Hire the Best Mediware AlphaFlex Specialists

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Kathlynn Amor V.

Caloocan City, Philippines

$15/hr
4.4
1 jobs

I’m a Medical Billing and Healthcare RCM professional with 7 years of experience supporting U.S. healthcare operations. My expertise includes medical and DME billing, claims processing, insurance verification, referrals, scheduling, prior authorization, denials, and healthcare administrative support. I have experience working with Medicare, Medicare Advantage, Medicaid, and commercial payors. I support healthcare organizations with: • Medical & DME Billing • Claims Processing & Denials • Insurance Verification • Medicare & Commercial Claims • Prior Authorization & Referrals • Scheduling & Administrative Support Tools & Systems: eClinicalWorks (eCW), OpenPM, Availity, PVerify, Noridian, CGS, NGS, Lucrum, and Microsoft Office.

  • Medical Billing & Coding
  • Insurance Verification
  • Medical Billing
  • Insurance Consulting
  • Accounts Receivable Management
  • Medical Referrals
  • Customer Service
  • Administrative Support
  • Data Entry
  • Medical Records
  • EMR Data Entry
  • English
  • Accuracy Verification
  • Insurance Claim Submission
  • Accounts Receivable
Chandan S.

New Delhi, India

$25/hr
4.8
51 jobs

A proven track record in full-stack web and mobile application development, I help startups and enterprises build scalable, secure, and AI-powered applications from idea to production. I work closely with clients throughout the entire product lifecycle — from requirement analysis and architecture design to UI/UX, development, deployment, and scaling. My experience spans modern JavaScript frameworks, Python/Node/,NetCore based backends, cloud infrastructure, and AI-driven development workflows, enabling me to deliver solutions that are both technically robust and business-focused. I have successfully built simple MVPs to complex enterprise platforms across industries such as Healthcare, FinTech, Logistics, Marketplaces, and Social Platforms. ✅ Healthcare expert ✅ Custom EMR/EHR development ✅ Interoperability - FHIR/HL7 ✅ PACS/DICOM ✅ LIMS ✅ Health Insurance & Claim Management ✅ HIPAA/GDPR ✅ Ready to start immediately! ✅ High Quality and strong Skills. Domain Expertise: Healthcare- HIPAA, HIX, EMR-EHR, PMS, FHIR, HEDIS, CCDA, EDI, ICD-10/11, CPT, SNOMED, Meaningful use (MU) 1,2,3, Compliance, HL7, Telehealth, Telemedicine, Homecare, m-Health, Medication/Care Management, Wearable integration, Medical Billing, Clinical Analytics, Insurance, Preventive, Wellness, Health risk assessment Experienced in integration of multiple EHR’s to the healthcare applications like GE Centricity, Allscripts, EPIC, iKnowMed, Cerner, Athena marketplace, eClinicalWorks, NextGen, Greenway etc. I have proficiency in the full life cycle of solution development (end to end) business requirements, functional and technical specifications, data modelling transactional and dimensional data, ETL, data analysis solutions, dashboards, scorecards, and reports. Using tools like Info Sphere Data Architect, Cognos Business Intelligence, IBM Cognos Report Studio, IBM Cognos Framework Manager. With a special focus on the US Healthcare Industry, I do provide wide range of services in the industry that can be summarized as follows: -- RCM -- Electronic Medical Record (EMR) Development -- Electronic Health Record (EHR) System Development -- Billing System, DICOM Viewer -- Healthcare Interoperability, -- HIPAA Consultancy, -- Meaningful use (MU) Certification, -- HL7 Messaging, -- CCDA, FHIR, HEDIS -- Telemedicine Our offerings ---------------- -HIT Software Development Service -LIMS for comprehensive lab workflow management -HIPAA Consultancy and HEDIS measures implementation. -Healthcare Interoperability Modules & HL7 Messaging (ADT, ORU, ORM, etc.) -EMR/EHR Systems -Certifications and Compliance (MU Certification) -Seamless Integration with Radiology, Laboratory, and Pharmacy Systems -Billing Management and EDI Processing Systems (EDI 837, 835, 270, 271, 276, 277, 999 etc.) -Medical Coding Database Management (ICD9, ICD10, SNOMED, RxNorms, NDC, LOINC, CPT, HCPCS, E/M, PQRS) -DICOM Viewer & PACS Solutions -Provider Networking & Credentialing -Tele-Health, Tele-Medicine, Remote monitoring -Mobile applications and device Integration In sync with the latest standards and technologies in the Industry, you can expect the excellence in all the aspect of IT Services & Solutions, be it Security (from HIPAA point of View), Turn Around Time (for innovative products), Cost-Effective, Industry-oriented, and User-Friendly.

