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.
Payment Processing
Account Management
Medical Billing & Coding
ICD Coding
Microsoft Excel
Data Entry
Customer Support
HIPAA
Healthcare Common Procedure Coding System
Accounts Payable
Accounts Receivable Management
Dental Care
Transaction Data Entry
Account Reconciliation
Insurance Claim Submission
Danial Ahmed H.
Islamabad, Pakistan
$15/hr
5.0
6 jobs
Medical Billing, Medical Coding & Credentialing Specialist | RCM | AR Follow-Up | Denial Management | CAQH & PECOS | Insurance Verification | Prior Authorization
I help U.S. healthcare providers streamline medical billing, medical coding, and provider credentialing to reduce denials, speed up reimbursements, and maximize revenue. With 7+ years of experience in Revenue Cycle Management (RCM), I specialize in ICD-10 & CPT coding, HCPCS coding, CMS-1500 & UB-04 claims, claim scrubbing, modifiers, EDI enrollment, denial management & appeals, accounts receivable (AR) follow-up, payment posting (EOB/ERA), ERA/EFT setup, coordination of benefits (COB), provider credentialing & payer enrollment, CAQH attestation, PECOS enrollment, NPI registration, Medicare & Medicaid revalidation, commercial insurance paneling, prior authorization, and insurance eligibility verification (VOB).
I have successfully worked with 60+ U.S. healthcare clients across multiple specialties, working with major payers including Medicare, Medicaid, BCBS, Aetna, UHC, and Cigna — using leading EMR/EHR and medical billing software to ensure accuracy, HIPAA compliance, clean claims, and fast reimbursements. My clean claim rate consistently runs 95%+, with measurable reductions in denial rates and improved collections for every client.
What I Do
1. Medical Billing & Clean Claims Submission – CMS-1500/UB-04 claims, accurate coding, claim scrubbing, fewer rejections, faster reimbursements
2. Denial Management & Appeals – identify denial trends, resubmit claims, recover lost revenue
3. Accounts Receivable (AR) Management & Payer Follow-Up – reduce AR days, track outstanding claims, improve cash flow
4. Insurance Verification & Prior Authorization – Medicare, Medicaid, and commercial payers across multiple states
5. Provider Credentialing & Payer Enrollment – CAQH attestation, PECOS, NPI registration, Medicare/Medicaid revalidation, commercial insurance paneling for faster onboarding
6. Revenue Cycle Management (RCM) & Workflow Optimization – identify billing gaps, implement processes, increase net revenue
Specialties
Primary Care | Family Practice | Internal Medicine | Mental Health Billing | Psychiatry | Behavioral Health Billing | Cardiology | Pediatrics | Orthopedics | Pain Management | Physical Therapy Billing | Occupational Therapy | Speech Therapy | Gastroenterology | Pulmonology | Dermatology | OB/GYN | Podiatry | Urgent Care | Telehealth Billing | Chiropractic Billing | DME Billing
EMR / EHR & Medical Billing Software
Kareo | AdvancedMD | Office Ally | NextGen | eClinicalWorks | DrChrono | Athenahealth | PracticeSuite | SimplePractice | TherapyNotes | Availity | Waystar | Epic | CureMD | Practice Fusion | CollaborateMD
Why Clients Hire Me
I treat every practice's revenue cycle as my own. My focus is on clean claims, fast reimbursements, minimal denials, and full HIPAA compliance — so providers can focus on patient care while I manage medical billing, medical coding, credentialing, AR follow-up, and revenue cycle optimization.
If you're looking for a reliable, results-driven Medical Billing & RCM Specialist experienced in credentialing, denial management, and payer enrollment — let's connect. I'm here to help your practice reduce denials and increase collections.
Best,
Danial Ahmed Hashmi
Payment Processing
Insurance Verification
Virtual Assistance
Electronic Health Record
HIPAA
Compliance
VOB
Microsoft Excel PowerPivot
Medical Billing & Coding
Medical Procedure Coding
Insurance Claim Submission
ICD Coding
Appointment Scheduling
Accounts Receivable
EMR Data Entry
Usama W.
