant achievements to you and your business. Adrian also owns an Upwork Agency bridging personal injury attorneys and law firms with highly-trained virtual legal assistants. SERVICES OFFERED: - medical records review - summary and chronology - demand letters - medical records and bills acquisition - lien negotiations and reductions - subrogation - intake calls - opening claims - file management - process flows - consultation to help your firm minimize cost and increase productivity Increase your business' potential and grow your firm with competent people YOUR TOPNOTCH CHOICE FOR PERSONAL INJURY LAW FIRMS
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  • $12 hourly

    • 4.6/5
    • (37 jobs)
    I am Adnan Naseer, (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. Who I am? -Certified Medical Biller -Certified Medical Coder -Medical Auditor holding CPC and CPB from AAPC, -RCM manager and Account Receivable Specialist --credentialing specialist -Medical research writer, QA, and Regulatory pharmacist, What do I offer? 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 • Customized financial reports. • Scheduling calendar • Data Reconciliation • Account Management • Data Reconciliation • Account Management Expertise: Coding (ICD-10-CM, ICD-10-PCS, DRG, HCPCS Level II, CPT, modifier) Durable Medical Equipment (DME) Optometry and Ophthalmology PHYSICAL THERAPIST Acupuncture Ambulatory Home Health Anaesthesiology Cardiology Skilled Nursing Facility Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General Surgery Internal Medicine Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Psychiatry Radiology Podiatry Radiotherapy Rheumatology Urology Behavioural and mental health Primary care Chiropractic Emergency Labs Orthopedics Radiology Telemedicine Telehealth Pain Management Anesthesia Sports Medicine BILLING SOFTWARE EXPERTISE - AdvancedMD PM and EHR - eClinicalWorks (ECW) - Kareo (Tebra) - CollaborateMD - Carecloud - Medisoft - Athena - Dr Chrono - OFFICE ALLY - Practice Fusion - e-MED - Synamed - CriterionsEHR - Practice EHR - All Scripts - Centricity - NextGen - RXNT - Simple Practice CLEARING HOUSE WORKED ON: Trizetto Optum EDI Availity Apex Zirmed Emdeon Change Healthcare waystar 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.
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  • $10 hourly

    • 5.0/5
    • (6 jobs)
    I am a HIPAA-certified medical billing and coding specialist with years of experience supporting healthcare practices in streamlining their revenue cycle management. I bring expertise in ICD-10, CPT, and HCPCS coding, insurance billing processes, eligibility verification, and denials management. I provide end-to-end revenue cycle management tailored to your practice’s needs. I have worked with diverse specialties, managing tasks such as prior authorizations, accounts receivable, and clearinghouse rejections to optimize revenue cycle performance. Detail-oriented and results-driven, I focus on ensuring accurate claims processing, compliance, and maximized reimbursements for my clients. Let me help your practice achieve seamless billing operations and financial efficiency with precision and professionalism. Job Responsibilities includes: ✅ 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 Tools: ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox ✅ Teams ✅ Slack ✅ Tableau Specialties I have been working for are as follow: ✅ Urgent care ✅ Physical Therapy ✅ Internal Medicine ✅ Medical Care ✅ General Pediatric ✅ Massage ✅ Psychiatric ✅ Home healthcare & Hospice ✅ Family practice ✅ Elder care ✅ Chiropractic ✅ Behavioral Health ✅ rTMS & Ketamine Medical Billing software’s ✅ AdvancedMD ✅ kareo ✅ Office ally ✅ Icanotes ✅ ECW ✅ Agasta ✅ IntakeQ ✅ Chirotouch (Software & TeamViewer) ✅ Med Office ✅ Practice Fusion ✅ GHL ✅ Unified Practice ✅ ReliaTrex Clearing Houses ✅ Trizetto ✅ Availity ✅ ClaimMD ✅ Zermid EHR/EMRs ✅ Practice Fusion EHR ✅ Icanotes EHR ✅ Advanced MD EHR
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  • $18 hourly

    • 5.0/5
    • (17 jobs)
    A Certified Medical Coder/RCM Expert/Auditor/HCC-Risk adjustment coder with over 13 years of experience and command over CPT, ICD-10-CM, HCPCS-II codes, and HCC V24 & V28 risk adjustment models. Highly skilled in analyzing and validating patient information, diagnosis, procedures and coding them with the highest level of specificity and accuracy. Have complete understanding and knowledge of compliance regulations HIPAA/HITECH and PHI requirements Distinguish combination of CPC, CPMA, CRC, and Pharm-D is my strength benchmark in extracting information and assigning/Billing and auditing specific Codes related to E/M, internal medicine, Emergency, surgery ( Ambulatory ), Radiology, Pathology, Podiatry, Rheumatology, Pain Management, Ortho Upper and lower Extremities, Psychiatry, Cardiology, EP Studies, Anesthesiology, Gynecology, HCC Risk Adjustment and PQRS. Working knowledge on multiple EHRs and other Software's utilized in the industry including TalkEHR, Kareo, Athena One, Cozeva, EPIC, Advanced MD, UroChart EHR, Medics Premier, eClinical Works, Optum 365, Practice Fusion and many more.
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  • $22 hourly