  • ASP.NET Core
  • FHIR
  • Telemedicine
  • LIMS
  • Electronic Data Interchange
  • Healthcare Interoperability
  • API
  • Electronic Medical Record
  • HIPAA
  • Health Level 7
  • React
  • DICOM
  • Node.js
  • OpenAI API
  • Generative AI
  • Large Language Model
  • Docker
  • CI/CD
  • Amazon Bedrock
  • GitHub Copilot
Amir T.

Rawalpindi, Pakistan

$6/hr
5.0
4 jobs

Hello! I am a Medical Billing and Revenue Cycle Management (RCM) professional with 8+ years of experience supporting healthcare providers, clinics, and multi-specialty practices within the U.S. healthcare system. My work focuses on managing the entire billing cycle in a structured and accurate way — from patient eligibility and charge entry to claim submission, denial resolution, and payment follow-up. I aim to help healthcare practices maintain steady cash flow, minimize claim rejections, and ensure compliance with insurance and CMS billing standards, including proper ICD-10 and CPT usage. Throughout my career, I have handled both independent responsibilities and team-based operations, including workflow coordination, high-volume billing accounts, and communication with insurance payers across different specialties. 🚀 Areas of Expertise I provide full-cycle Revenue Cycle Management services, including: • Complete Medical Billing Operations • Insurance Eligibility & Benefits Verification • Clean Claim Submission (CMS-1500 / UB-04) • Denial Management, Appeals & Claim Corrections • Accounts Receivable (AR) Follow-up and Aging Management • Payment Posting and ERA/EOB Reconciliation • Prior Authorization Processing and Referral Handling • Provider Credentialing and Enrollment (CAQH, PECOS) • ICD-10, CPT, and HCPCS Coding Support • HIPAA-Compliant Data Handling and Documentation 🏥 Healthcare Experience I have worked with a wide range of specialties, including: Internal Medicine | Family Practice | Behavioral Health | Psychiatry | Psychology Dermatology | Cardiology | Orthopedics | Podiatry | Physical Therapy Urgent Care | Laboratory Services | DME | Pain Management | Telehealth Workers’ Compensation and No-Fault (PIP) Billing I am also comfortable adapting to new specialties and workflows quickly based on client needs. 💻 Systems & Software Experience eClinicalWorks | Kareo/Tebra | AdvancedMD | NextGen | Office Ally Athenahealth | ModMed | CollaborateMD | DrChrono | Medisoft TherapyNotes | Practice Fusion | SimplePractice 🌐 Insurance & Payer Knowledge Medicare | Medicaid | BCBS | Aetna | Cigna | UnitedHealthcare Humana | Tricare | Molina Healthcare | Commercial and State Insurance Plans 📊 What I Have Achieved In my professional experience, I have consistently contributed to: • Increasing clean claim rates through accurate billing review • Reducing outstanding AR by improving follow-up processes • Strengthening revenue cycle performance for healthcare practices • Supporting billing teams with training and workflow improvements • Assisting with successful credentialing and payer enrollment processes 💡 What You Can Expect ✔ Reliable and accurate billing support ✔ Strong understanding of U.S. insurance and CMS guidelines ✔ Focus on reducing denials and improving reimbursements ✔ Organized workflow and clear communication ✔ Commitment to improving overall revenue cycle performance.

  • Medical Billing & Coding
  • Insurance Verification
  • HIPAA
  • Accounts Receivable Management
  • Insurance Claim Submission
  • Electronic Health Record
  • eClinicalWorks
  • General Transcription
  • Microsoft Excel
  • Microsoft Word
  • Data Entry
  • Project Management
  • Accounts Payable
  • Appointment Scheduling
  • Medical Billing
  • Medical Mastermind Medical Billing Services
  • Healthcare Management
Muhammad zohaib A.

