Hire the Best Mediware AlphaFlex Specialists

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!

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.

I am a licensed Medical Doctor (MD) with over 3 years of hands-on experience in U.S. telemedicine clinical operations and more than 5,000 billed hours on Upwork. I specialize in bridging the gap between clinical expertise and administrative efficiency to help healthcare practices scale safely and accurately. My background goes beyond standard virtual assistance; I provide Clinical Decision Support. I understand the pathology behind documentation, the critical role of biomarker interpretation in specialized therapies (including HRT/TRT protocols), and the strict demands of U.S. healthcare compliance. Core Expertise: ✅ EMR/EHR Mastery: Expert user of athenaOne, eClinicalWorks (eCW), Practice Better, and IntakeQ. ✅ Clinical Documentation: High-precision SOAP notes, medical scribing, and clinical history chronologies. ✅ Hormonal Protocol Support: Experience monitoring LH, FSH, Testosterone, and Estradiol levels for HRT clinics. ✅ Regulatory Compliance: Deep knowledge of HIPAA, PDMP registries, and DEA guidelines for controlled substances. ✅ Care Coordination: Managing Quest/LabCorp portals, prescription refills, and clinical triage. I am fully bilingual (English/Spanish), highly disciplined, and committed to zero-error data integrity. My goal is to streamline your clinical workflow and eliminate administrative friction so providers can focus entirely on patient care. Available for long-term collaboration. Let us connect to optimize your practice operations!

Struggling with claim denials, rejections or slow reimbursements across your practice? I provide end-to-end Medical Billing and Revenue Cycle Management (RCM) support for U.S. healthcare providers, with particular expertise in home health/homecare billing, along with experience across podiatry, pain management, medicare GUIDE, pediatric, and mental & behavioral health billing. My approach combines HIPAA-compliant workflows, proactive communication, and attention to detail with a focus on measurable results — fewer denials, faster payments, and cleaner AR. ### Services * Patient eligibility & benefits verification * CPT/ICD-10/HCPCS coding review & charge entry * Claims submission & clean-claim review — electronic & paper * Payment posting & ERA/EOB reconciliation * Denial management & appeals * AR follow-up & aging cleanup * EVV data, authorization & service-unit matching for home health claims * Billing reports & analytics ### Specialties * Home Health / Homecare * Podiatry * Pain Management * Pediatric Care * Mental & Behavioral Health ### Billing Systems * HHAeXchange * AthenaOne * Populate * Ensora * AxisCare * AlayaCare * MatrixCare * Charm and others ### Clearinghouses * Availity * Stedi ### Payers * Medicare * Medicaid * Medicare Advantage * UPMC * UHC * Aetna * Anthem * Cigna * CareSource * AmeriHealth * Keystone * Centene / PA Health & Wellness * Molina * VA CCN * Humana * Some dual Plans and others ### What Sets Me Apart My background in data analytics — including SQL, SSIS, Power BI, and workflow automation — allows me to identify billing patterns, reporting gaps, and AR issues that can be difficult to catch through manual review alone. This is especially valuable if you need more than claim-by-claim billing support and want ongoing visibility into AR performance, denial trends, and reimbursement issues. Let's talk about what's slowing down your reimbursements.