    • 5.0/5
    • (52 jobs)
    ~Available to start Today~ SKILLS: PDF Mail Merge, Convert PDF to Excel, Spreadsheets, Excel, Data Entry, Word, Google Sheets, Customer Service, Accounts Receivable, Website Design, Certified Medical Coder, EXPERIENCE: 15+ years in Data Entry, Data Mitigation, Data Conversion, Excel, Customer Service, Accounts Receivable, Quality Control, and MS Office. 10+ years in Medical Billing, Insurance, Coding and Auditing I currently work as an Administrator for a small company in the United States. My daily task include anything to be done in an office setting not limited to but including: customer service, answering emails, data entry, excel and MS word. I have 10 years experience in the medical field doing Billing, Insurance and Coding. I am HIPAA compliant and currently Certified as a Certified Coding Specialist. I received my Diploma from Medvance Institute of Baton Rouge in 2007 where i graduated with a 4.0 GPA. I manage stress by prioritizing my responsibilities so I have a clear idea of what needs to be done when, has helped me effectively manage pressure on the job.
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  • $15 hourly

    • 4.9/5
    • (15 jobs)
    𝙉𝙚𝙚𝙙 𝙖 𝙙𝙚𝙙𝙞𝙘𝙖𝙩𝙚𝙙 𝙑𝙞𝙧𝙩𝙪𝙖𝙡 𝘼𝙨𝙨𝙞𝙨𝙩𝙖𝙣𝙩? I have years of experience as a Virtual Legal Assistant/ Case Manager, primarily working with various Personal Injury Law Firms across the United States. My expertise lies in pre-litigation processes. Additionally, I specialize in case auditing, ensuring that all case files are correctly organized and tasks are completed promptly. I'm excited about the opportunity to bring my skills and experience to your team and contribute to the success of you. 🔍 Legal Administrative Support and Case Management 🏥 Medical & Billing Records Retrieval Law Firm and Insurance 📑Demand & Case Summary Writing 🛠️ 𝙏𝙊𝙊𝙇𝙎 /𝘼𝙋𝙋𝙎 𝙄 𝙐𝙎𝙀 𝘾𝙖𝙨𝙚 𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩 𝙎𝙤𝙛𝙩𝙬𝙖𝙧𝙚 ✦Smokeball ✦ CasePeer ✦ MyCase 𝙑𝙊𝙄𝙋: ✦ RingCentral ✦ Dialpad ✦ Zoom phone ✦ Skype phone 𝙊𝙩𝙝𝙚𝙧 𝘼𝙥𝙥𝙨: ✦ Google Workspace ✦ Office 365 ✦ Zoom ✦ Slack ✦Asana ✦ Viewmyfax, ✦ Dropbox and Onedrive ✦ HelloSign, SignNow, and Docusign
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    Online Chat Support
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  • $15 hourly

    • 4.8/5
    • (8 jobs)
    👉10+ years Experience in the US Healthcare industry 👉HIPAA-certified 💎 𝙈𝙀𝘿𝙄𝘾𝘼𝙇 𝙑𝙄𝙍𝙏𝙐𝘼𝙇 𝘼𝙎𝙎𝙄𝙎𝙏𝘼𝙉𝘾𝙀 • Appointment Scheduling • Insurance Verification • Medical billing • Insurance claim submission and follow-up • AR Follow up on denied claims via call or websites • Patient/Insurance payment collections • Medical records request and retrieval • Data Entry • Chat/Email Support • Patient coordination • Payment Posting 💎𝙊𝙏𝙃𝙀𝙍 𝘼𝙎𝙎𝙄𝙎𝙏𝘼𝙉𝘾𝙀 • 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 • Aging report/Follow-up/Appeals • Customer services and administrative assistance • Handling patient calls regarding payments, billing records, insurance information, and appointment scheduling • Sending invoices to different offices and clients • Requesting, reviewing, organizing medical records to and from different providers 💎𝙃𝙀𝘼𝙇𝙏𝙃𝘾𝘼𝙍𝙀 𝙑𝘼 𝙏𝙊𝙊𝙇𝙎 • AdvancedMD • Simple Practice • AthenaHealth • EZClaim • Trizetto • ECW • CureMD 💎𝙎𝙋𝙀𝘾𝙄𝘼𝙇𝙏𝙄𝙀𝙎 𝙒𝙊𝙍𝙆𝙀𝘿 𝙁𝙊𝙍 • Chiropractic • Physical Therapy • Remote Cardiac Monitoring • Continuous Glucose Monitoring • Internal Medicine • Ophthalmology/Optometry
    Featured Skill Medical Records Software
    Insurance Verification
    Payment Processing
    Medical Billing & Coding
    Data Collection
    Medical Translation
    Medical Procedure Coding
    Customer Service
    Data Entry
    Accounts Receivable
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