Rawalpindi, Pakistan

$6/hr
5.0
1 jobs

Muhammad Zohaib – Your Reliable Medical Billing & RCM Specialist 💼 *“Simplified Billing, Maximized Revenue – Let’s Optimize Your Revenue Cycle.”* With **5+ years of hands-on experience** in **Medical Billing and Revenue Cycle Management (RCM)**, I help healthcare providers improve reimbursement rates, reduce denials, and maintain efficient billing operations. My goal is to manage the billing workflow smoothly so you can focus on delivering patient care. ### **Why Choose Me?** ✅ **Complete RCM & Billing Support** I handle the entire billing lifecycle — charge entry, payment posting, AR follow-ups, denial resolution, eligibility verification, and prior authorization processing. Skilled in multiple EMR/EHR systems and payer portals. ✅ **Clean Claim Submission & Accuracy** I prioritize correct coding and clean claim submission to reduce rejections and speed up payment turnaround. ✅ **Denial & Rejection Management Specialist** I identify denial trends, submit appeals, fix root causes, and implement preventive strategies to maximize reimbursements. ✅ **Insurance Verification & Authorizations** Accurate eligibility verification and timely authorization handling to avoid payment delays and claim losses. ✅ **HIPAA Compliant & Confidential** Strict adherence to data privacy and security standards throughout the billing process. --- ### **RCM Services I Provide** * Medical Billing & Coding Support * Eligibility & Benefits Verification (VOBs) * Prior Authorization Management * Claim Submission & Tracking * Payment Posting * Denial & Rejection Management * AR Follow-Ups & Collections --- ### **Specialties I Have Worked With** Internal Medicine, Family Medicine, Behavioral Health, Mental Health, Cardiology, Pain Management, Neurology, Pediatrics, Physical Therapy, Chiropractic, and more. --- ### **Software & Portals Experience** Kareo, AdvanceMD, eClinicalWorks, DrChrono, Practice Fusion, AthenaHealth, ChiroTouch, Availity, Navinet, Medicare & Medicaid portals, UHC, Aetna, Cigna, BCBS, Humana, etc. --- **Let’s work together to streamline your billing workflow, reduce denials, and increase your revenue.** 📩 *Send a message to schedule a consultation.*

  • Medical Billing
  • Medical Billing & Coding
  • Preauthorization
  • VOB
  • Insurance Claim Submission
  • Payment Processing
  • Insurance Verification
  • Virtual Assistance
  • Customer Service
  • Data Entry
  • Project Management
  • ICD Coding
  • Healthcare Management
  • Administrative Support
  • Customer Support
Ghulam M.

Karachi, Pakistan

$35/hr
5.0
1 jobs

I’m a PACS Administrator with over 10 years of experience in Radiology and Cardiology imaging systems. I specialize in setting up, maintaining, and customizing PACS/RIS systems, including: ✅ dcm4chee (v2 and v5), Orthanc, Conquest Dicom Server ✅ OHIF, Weasis, MicroDicom , K-PACS, ClearCanvas and Oviyam dicom viewers ✅ Mirth Connect ,FHIR , EMR , VNA archiving ✅ Docker PACS deployments ✅ DICOM routing, storage, anonymization ✅ HL7 integration (with Radiology workflows) ✅ SQL Server, MySQL, PostgreSQL, MariaDB database tuning for PACS ✅ Windows, Linux (Debian, Ubuntu) for PACS deployment I’ve worked with hospitals, diagnostic centers, and teleradiology firms to: - Improve report turnaround time - Optimize imaging workflows - Reduce system downtimes - Set up secure remote access for radiologists 💡 I can help you set up a fully remote, secure, and stable PACS system from scratch or optimize your existing infrastructure. Let’s connect — I’d love to help your clinic, startup, or imaging center run more efficiently and securely.

  • System Administration
Muhammad A.

