Hire the Best Practice Fusion Specialists

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!

I am a Medical Billing Specialist with over 10 years of experience providing comprehensive billing services for Healthcare Providers, including Physician Practices and DME companies. I specialize in Revenue Cycle Management (RCM) and have a strong track record of improving billing efficiency, reducing claim denials, and accelerating reimbursements. My core expertise includes: • Patient Demographics Entry and Data Management • Eligibility and Benefits Verification (via phone and payer portals) • Charge Entry and Claims Submission with ICD-10 and CPT coding compliance • Payment Posting • Accounts Receivable (A/R) Follow-Up and Denial Management • Provider Credentialing and Enrollment I am proficient in leading medical billing platforms such as Brightree, Tebra (formerly Kareo), CareCloud, CollaborateMD, SimplePractice and Revenue Performance Advisor (RPA). I am known for my attention to detail, accuracy, and efficiency, which helps healthcare providers streamline their billing operations and maximize revenue. I also bring strong communication and collaboration skills to ensure smooth coordination with providers, staff, and insurance representatives. My goal is to deliver reliable, accurate, and efficient billing support that strengthens the financial performance of every practice I work with

I am a HIPPA Certified enthusiastic, reliable, and hard working individual who is specialized in practice management, revenue cycle optimization, and business support for the healthcare industry. I offer Medical Licensing, Contracting, Credentialing, Billing, and Aging solutions. I believe in managing an account rather than just monitoring it. So, please allow me to offer a comprehensive revenue cycle management solution that will help you to shift the burden of collections off your shoulders, so you can focus more on what matters the most - Patient Care! Due to my educational background in Finance and years of experience in managing medical practices, I am able to apply skills such as; problem-solving, smart decision-making, and critical thinking to implement an efficient RCM process. With a wide range of experience in the Healthcare industry, I am capable of managing several responsibilities simultaneously, adhering to standards when performing tasks, and a good command of MS Applications and various Medical Billing Software, Clearinghouses, and Insurance Portals. SPECIALTIES • Physical Therapist • Chiropractic • Accupuncture • Behavioral Health • Ambulatory Surgery • Home Health • Anesthesiology • Cardiology • Skilled Nursing Facility • Emergency Medicine • Endocrinology • Family Practice • General surgery • Internal Medicine • Orthopedic • Pathology • Pediatrics • Physical Medicine and Rehabilitation • Psychiatry • Radiology • Radiotherapy Billing Software’s (PM/EHR) • ECW • Advanced MD • Kareo • Rain tree • Dragon fly • Practice Fusion • Sequel Med • Care Cloud • Web soft • Therapy Notes • Office Ally I meet deadlines, and don't make promises I can't keep. I am a team player but can steer the ship alone if need be. Please view my complete profile to learn more about me and my work. I look forward to working with you, so do not hesitate to contact me today to add value to your organization that eventually transforms into high ROI.

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 an experienced Medical Billing and Revenue Cycle Management (RCM) Specialist with expertise in Physical Therapy (PT), Occupational Therapy (OT), Speech Therapy (ST), and Mental Health billing. I specialize in insurance verification, prior authorizations, claim submission, payment posting, accounts receivable (AR), denial management, appeals, and Medicare, Medicaid, and commercial insurance billing. I am skilled in resolving claim denials, maximizing reimbursements, and improving cash flow. With a strong understanding of payer guidelines and HIPAA compliance, I deliver accurate, reliable, and timely billing services to help healthcare providers optimize their revenue cycle and focus on patient care.

Well-come to my profile ! I am a HIPAA compliant medical biller AR & Billing specialist with 09 years of cross-functional experience that includes Medical Billing, practice management, operations, management, project management and different administrative roles. I was part of the company's top management so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. The financial analysis has also been done for different projects. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers. A. MEDICAL BILLING SERVICES - Eligibility & Benefits verification. - Appointments Scheduling. - Credentialing guidelines with payers. - Patient Demographics and Charge entry. - Insurance claims submission via clearinghouse and Paper submission. - Accounts receivable and Denial management. - Payment Posting. - Patient billing for PR -1,2,3 and PR 96 and PR 119 etc. - Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...) - Claim status from insurance Portal and calls. - Submitting appeals for denied claims. - ICD 10, CPT, and HCPCS Coding review. B. SPECIALITIES Durable Medical Equipment, Optometry and Ophthalmology, PHYSICAL THERAPIST, Chiropractic, Acupuncture, Behavioral Health, Ambulatory Surgery, Home Health, Anesthesiology, Cardiology, Skilled Nursing Facility, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Internal Medicine, Orthopedic, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, Podiatry, Radiotherapy, Rheumatology, Urology C. PMS SOFTWARE WORKED ON: Simple Practice, AdvancedMD, Carecloud, Practice EHR, RXNT, Kareo, Office Ally, Docutap, Therabill, ECW, EZclaim, ClinixPM, Ethomas, Medisoft, Criterions, Dr. Chrono, Athenanet, , Medisoft, Carecloud, D. CLEARING HOUSE WORKED ON: Trizetto, Optum EDI, Availity, Apex, Zirmed, Emdeon E. EHR/EMRs WORKED ON: Kareo EHR, Webpt, Practice Fusion, HelloNote I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile