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HIPAA-certified Medical Biller, Medical Coder & Prior Authorization Specialist | 8+ years U.S. RCM | Top Rated Plus | $100K+ earned, 8,500+ hours I help U.S. practices get paid faster: cleaner claims, fewer denials, recovered AR, and prior authorizations approved the first time. Over 5+ years supporting multi-specialty providers, I've handled end-to-end revenue cycle work as a Medical Biller, Medical Coding Specialist, Billing Specialist, and Prior Authorization Specialist. Clients keep me because I'm proactive, accurate, and I don't need to be chased for status updates. 📜 Credentials & Continuing Education ✔ HIPAA Certified ✔ AAPC-authorized coursework (via Coursera): Coding and Medical Necessity — Aug 2026 ✔ AAPC-authorized coursework (via Coursera): The Billing and Collection Process — Aug 2026 ✔ 2-year Medical Billing & Coding certification ✔ Ongoing training in CPT/ICD-10-CM updates, NCCI edits, and payer policy changes ⭐ Medical Billing & RCM ✔ End-to-end billing operations and charge entry ✔ Clean claim creation, scrubbing, and submission ✔ ERA/EOB payment posting (electronic and manual) ✔ Eligibility and benefits verification ✔ Clearinghouse rejection resolution ✔ Patient statements and billing support ⭐ Medical Coding ✔ ICD-10-CM diagnosis coding and ICD-11 support ✔ CPT procedure coding and E/M level selection ✔ HCPCS assignment for DME, supplies, and drugs ✔ Modifier application — 25, 59, 76, 77, 95, GT ✔ Medical necessity and documentation review ✔ Coding audits, CMS guidelines, NCCI edits, MUE compliance ⭐ Prior Authorization ✔ Submissions for procedures, medications, imaging, therapy, and DME ✔ Authorization requirement verification before service ✔ Payer portal, phone, fax, and electronic submissions ✔ Urgent/expedited handling and status tracking ✔ Denial review, appeals, and peer-to-peer coordination ✔ Validity, visit-limit, and expiration monitoring ✔ Retroactive authorization follow-up ⭐ Denials & AR Recovery ✔ Aging analysis and collection strategy — 30/60/90/120+ days ✔ Root-cause denial management and resubmission ✔ Insurance follow-up by phone and portal ✔ Underpayment identification and recovery ✔ Backlog cleanup and write-off reduction ⭐ Billing Team Oversight ✔ Daily workflow supervision and task allocation ✔ KPI monitoring and performance reporting ✔ Process improvement and denial-rate reduction ✔ Authorization turnaround and approval tracking ⭐ Specialties Behavioral Health • Mental Health • Psychiatry • Psychology • Therapy & Counseling • Pediatrics • Family Medicine • Primary Care • Internal Medicine • Pain Management • Anesthesia • Physical, Occupational & Speech Therapy • Cardiology • Neurology • Gastroenterology • Dermatology • Podiatry • Urology • Radiology • OB/GYN • Urgent Care • Home Health • DME ⭐ Software & Clearinghouses AthenaOne • Kareo/Tebra • eClinicalWorks • Office Ally • AdvancedMD • Practice Fusion • DrChrono • SimplePractice • CollaborateMD • RXNT • NextGen • TherapyNotes • CureMD • ModMed • WebPT • Therabill • ChiroTouch • Epic • Cerner • Medisoft • Lytec • Availity • Change Healthcare • Waystar • TriZetto • ClaimMD • ZirMed Send me your denial report, AR aging, or a sample of stuck authorizations and I'll tell you exactly where the money is leaking — before you hire me.

I am an experienced payments operations and chargeback & dispute resolution specialist with over 5 years of experience working with various merchants, including high and low risk merchants such as EMS, Maverick, Zen Payments, Pay Arc, PaySafe, Elite Payment, Elavon, PayPal, Stripe, Whop, Braintree and Square. I have extensive knowledge in maintaining merchant accounts, supporting payments operations and responding to chargeback cases. With a strong background in managing and resolving chargebacks, along with a deep understanding of dispute resolution procedures, I am confident in my ability to effectively contribute to my client's team and help ensure the resolution of disputes in a timely and favorable manner. ✅ Industries I have worked with as a Dispute Specialist: ⚫ Logo Designing, Website Development, E-book Writing, Mobile Application Development, Video Animation ⚫ E-commerce ⚫ Online Coaching Academies ⚫ Shopify ⚫ Saas Industry ⚫ Subscription based Industry ✅ Core Expertise ⚫ Chargeback & Dispute Management ⚫ PayPal Risk Management ⚫ Merchant Account Acquisition ⚫ PSP Onboarding & Payment Gateway Integration ⚫ Payment Operations Consulting ⚫ Customer Support Operations ✅ Operational Responsibilities ⚫ Fighting and managing chargeback cases ⚫ Maintaining merchant account health ⚫ Monitoring chargeback, refund, and fraud ratios ⚫ Managing chargeback alert systems (Chargeblast, Ethoca, Verifi RDR) ⚫ Coordinating with customers via email, phone, Discord, and text ⚫ Quality Assurance (QA) and process improvement ⚫ Customer retention and escalation management If you still have any questions feel free to connect. Thank you.