Islamabad, Pakistan
$8/hr
5.0
7 jobs
Hi, I’m Usama Waheed, a HIPAA-Certified Medical Biller & RCM Specialist with 6 years of experience supporting U.S. doctors, clinics, and hospitals. I help healthcare practices reduce claim denials, clean up A/R, speed up reimbursements, and improve cash flow (up to 30%) through accurate, compliant, and efficient billing workflows.
I help healthcare providers increase revenue, clean up aging accounts receivable, and ensure faster reimbursements through accurate and compliant billing workflows.
If you’re dealing with denials, rejections, slow payments, credentialing delays, or EMR issues, I can help.
✅ What I Can Do for Your Practice
• End-to-End Medical Billing & Coding
• Complete Revenue Cycle Management (RCM)
• Eligibility & Verification of Benefits (VOB)
• Prior & Retro Authorizations
• Claim Creation & Submission (CMS-1500 / UB-04)
• Denial Management, Appeals & Peer-to-Peer Support
• Accounts Receivable (A/R) Follow-Up & Recovery
• Payment Posting (ERA / EOB / EFT)
• Provider Credentialing & Enrollment
• Medical Virtual Assistant & Front Desk Support
I follow CMS and commercial payer guidelines, apply NCCI edits, MUEs, proper CPT/HCPCS/ICD-10 coding, modifiers, add-on codes, and payer-specific rules to ensure clean claims and maximum reimbursement.
🏥 Credentialing & Enrollment
• Individual & group provider enrollment
• Medicare, Medicaid, Commercial & Tricare
• CAQH registration, attestation & maintenance
• NPPES / NPI setup & updates
• Primary Source Verification (PSV)
• License & malpractice insurance tracking/renewals
• ERA / EFT / ACH enrollment & setup
• Clearinghouse configuration
💻 EHR / EMR & Billing Software Experience
EHR / PM Systems:
AdvancedMD, Athena, Kareo (Tebra), Office Ally, eClinicalWorks (eCW), TherapyNotes, SimplePractice, TherapyMate, ICANotes, Practice Fusion, NextGen, ModMed, Insync Qualifacts & more
Clearinghouses:
Availity, Change Healthcare, Waystar, TriZetto, ClaimMD
Insurance Portals:
Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, Tricare, Molina, Anthem, Navinet, Payspan, Zelis
🩺 Specialties I’ve Worked With
• Mental & Behavioral Health
• Primary Care & Internal Medicine
• Family Practice & Pediatrics
• Cardiology & Pain Management
• Dermatology & Wound Care
• Physical Therapy & Chiropractic
• Allergy & Immunology
• Urgent Care & ER Billing
• Home Healthcare & Skilled Nursing
📊 Results & Value I Bring
• Increased client revenue by up to 30%
• Reduced 90+ day A/R by 55% within 3 months
• Achieved 98% first-pass clean claim acceptance
• Recovered $120,000+ in aging A/R
🔐 Compliance & Reporting
• HIPAA-compliant billing processes
• Weekly & monthly KPI reports
• Denial rate, clean claim rate & days in A/R
• Cash-flow improvement & fee schedule review
🤝 Why Hire Me on Upwork?
✔ No upfront fees — pay only when satisfied
✔ Reliable, detail-oriented & responsive
✔ U.S. working hours & flexible availability
✔ Clear communication & weekly updates
✔ Short-term or long-term support
📩 Let’s get started
Send me a message or invite me to your job. I’m happy to review your billing workflow and discuss how I can help improve your revenue cycle.
Payment Processing
Medical Billing
Medical Billing & Coding
Medical Mastermind Medical Billing Services
Insurance Verification
Insurance Claim Submission
Revenue Cycle Management
Virtual Assistance
Data Entry
Electronic Medical Record
Customer Service
HIPAA
Preauthorization
Healthcare Software
Healthcare Management
EMR Data Entry
ICD Coding
Accounts Receivable
Medical Records Software
eClinicalWorks
Khawar R.
Islamabad, Pakistan
$9/hr
5.0
18 jobs
I help healthcare providers get paid faster, reduce claim denials, and streamline credentialing with insurance payers. With over 10+ of experience in medical billing, AR management, and credentialing, I specialize in improving cash flow for clinics, practices, and home health agencies.
What I Offer:
• End-to-end medical billing (charge entry, claims submission, payment posting)
• Insurance credentialing & enrollment (Medicare, Medicaid, UHC, Aetna, BCBS, Cigna, etc.)
• Denial management & appeals with a 90%+ resolution success rate
• AR recovery & reporting to keep accounts receivable under control
• HIPAA-compliant processes with accuracy and confidentiality
Results I’ve Delivered:
✅ Reduced AR days from 90+ to under 60 for a mid-sized practice
✅ Improved clean claim rate to 98% by fixing coding & billing errors
✅ Successfully credentialed 20+ providers across multiple states
✅ Ensured consistent reimbursement flow for practices with 1000+ claims/month
If you are looking for a dedicated billing and credentialing specialist who can improve your revenue cycle and remove the stress of dealing with payers, let’s connect!
Payment Processing
Microsoft Word
Data Entry
Insurance Policy Analysis
ICD Coding
Medical Billing & Coding
Client Management
Account Reconciliation
HIPAA
Customer Support
Accounts Receivable
File Management
Virtual Assistance
Medical Billing
Mudasar R.
Islamabad, Pakistan
$8/hr
5.0
14 jobs
I manage medical billing, accounts receivable, and revenue cycle operations for US healthcare providers that need clean claims, faster reimbursements, and fewer denials.
Most practices hire me after their in-house billing team falls behind on AR follow-up, or after denial rates increase and nobody is working appeals consistently.
I have 10 plus years of medical billing experience working with medium to large healthcare clients across multiple specialties, states, and payer types. HIPAA certified with hands-on expertise in 15 plus EHR systems.
MEDICAL BILLING SERVICES
Claims Submission and Management
Accurate claim generation and submission to primary, secondary, and tertiary payers. Clearinghouse rejection resolution before claims reach payers. ICD-10, CPT, and HCPCS coding accuracy review. Clean claim rates reducing payment delays and denials.
Accounts Receivable Management
Systematic AR follow-up on outstanding claims across all payers. Aging report analysis identifying high-priority accounts. Insurance portal follow-up through Availity, Navinet, and payer-specific portals. Reducing days in AR and recovering aging balances.
Denial Management and Appeals
Root cause analysis identifying denial patterns. Appeal preparation with supporting clinical documentation. Payer-specific appeal strategies based on denial reason codes. Tracking appeal outcomes and adjusting billing processes.
Payment Posting
ERA and EOB payment posting with accurate adjustments. Patient payment posting and reconciliation. Identifying underpayments and contractual adjustments. Daily, weekly, and monthly reconciliation reports.
Insurance Verification and Authorization
Eligibility and benefits verification before service dates. Prior authorization and retro authorization processing. Coverage breakdown documentation for providers. Reducing claim denials from eligibility issues.
Revenue Cycle Reporting
Practice financial performance reporting, denial trend analysis, payer reimbursement tracking, AR aging dashboards, monthly revenue summaries for practice management.
SPECIALTIES I WORK WITH
Mental Health and Psychiatry, Internal Medicine, Home Healthcare, Physical Therapy, Chiropractic, Pediatrics, Cardiology, Neurology, Urgent Care, Podiatry, DME and Wound Care, NEMT, Speech Therapy, Surgical Services, Family Practice
EHR AND SOFTWARE EXPERTISE
Medical Billing: Kareo/Tebra, AdvancedMD, eClinicalWorks, Office Ally, Athena, CureMD, Modmed, DrChrono, PracticeFusion, WebPT, TheraNest, ChiroTouch, ICANotes, Kinnser, Alora Plus
Insurance Portals: Availity, Navinet, CGS Medicare, WPS Medicare, Palmetto GBA, Noridian, Novitas, UHC, Cigna, Optum, Humana, Molina, Ambetter
Tools: MS Office, Excel, Google Workspace, Slack, Microsoft Teams
PAYER EXPERIENCE
Medicare (multiple MACs), Medicaid, Commercial Insurance (UHC, Cigna, Aetna, Humana), Managed Care Organizations, Workers Compensation, HRSA Uninsured Program
HIRE ME IF
Your AR is aging beyond 90 days and needs systematic follow-up
Denial rates are increasing and nobody is working appeals
Payment posting is falling behind creating reconciliation problems
You need experienced biller covering multiple specialties
Your practice is launching and needs complete billing setup
You want HIPAA-compliant remote billing support
CREDENTIALS
HIPAA Certified Medical Billing Specialist
Medical Billing and Coding Essentials Certification
10 plus years US healthcare billing experience
Proficient in 15 plus EHR and billing software systems
CLIENT FEEDBACK
"Communication was prompt, clear, and professional. Made complex tasks seem effortless. Highly recommended."
