Hire the Best PointClickCare Specialists

Título: Radiologist | Medical Imaging Specialist | CT/MRI Analysis & Segmentation | 3D Slicer Expert Descripción: I am a Medical Doctor specialized in Radiology (Argentina) with strong experience in CT and MRI interpretation, dataset labeling, and anatomical or pathological segmentation using 3D Slicer. I speak English fluently and have worked with 1.5T MRI scanners performing tractography and advanced neuroimaging without commercial software. I also teach Anatomy at the University of Rosario, which gives me solid anatomical knowledge for precise labeling and QA of imaging datasets. What I offer: • CT/MRI segmentation (brain, tumors, abdominal organs, spine, vessels) • Annotation of large datasets for AI training • Image quality control (QC/QA) • Protocol optimization for MRI and CT • Pre-reporting of radiological studies • Anatomical consulting for researchers/companies • 3D Slicer projects (masks, models, volume rendering) Tools: 3D Slicer, Horos/OsiriX, ITK-SNAP, RadiAnt, Python (basic), DICOM tools. Why hire me: Fast, accurate, reliable medical imaging expert with real clinical experience.

I help U.S. healthcare providers improve cash flow, reduce claim denials, and get paid faster through accurate and efficient medical billing. With 3+ years of hands-on experience in Revenue Cycle Management (RCM), I have worked with medical practices to manage the full billing cycle, from patient eligibility to final payment posting. I understand how critical clean claims, timely follow-ups, and proper documentation are for maintaining a healthy revenue stream. What I can help you with: • End-to-End Medical Billing (RCM) • Insurance Verification and Eligibility Checks • Prior Authorization Processing • Accounts Receivable (AR) Follow-ups • Denial Management and Appeals • Payment Posting (ERA/EOB) • Credentialing and Provider Enrollment (CAQH, PECOS) • EDI, EFT, and ERA Setup and Management I have hands-on experience using industry tools such as Trizetto, AdvancedMD, and Waystar to ensure accurate claim submission, faster reimbursements, and minimal errors. I have managed high volumes of claims, communicated directly with insurance payers, and consistently followed up on outstanding balances to reduce aging AR and improve collection rates. My approach is simple and results-driven: • Submit clean and error-free claims • Track and follow up on unpaid claims consistently • Identify and resolve denials quickly • Maintain clear communication and reporting I specialize in working with U.S.-based medical practices and understand payer systems, compliance requirements, and billing workflows. If you are looking for someone reliable, detail-oriented, and committed to improving your billing performance, I am ready to help. Send me a message and I will review your current billing process and identify areas where you may be losing revenue.

Hello! I'm a highly experienced Medical Billing and Dental billing Specialist with over 6 years of expertise in providing top-notch RCM solutions for US-based healthcare billing companies. Proven track record in handling medium to large healthcare clients, both in-network and out-of-network billing. I help healthcare providers, clinics, and billing companies streamline their billing process, reduce claim denials, and maximize revenue collections efficiently. My expertise spans across all key areas of medical billing, including: ✔️ Insurance Eligibility Verification ✔️ Patient Demographics & Charge Entry ✔️ CPT/ICD-10 Coding Review ✔️ Claim Submission (EDI & Paper Claims) ✔️ Payment Posting (ERA & Manual) ✔️ Accounts Receivable (AR) Follow-Up ✔️ Denial Management & Appeals ✔️ Patient Billing & Collections ✔️ Reporting & Analytics Practice Management Responsibilities: * Facilitated new practice setup for providers * Implemented strategies to improve practice revenue * Oversaw all aspects of medical billing, coding, and compliance coordination * Conducted insurance audits * Analyzed financial data to drive decision-making * Provided training to employees * Nurtured client relationships Billing: * Verified eligibility and benefit coverage * Handled prior authorization/referral processes * Scheduled patient appointments * Managed patient demographics and charge entry * Submitted insurance claims (primary, secondary, tertiary) * Analyzed Accounts Receivable and conducted collections * Followed up on denials and managed denial management * Initiated appeals on denials through calls, written communication, and fax for reprocessing * Prepared monthly and annual custom reports List of Billing Software and EHR Experience: * Intergy * MicroMD * DME Works * Kareo |• Dentritic * Open Dental * Eagle * Collaborate MD * RXNT * Simple Practice * Therapy Notes * Office Ally * NextGEN * Nextech * Claim MD * Advance MD * ECW * Insync * eThena * Raintree * Care cloud * SPECIALTIES: DME, Mental health, Psychologist, Psychiatrist, Psychotherapist. Podiatry, Pain Management, Dental billing, internal medicine, Family Medicine surgery, Dermatology, Anesthesiology, Physical Medicine & Rehabilitation, chiropractor, Dental, Wound care