HIPAA-Certified Medical Billing & RCM Specialist | 12+ Years of US Healthcare Billing Experience I help US healthcare providers manage the complete revenue cycle, recover outstanding AR, resolve denials, follow up with insurance companies, and improve claim/payment workflows.** With 12+ years of US medical billing and RCM experience, I have worked with hospitals, physician practices, specialty clinics, telemedicine providers, DME suppliers, behavioral health organizations, and other healthcare businesses. I don't just identify billing problems — I investigate the issue, determine the root cause, communicate with the payer when needed, take corrective action, and follow through until the account is resolved. My Core Medical Billing & RCM Services • Full-Cycle Medical Billing & RCM • Insurance Eligibility & Benefits Verification (VOB) • Patient Registration & Demographics • Charge Entry & Charge Review • CMS-1500 / Professional Claim Submission • Primary & Secondary Claims • Clearinghouse Rejections • EOB / ERA / Payment Posting • Insurance AR Follow-Up • Aging AR Analysis • Denial Management & Appeals • Underpayment Identification & Recovery • Claim Reprocessing & Corrected Claims • Prior Authorization & Retro Authorization • Insurance/Payer Follow-Up • Patient Billing & Follow-Up • Medicare & Medicaid Billing • Commercial Insurance Billing • Monthly AR & Revenue Reporting Payers Experienced with Medicare, Medicaid, UHC, Aetna, BCBS, Cigna, Oxford, Wellcare, GEHA, Superior Health Plan, Workers' Compensation, Managed Care plans, and other commercial and government payers. Specialty Experience Behavioral Health & Psychiatry | Family/Internal Medicine | Cardiology | Oncology & Hematology | Pain Management | Neurology | Gastroenterology | Pediatrics | Physical Therapy | DME | ER | Telemedicine | Plastic Surgery | Home Health | Institutional Billing | Laboratory/Specialty Services EMR / PMS / Billing Systems eClinicalWorks | Kareo/Tebra | CureMD | AdvancedMD | athenahealth | NextGen | TherapyNotes | Practice Fusion | Medisoft | HealthFusion | GE Centricity | MD Synergy | Office Ally | eMedicalPractice I am comfortable learning new EMR/PMS platforms and adapting to different client workflows, SOPs, and payer requirements. Credentialing & Provider Enrollment I also have experience supporting: • CAQH • NPPES • PECOS • Medicare enrollment • Medicaid enrollment • Provider credentialing • Payer enrollment and revalidation AR & Denial Recovery One of my strongest areas is AR recovery and denial resolution. I review aging accounts, identify denial/rejection patterns, determine why claims were not paid correctly, contact payers when necessary, submit corrected claims or appeals, and maintain follow-up until resolution. My approach is focused on revenue recovery, clean claim submission, accurate documentation, and preventing recurring billing problems. Communication & Client Handling I have strong English communication skills and experience communicating with: • Insurance representatives • Patients • Providers • Practice managers • Billing teams • Healthcare administrators I can work independently with minimal supervision, follow instructions carefully, document my work, and escalate issues with research and proposed solutions—not simply problems. Remote Communication I have a US phone number and experience using Skype, MagicJack, Vonage, 8x8, Remote Desktop, TeamViewer, LogMeIn, GoToMeeting, and other remote collaboration tools. I also maintain a reliable dedicated internet connection for consistent client communication and remote work. Leadership & Operations Beyond individual billing tasks, I have experience with: • Team supervision • Staff training • Workflow optimization • SOP implementation • SLA compliance • Quality monitoring • Performance reporting • AR reporting • Process improvement • Client communication What You Can Expect From Me ✔ 12+ years of US medical billing & RCM experience ✔ HIPAA-certified medical billing professional ✔ Full-cycle RCM knowledge ✔ Strong AR & denial management experience ✔ Insurance verification & VOB expertise ✔ Prior authorization experience ✔ Medicare & Medicaid experience ✔ Strong payer follow-up skills ✔ Excellent English communication ✔ Independent problem-solving ✔ Fast adaptation to new systems ✔ Reliable long-term support

Struggling with denied claims, delayed payments, or credentialing issues? I help healthcare providers streamline billing, reduce denials, and maximize revenue—so you can focus on patient care. I’m a HIPAA-compliant Medical Billing & RCM Specialist with 6+ years of experience supporting clinics, private practices, and solo providers across multiple specialties. What I Can Do for You: • End-to-end Revenue Cycle Management (RCM) • Accurate Medical Billing & Coding (CPT, ICD-10, HCPCS) • Insurance Verification & A/R Follow-Up • Denial Management & Appeals • Credentialing & Payer Enrollment • Patient Billing & Admin Support Tools I Use: Epic, Cerner, eClinicalWorks, Kareo/Tebra, AdvancedMD, Athenahealth, Availity & more Why Choose Me: ✔ Reduce claim denials & increase collections ✔ Transparent communication & timely updates ✔ 100% HIPAA-compliant processes ✔ Reliable, detail-oriented, results-driven 💬 Let’s optimize your revenue cycle and improve your cash flow—available to start immediately.