"Excellent service with exceptional communication. Clear, responsive, and proactive throughout."
"Super fast and great work."
COMPLIANCE AND SECURITY
Full HIPAA compliance in all billing operations. USA phone number for direct payer contact. Secure remote access setup. NDA signing available upon request.
READY TO START
If your practice needs medical billing, AR management, or denial recovery, send me your specialty, current EHR system, and biggest billing challenge.
I will respond with specific approach and how I can improve your revenue cycle within 24 hours.
Payment Processing
Medical Billing & Coding
Revenue Cycle Management
Accounts Receivable Management
Insurance Claim Submission
Medical Billing
Accounts Receivable
Insurance Verification
Electronic Health Record
EMR Data Entry
Medical Mastermind Medical Billing Services
Saood F.
Islamabad, Pakistan
$10/hr
4.4
5 jobs
🩺 Medical Billing , 🏥 Revenue Cycle Management , 💻 Billing Software Management , 🏥 Claims Processing ,🏥 Insurance Verification,🏥 Authoriztion, Payor 🏥 EFT Setup 📈 Revenue Optimization for Behavioural health and Medical🏥 Healthcare Compliance 🏥 QuickBook
I’m Certified Medical Billing Specialist with 6+ years of experience optimizing revenue cycles, streamlining claims processing, and ensuring compliance. Proficient in top billing software, I deliver efficient, results-driven solutions to maximize practice profitability.
Specializing In:
♥️ Cardiology 🏥 General Surgery 🧠 Mental Health 🧠 Psychiatric ABA & Behavioural Health 🚨 Urgent Care 👩⚕️ Internal Medicine 🛠 Occupational Therapy 🦴 Orthopedics 💪 Physical Therapy, 🦴 Chiropractic 🗣️ Speech Therapy 🩹 Pain Management 🦶 Podiatry 👨👩👧👦 Family Practice
⌨Claims Management, Credentialing, Denials, and Appeals
⚒Workflow Enhancement and Billing Process Consulting
⚕Proficient in Medical Billing Software such as:
| OfficeAlly-Practice Mate | eClinicalWorks | Kareo / Tebra | Therapy Notes| Nextgen office| Central Reach| Theranest | Advanced MD | Collaborate MD | Simple Practice | Ability | Waystar | Dr. Chrona | Therapy iQ | Sessions Health| Chirotouch | Med Office |Epic Soft|
EHR/EMRs:
| Practice Fusion | Kareo EHR | Office Ally EHR | Web PT ICANotes
Clearing Houses:
| Waystar | Claim.MD | ChangeHealthCare | TriZetto | Office Ally | Availity |
📌 What I Can Do For You:
- Verify benefits and process authorizations.
- Submit and track insurance claims (in-network, OON, EAP, IPA, self-pay).
- Prepare claim appeals and address denials.
- Evaluate underpayments and overpayments based on payer contracts.
- Oversee credentialing and enrollment processes.
- Streamline and enhance EHR systems
✅ Results You Can Expect:
- Lower denial rates
- Accelerated payment processes
- Enhanced operational efficiency
- Strategic growth through advanced billing systems
Additional Experience
📍 Experienced with commercial and government payers across: FL, CO, UT, NV, GA, LA, CA, NJ, MD, IL, NY, TN, TX, OR, VA
I look forward to aligning my expertise with your goals to streamline operations and maximize your revenue potential.
Payment Processing
Medical Billing
Revenue Cycle Management
Insurance Claim Submission
VOB
ICD Coding
HIPAA
Medical Procedure Coding
EMR Data Entry
Medical Referrals
Email Communication
Administrative Support
Virtual Assistance
Filing
Customer Service
Account Reconciliation
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