Prior authorization backlogs and utilization review delays cost your practice time and revenue. As a clinical professional with 10+ years of medical data experience, I translate patient charts into fast insurance approvals and precise claims compliance. I help US healthcare practices, diagnostic centers, and telehealth clinics optimize their workflows, protect their revenue, and lower claim denial rates by combining deep clinical knowledge with administrative precision. Because I understand medical terminology, diagnostic workflows, and pathology, I don't just fill out forms—I understand the clinical context required to justify medical necessity to payers. CORE INSURANCE AND CLINICAL SERVICES • Prior Authorizations: Navigating US payer portals (Availity, Optum, etc.) to review patient charts, compile clinical evidence, and submit accurate requests for swift medical approvals. • Utilization Review (UR): Auditing medical records and treatment plans against established clinical guidelines to ensure proper resource management and compliance. • Insurance Eligibility & Verification: Confirming active policy status, co-pays, deductibles, and out-of-pocket maximums before patient appointments to prevent claim rejections. • EMR Data Management: Maintaining accurate, secure, and compliant documentation within clinical practice management systems. HEALTHCARE IT, SOFTWARE UAT AND AI SUPPORT Alongside clinic operations, I partner with health technology companies, digital health startups, and AI developers as a clinical Subject Matter Expert (SME). I help technical teams validate, train, and test software systems to ensure they maintain strict clinical accuracy and data safety before reaching live medical environments. CORE TECHNICAL SERVICES • Medical AI Data Annotation & Validation: Reviewing and tagging clinical text summaries, lab data, and pathology reports to provide the accurate medical datasets needed to train machine learning models. • Clinical AI Quality Assurance: Auditing AI-generated medical outputs and transcriptions to verify the correct use of medical terminology and flag clinical inaccuracies. • Software User Acceptance Testing (UAT): Simulating real-world provider workflows inside sandbox EMR and practice management environments to identify software bugs and workflow friction. • Data Privacy & Compliance (HIPAA): Reviewing clinical datasets to ensure proper de-identification and safeguarding of protected health information before engineering hands-on processing. RELEVANT TOOLS FOR UTILIZATION REVIEW AND HEALTHCARE IT • Clinical Criteria & UR Software: Deep familiarity with MCG Care Guidelines (Milliman Care Guidelines) and InterQual, using clinical criteria check-boxing to verify and audit medical necessity compliance. • Payer & EMR Platforms: Routine navigation of Availity, Optum/ProviderExpress, Athenahealth, eClinicalWorks, and Practice Fusion to audit patient history and extract clinical evidence. • Tech & Project Management Tracking: Experienced with Jira, ClickUp, and Asana for logging software bugs during UAT cycles, alongside Slack and secure, encrypted AWS Virtual Desktops for HIPAA-compliant clinical data management. REMOTE-READY INFRASTRUCTURE • HIPAA-Compliant Home Office: Private, secure workspace structured to maintain strict patient confidentiality and data privacy standards. • Power Redundancy: Powered by a dedicated solar backup system ensuring 100% continuous uptime and zero operational disruptions. • High-Speed Connectivity: Equipped with a reliable 75 Mbps high-speed internet connection for seamless remote EMR and database navigation. • US Time Zone Alignment: Fully available to work synchronized operational hours within US Eastern (EST) or Central (CST) time zones. OPEN ROLES I am actively open to contract, part-time, or ongoing positions in the following capacities: • Prior Authorization Specialist • Utilization Review (UR) Specialist • Insurance Eligibility & Verification Specialist • Medical AI Data Annotator / Content Validator • Healthcare Software User Acceptance Tester (UAT) If you are looking for a reliable, clinically trained specialist who can protect your revenue cycle or provide rigorous clinical data oversight for your digital health product, let’s schedule a brief call to discuss how I can support your goals. Feel free to send a message or click "Invite to Job" to get started.

Are denied claims, unpaid AR, and delayed reimbursements affecting your practice revenue? I help healthcare providers improve cash flow and reduce billing stress through accurate and reliable medical billing services. My expertise includes: • Claim Submission • AR Follow-Up • Denial Management • Insurance Verification • Payment Posting • Eligibility Verification • Revenue Cycle Management (RCM) Specialties, • Physical Therapy Billing • Chiropractic Billing • Occupational Therapy Billing • Family Practice Billing • Urgent Care Billing • Mental Health Billing Internal Medicine Gynecology (OB/GYN) Emergency Medicine Pain Management I am detail-oriented, organized, and focused on maximizing reimbursements while reducing claim denials. I provide professional communication, timely work, and long-term support for healthcare practices. Let’s work together to improve your collections and streamline your billing process.

Hi, I’m Catherine from the Philippines, a detail-oriented Medical Virtual Assistant specializing in patient coordination, healthcare administration, and remote clinical support. With over 4 years of experience supporting U.S.-based healthcare providers, pharmacies, and medical teams, I help streamline daily operations by managing patient communications, appointment scheduling, prescription refills, insurance verification, and medical documentation using eClinicalWorks EHR. I am highly experienced in both inbound and outbound healthcare communication, including follow-ups, warm calling, and patient issue resolution. My focus is to ensure smooth coordination between patients, physicians, and healthcare staff while maintaining accuracy, efficiency, and HIPAA compliance at all times. I also have leadership experience as a Team Lead, where I train new hires, monitor call quality, and ensure consistent performance across the team. I take pride in maintaining high service standards while supporting fast-paced healthcare environments. WHAT I CAN HELP YOU WITH: ✔ Patient appointment scheduling & follow-ups ✔ Medical documentation & EMR updates (eClinicalWorks) ✔ Prescription refill coordination ✔ Insurance verification & billing support ✔ Patient communication (calls, email, messaging) ✔ Order tracking & issue resolution ✔ Data entry & record management ✔ Referral & lab coordination ✔ Patient reminders & workflow support ✔ Healthcare administrative assistance TOOLS I USE eClinicalWorks | PrimeRX | Trello | Google Workspace | Microsoft Office | Outlook | Zoom | Microsoft Teams | RingCentral | Avaya | WhatsApp | Calendly | QUO | ConnectUC App | CRM Systems | Canva | CapCut | Session Health WHY CLIENTS HIRE ME ✔ Strong experience in U.S. healthcare systems ✔ HIPAA-compliant and detail-oriented ✔ Skilled in high-volume patient coordination ✔ Strong communication and patient handling skills ✔ Experienced in CRM and workflow tools ✔ Leadership experience (training & QA background) ✔ Reliable, fast learner, and highly adaptable