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
ICANotes
Session Health
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!
Inayat S.
Virtual assistance, Medical Biller and Credentialing specialist
Rawalpindi, Pakistan
$8/hr$8 per hour5.0 (9) 17 jobs $20K+ total earnings
Dear Client,
I am a HIPAA-certified professional Credentialing and Medical Billing Expert with more than 10 years of experience in the U.S. healthcare industry. I have been assisting medical providers and practices with complete revenue cycle management, credentialing, enrollment, medical billing, and administrative support.
Below are my key duties and job responsibilities:
Patient registration and patient management
Eligibility and benefits verification
Claim submission
Obtaining prior and retro authorizations
Payment posting from ERA/EOB, payer websites, and patient payments
Aging report follow-up and appeals
Customer service and administrative assistance
Denial management
Handling patient concerns and invoicing
Bookkeeping and QuickBooks support
Specialties I have worked with include:
Urgent Care
Home Healthcare
Physical Therapy
Occupational Therapy
Speech Therapy
Cognitive and Behavioral Therapy
Mental Health
Anesthesia
Acupuncture
Family Practice
Internal Medicine
Cardiology
Radiology
Podiatry
Dietitians
Inpatient Billing for Surgeons/Assistant Surgeons
Gynecology
Oncology
Medical Billing Software:
Simple Practice, AdvancedMD, Kareo, Office Ally, Docutap, Athena, Therabill, eClinicalWorks, EZClaim, TheraNest, CMD, ClinixPM, eThomas, Intergy, TherapyNotes
EHR/EMR Systems:
Kareo EHR, WebPT, Practice Fusion, HelloNote, Salesforce, Office Ally
Bookkeeping Software:
QuickBooks, Xero, FreshBooks, Wave, and Zoho Books
Credentialing and Enrollment Services:
Medicare and Medicaid enrollment
Commercial payer enrollment
Credentialing and re-credentialing with commercial insurance, networks, workers’ compensation, and government plans
Contracting for commercial insurance, networks, workers’ compensation, and government plans
Fee negotiation for commercial insurance, networks, and workers’ compensation
Insurance web portal management
CAQH application creation and updates
PECOS enrollment
Individual NPI application creation and updates
Group NPI application creation and updates
State license, DEA, and CDS applications, renewals, and updates
Regards,
Inayat
Samira T.
Credentialing & Enrollment Specialist | Medical Virtual Assistant
Murray, Utah
$15/hr$15 per hour5.0 (1) 2 jobs $4K+ total earnings
500+ provider applications approved, spanning commercial payers (Aetna, Cigna, BCBS) and government programs (Medicare, Medicaid), most cleared on the first submission. I'm a Credentialing Specialist and Medical Virtual Assistant, Rising Talent on Upwork, based in the US and working Eastern time.
CREDENTIALING & PROVIDER ENROLLMENT
▪ CAQH Setup & Maintenance: Profile creation, ongoing updates, and re-attestation so nothing lapses.
▪ Payer Enrollment: Initial enrollment and revalidation across commercial carriers and government programs (Medicare, Medicaid), with a track record of first-time approval on most applications.
▪ Recredentialing: Proactive tracking of expiration and revalidation dates so providers stay in-network without gaps.
▪ Active Follow-Up: Direct payer communication until an application is actually approved, not just submitted.
MEDICAL VIRTUAL ASSISTANCE
▪ Verification of Benefits: Confirming deductibles, copays, and coinsurance before a patient is seen.
▪ Prior Authorizations: Tracked end-to-end to prevent treatment delays or denials.
▪ Patient & Provider Scheduling: Calendar management across major EHR platforms to keep provider time optimized.
Based in the US, Eastern time zone, so provider enrollment calls and patient scheduling happen in real time, not queued for the next business day.
If a provider is stuck mid-enrollment or a CAQH profile has lapsed, send me a message and tell me where things stand.
Mujahid R.
Medical Billing | Insurance Credentialing RCM, Healthcare Practices
Rawalpindi, Pakistan
$11/hr$11 per hour4.9 (23) 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.
𝗥𝗘𝗦𝗨𝗟𝗧𝗦 𝗜 𝗗𝗘𝗟𝗜𝗩𝗘𝗥
▪ Denial rate below 3%
▪ Clean claim rate above 98%
▪ Days in AR down to 18–34 days
▪ Up to 30% revenue lift after a full workflow cleanup
𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗜𝗟𝗟𝗜𝗡𝗚 & 𝗖𝗢𝗗𝗜𝗡𝗚
▪ Medical billing and coding: CPT, ICD-10, HCPCS and modifier accuracy + claim scrubbing
▪ Eligibility verification, benefits checks, prior authorization and referrals
▪ NCCI edits, MUE compliance and bundling rules
▪ Telehealth billing (POS 02/10, modifiers 95 and GT)
▪ Denial management: root-cause analysis, appeals, peer-to-peer support
▪ AR follow-up by aging bucket (0–30, 31–60, 61–90, 90–120+)
▪ Charge entry, payment posting and ERA reconciliation
𝗖𝗥𝗘𝗗𝗘𝗡𝗧𝗜𝗔𝗟𝗜𝗡𝗚 & 𝗣𝗥𝗢𝗩𝗜𝗗𝗘𝗥 𝗘𝗡𝗥𝗢𝗟𝗟𝗠𝗘𝗡𝗧
▪ Provider enrollment, individual and group: Medicare, Medicaid, Tricare, all major commercial payers
▪ CAQH registration, attestation and ongoing maintenance
▪ NPPES / NPI setup and updates
▪ Primary Source Verification and recredentialing
▪ License and malpractice expiration tracking
▪ ERA / EFT / ACH enrollment and PMS linking
𝗘𝗛𝗥 𝗦𝗘𝗧𝗨𝗣 & 𝗖𝗟𝗘𝗔𝗥𝗜𝗡𝗚𝗛𝗢𝗨𝗦𝗘 𝗖𝗢𝗡𝗙𝗜𝗚𝗨𝗥𝗔𝗧𝗜𝗢𝗡
▪ Full EHR / EMR build: payer setup, fee schedules, code libraries, encounter templates
▪ EDI and ERA connections: Availity, Waystar, Change Healthcare, Trizetto, ClaimMD, Office Ally
▪ Workflow automation for submission, posting and daily operations
𝗥𝗘𝗣𝗢𝗥𝗧𝗜𝗡𝗚 & 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘 𝗙𝗜𝗡𝗔𝗡𝗖𝗜𝗔𝗟𝗦
▪ Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, collections
▪ Fee schedule review and payer rate negotiation support
▪ Cash flow planning and HIPAA/payer compliance checks
▪ Written SOPs for every RCM workflow
𝗣𝗟𝗔𝗧𝗙𝗢𝗥𝗠𝗦 𝗜 𝗪𝗢𝗥𝗞 𝗜𝗡
eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, AthenaHealth, AdvancedMD,
CollaborateMD, SimplePractice, TherapyNotes, Insync/Qualifacts, Office Ally, KanTime,
EmpowerEMR, Apollo, SessionHealth, Lauris Online — and more. Not listed? Just ask.
𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗧𝗜𝗘𝗦
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 — which means I know how payer behavior shifts across care settings.
𝗪𝗛𝗬 𝗖𝗟𝗜𝗘𝗡𝗧𝗦 𝗦𝗧𝗔𝗬
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 — and how to fix it.
𝗥𝗘𝗔𝗗𝗬 𝗧𝗢 𝗦𝗧𝗔𝗥𝗧?
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.
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