Karachi, Pakistan

$12/hr
4.3
8 jobs

🌟𝙄𝙨 𝙮𝙤𝙪𝙧 𝙧𝙚𝙫𝙚𝙣𝙪𝙚 𝙘𝙮𝙘𝙡𝙚 𝙡𝙤𝙨𝙞𝙣𝙜 𝙢𝙤𝙣𝙚𝙮 𝙙𝙪𝙚 𝙩𝙤 𝙙𝙚𝙣𝙞𝙖𝙡𝙨, 𝙚𝙧𝙧𝙤𝙧𝙨, 𝙤𝙧 𝙙𝙚𝙡𝙖𝙮𝙨?🌟 Late payments, claim rejections, and outdated credentialing can seriously impact your cash flow. As a HIPAA-Certified CPB Professional with 8+ years in Medical Billing & Revenue Cycle Management (RCM), I streamline your entire process ensuring compliance, maximizing reimbursements, and reducing costly denials. 🔧 𝗪𝗵𝗮𝘁 𝗜 𝗢𝗳𝗳𝗲𝗿: 🔹 𝗖𝗼𝗺𝗽𝗿𝗲𝗵𝗲𝗻𝘀𝗶𝘃𝗲 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 & 𝗖𝗼𝗱𝗶𝗻𝗴: I ensure clean claim submissions with accurate coding using ICD-10, CPT & HCPCS. Whether you're a private practice, multi-specialty group, or billing company—I’ve got you covered! ✅ Charge entry & claim generation ✅ Primary, secondary, tertiary claim processing ✅ Denial management & appeals ✅ AR follow-up & payment posting ✅ Patient statements & billing inquiries 🔹 𝗣𝗿𝗼𝘃𝗶𝗱𝗲𝗿 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝗶𝗻𝗴 & 𝗣𝗮𝘆𝗲𝗿 𝗘𝗻𝗿𝗼𝗹𝗹𝗺𝗲𝗻𝘁: I manage the full lifecycle of provider onboarding, revalidations, and enrollment across payers—ensuring you never miss a reimbursement opportunity. ✅ CAQH profile setup/maintenance ✅ Medicare, Medicaid, Commercial payer enrollment ✅ Re-credentialing & tracking ✅ ERA/EFT setup and insurance correspondence 🔹 𝗣𝗿𝗶𝗼𝗿 𝗔𝘂𝘁𝗵𝗼𝗿𝗶𝘇𝗮𝘁𝗶𝗼𝗻 & 𝗘𝗹𝗶𝗴𝗶𝗯𝗶𝗹𝗶𝘁𝘆: Verifying patient coverage and securing pre-authorizations saves time and prevents rejections. I handle this with precision—so you can focus on care delivery. ✅ Eligibility verification & benefits breakdown ✅ Prior & retro authorization management ✅ Coordination with referring offices & patients 🔹 𝗘𝗛𝗥 & 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗦𝗼𝗳𝘁𝘄𝗮𝗿𝗲 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲: 💻 AdvancedMD | Kareo | eClinicalWorks | Athena | DrChrono | Practice Fusion 🏥 Navinet | Availity | Payspan | UHC | Humana | Medicare | Medicaid Portals 🔹 𝗥𝗲𝗽𝗼𝗿𝘁𝗶𝗻𝗴, 𝗔𝘂𝗱𝗶𝘁𝗶𝗻𝗴 & 𝗥𝗖𝗠 𝗢𝗽𝘁𝗶𝗺𝗶𝘇𝗮𝘁𝗶𝗼𝗻: With a data-driven mindset, I provide insights to enhance collection rates and detect RCM gaps. ✅ Aging report analysis ✅ Documentation review for coding accuracy ✅ Reimbursement trend tracking ✅ Compliance audits (HIPAA + payer policies) 💡 𝗪𝗵𝘆 𝗪𝗼𝗿𝗸 𝗪𝗶𝘁𝗵 𝗠𝗲? ✔ HIPAA & CPB Certified – Fully Compliant ✔ Detail-Oriented with 98%+ Accuracy ✔ Seamless Communication & On-Time Delivery ✔ Hands-on Experience with Diverse Specialties ✔ Transparent Reporting & Workflow Updates 🚀 𝗥𝗲𝗮𝗱𝘆 𝘁𝗼 𝗲𝗻𝗵𝗮𝗻𝗰𝗲 𝗿𝗲𝗶𝗺𝗯𝘂𝗿𝘀𝗲𝗺𝗲𝗻𝘁 𝗿𝗮𝘁𝗲𝘀 𝗮𝗻𝗱 𝗿𝗲𝗱𝘂𝗰𝗲 𝗰𝗹𝗮𝗶𝗺 𝗲𝗿𝗿𝗼𝗿𝘀? Let’s collaborate and scale your medical billing operations with confidence and clarity. 📩 ✅Keywords: Medical billing, CPB, HIPAA-compliant billing, provider credentialing, insurance enrollment, revenue cycle management, ICD-10 coding, CPT coding, AR follow-up, denial management, claim resubmission, EHR systems, AdvancedMD, Kareo, Medicare billing, payer portal navigation, practice optimization, medical claims processing, out-of-network billing, payment posting, clearinghouse management, medical billing audit, credentialing specialist, prior authorization, retro authorization, insurance verification, patient eligibility check, superbill processing, compliance auditing, CPT modifiers, EOB review, ERA posting, telemedicine billing, UB-04 form processing, CMS-1500 claim forms, appeals and reconsideration, HMO/PPO insurance billing, DME billing, multi-specialty billing, medical collections, Medicare Advantage plans, provider NPI registration, insurance follow-up, claim denial appeal letters, payer contract analysis, revenue leakage prevention, monthly RCM reporting.

  • Medical Billing & Coding
  • Records Management
  • EMR Data Entry
  • Medical Billing
  • Medical Records
  • Medical Procedure Coding
  • ICD Coding
  • Insurance Claim Submission
  • HIPAA
  • eClinicalWorks
  • Virtual Assistance
  • Data Entry
  • Transaction Data Entry
  • Revenue Cycle Management
  • Accuracy Verification

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