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I recover lost revenue for U.S. healthcare providers, reducing claim denials, speeding up reimbursements, and cleaning up AR backlogs. As a Top Rated Plus, HIPAA-Certified Medical Billing & Credentialing Specialist with 7+ years of full-cycle RCM experience, I've helped providers at every stage; credentialing brand-new practices with payers, setting up their EMR and Practice Management systems, enrolling them for ERA and EFT, resolving credentialing delays and payer enrollment issues that are holding up reimbursements, and managing ongoing billing to reduce claim denials, accelerate cash flow, and clean up AR backlogs across 15+ specialties. 🔊I am working on the following services: ✔Appointment Scheduling ✔Patient's Registration and Demographics Entry ✔Eligibility and Benefits Verification ✔Prior Authorizations ✔Charge Entry ✔Insurance Claim Submission ✔Audit & Scrubbing ✔Rejections Handling ✔Payment Posting ✔Denial Management ✔AR Follow-Up ✔AR Recovery and Insurance Calls Handling ✔Appeals and Disputes ✔Patient Statements ✔Monthly & Annual Reports ✔Provider Enrollment and Revalidation ✔ERA/EFT Enrollment ✔Practice Management/Revenue Cycle Management ⛨ Following is a list of Specialties which I worked since my career began: ✔Cardiology ✔Primary Care ✔Behavioral Health/Mental Health ✔Anesthesiology ✔Internal Medicine ✔Family Medicine ✔Pediatrics ✔Nephrologists ✔Hospitalists ✔Urgent Care ✔Physical Therapy ✔Occupational Therapy ✔Clinical Medical Labs ✔Pediatrics ✔Chiropractic ✔Acupuncture 💻Following is a list of the software with which I worked since my career: ✔eCW ✔Collaborate MD ✔Epic ✔CareCloud ✔Simple Practice ✔PracticeQ/IntakeQ ✔TherapyNotes ✔Athena Health ✔Office Ally ✔AdvancedMD 🌐 I am proficient in using a variety of portals including: ✔Availity ✔Trizetto ✔UHC ✔WPS ✔Noridian ✔NGS Connex ✔Waystar ✔Navinet ✔Change Health Care ✔Echo Payments ✔Optum Pay ✔UMR ✔Geha ✔Payspan ✔Cigna ✔Noridian ✔epaces ✔Fidelis ✔Healthfirst ✔Metroplus ✔Zelis ✔Palmetto In addition to my technical expertise, I possess a strong understanding of insurance policies and have extensive experience utilizing clearinghouses and insurance web portals for claims submission, rejection resolution, claims status updates, and eligibility verification. I am fluent in English and excel in communication and problem-solving, ensuring seamless interactions and effective resolution of billing-related challenges. Furthermore, my high-speed internet connection and dual-display system enable me to work with efficiency and precision, optimizing workflow and productivity. With a strong commitment to attention to detail, quality assurance, and meeting deadlines, I am confident that my skills and experience make me an ideal fit for your team. My goal is to contribute to the success of your medical billing and coding operations, driving accuracy and efficiency in revenue cycle management. By partnering with me, you can elevate your medical billing and coding processes to new levels of excellence. Send me a message with your current billing challenges. I'll tell you exactly how I can help within 24 hours.

Greeting, Certified HIPAA professional and Certified professional biller from AAPC and working in the medical billing Industry since 2014. I have 9 years of diversified experience dealing in multiple specialties/settings including but limited to Urgent Cares, Emergency Rooms (Freestanding), Ambulatory Surgical Centers, Hospitals (Profane - Micro to Tertiary care) Laboratories (General + Pathology + Genetic Testing), Diagnostic Radiology, Skilled Nursing Facilities, Wound Care Centers and other solo practices. CERTIFICATIONS: - 1. CPB (Certified Professional Biller)- AAPC 2. CPC (Certified professional coder)- AAPC 3. CCS- AIHMA 4. HIPAA Certification 5. Advance Excel and pivot Skill Set and core Expert Area:- -Account Receivable specialist -Medical research writer, QA, and Regulatory pharmacist, • Patient demographic entry • Charge Entry in billing software • Eligibility verification with payers • Medical claim scrubbing. • Claim submission to payers • Primary, Secondary and tertiary payers claim to process. • Denial Management, Emails, and calls handling * Insurance and eligibility verification • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances. Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, Next Gen, Cerner, Practice Fusion, Ms. Office, Ms. Excel, ECW, JANEAPP, ADVANCEMD, DENTRIX, OPENDENTAL, CRITERION, THERANEST, SIMPLE PRACTICE, OFFICEALLY, AVAILITY and many others Medical Billing : I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receivables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals (c). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynecology and obstetrics Internal Medicine Pneumology Orthopedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology

Welcome to my Upwork profile! I am a dedicated Certified Medical Coder and Biller with a passion for precision and a commitment to streamlining healthcare finance processes. With a proven track record of excellence in medical coding and billing, I look forward to bring a wealth of expertise to your team. I am also a scientific researcher and have published multiple Research articles in Journals of USA and Switzerland. Throughout my career, I have harnessed my in-depth knowledge of coding systems, audits, insurance protocols, and billing regulations to ensure accurate and compliant medical billing. Armed with nearly 8 years of hands-on experience, I have successfully navigated the intricacies of medical billing, maximizing revenue and minimizing claim denials of medical coding and billing for healthcare providers . Certifications and Expertise: Certified Professional Coder (CPC): This certification serves as a testament to my proficiency in translating medical procedures, diagnoses, and services into accurate codes. Expert in ICD-10, CPT, and HCPCS Level II: My mastery of these coding systems enables me to assign codes with precision, ensuring claims are processed efficiently and reimbursements are optimized. Compliance and Accuracy Advocate: I understand the critical role that compliance plays in healthcare finance. My expertise ensures that billing processes adhere to industry regulations, safeguarding your practice's financial integrity. What Sets Me Apart? Data-Driven Insights: I leverage data analytics to identify trends and patterns, empowering data-driven decision-making for improved billing strategies. Process Optimization: By implementing cutting-edge billing software and streamlining workflows, I drive operational efficiency and enhance revenue cycles. Holistic Approach: I recognize that accurate billing is more than just numbers; it impacts patient care, practice reputation, and financial stability. I approach each task with a holistic mindset. Collaboration and Client Satisfaction: I believe in collaborative partnerships that lead to mutual success. I thrive on open communication, adapting to your practice's unique needs, and delivering results that exceed expectations. Your satisfaction is my ultimate goal. Let's Connect: Whether you're seeking to enhance revenue cycles, ensure compliance, or streamline billing processes, I am here to collaborate with you. Let's leverage my expertise to optimize healthcare finance, one accurate code at a time. Reach out today, and let's embark on a journey of excellence together. Softwares: Care Cloud, ECW, Procure, Picasso, Athena, EPIC, Practice EHR, Practice EMR, Advance MD, Allegiance MD, Veracity, RXNT, Practice Fusion, Availity, Nevinet, 3M, Lytec, UnifiMD, Chart Logic and Azalea. Thank you for visiting my profile. I look forward to contributing to your success in healthcare finance!

Accurate Billing. Faster Reimbursements. Stronger Revenue Growth. Greetings! I am a HIPAA-certified Medical Billing and Revenue Cycle Management (RCM) Specialist with over 5 years of experience helping healthcare providers maximize reimbursements, reduce claim denials, and streamline billing operations. My expertise spans the complete medical billing lifecycle, from insurance verification and claim submission to denial management, accounts receivable (AR) follow-up, and payment posting. I have successfully worked with medical practices across multiple specialties, ensuring compliance, operational efficiency, and improved cash flow. Core Services ✅ Patient Eligibility & Benefits Verification ✅ Patient Registration & Demographic Entry ✅ Charge Entry & Claim Creation ✅ Electronic Claim Submission ✅ Payment Posting (ERA/EOB) ✅ Accounts Receivable (AR) Management ✅ Denial Analysis & Appeals ✅ Insurance Follow-Up ✅ Patient Billing Support ✅ Revenue Cycle Optimization ✅ HIPAA Compliance & PHI Protection Practice Management & EHR Systems I have hands-on experience with leading healthcare software platforms, including: Kareo AdvancedMD Office Ally Practice Fusion / Health Fusion Medisoft eClinicalWorks (eCW) SimplePractice DrChrono Athenahealth NextGen Insurance Carriers Experienced in working with major commercial and government payers: Medicare Medicaid Blue Cross Blue Shield (BCBS) UnitedHealthcare Aetna Cigna Humana Anthem Kaiser Permanente Molina Healthcare TRICARE Clearinghouses Proficient in managing claims through: Availity TriZetto Optum EDI Apex EDI ZirMed Emdeon Change Healthcare Waystar Specialty Experience I have provided billing and RCM support for a variety of healthcare specialties, including: Family & General Practice Internal Medicine Cardiology Endocrinology Pediatrics Asthma & Allergy Podiatry Pain Management Plastic Surgery Laboratory Services Physical Therapy Occupational Therapy Speech Therapy Durable Medical Equipment (DME) Why Work With Me? ✔ Proven experience in reducing claim denials and increasing collections ✔ Strong understanding of payer guidelines and reimbursement policies ✔ Detail-oriented, reliable, and deadline-driven ✔ Excellent communication with providers, staff, patients, and insurance representatives ✔ Dedicated to improving your practice's financial performance while maintaining full compliance I am committed to becoming a valuable extension of your healthcare team by delivering accurate, efficient, and results-driven medical billing services. Let's work together to optimize your revenue cycle and maximize your practice's profitability. Best Regards, Rashid Ali Medical Billing & Revenue Cycle Management Specialist

Dear Client, I am a HIPAA-certified professional Credentialing and Medical Billing Expert with more than 10 years of experience in the U.S. healthcare industry. I have been assisting medical providers and practices with complete revenue cycle management, credentialing, enrollment, medical billing, and administrative support. Below are my key duties and job responsibilities: Patient registration and patient management Eligibility and benefits verification Claim submission Obtaining prior and retro authorizations Payment posting from ERA/EOB, payer websites, and patient payments Aging report follow-up and appeals Customer service and administrative assistance Denial management Handling patient concerns and invoicing Bookkeeping and QuickBooks support Specialties I have worked with include: Urgent Care Home Healthcare Physical Therapy Occupational Therapy Speech Therapy Cognitive and Behavioral Therapy Mental Health Anesthesia Acupuncture Family Practice Internal Medicine Cardiology Radiology Podiatry Dietitians Inpatient Billing for Surgeons/Assistant Surgeons Gynecology Oncology Medical Billing Software: Simple Practice, AdvancedMD, Kareo, Office Ally, Docutap, Athena, Therabill, eClinicalWorks, EZClaim, TheraNest, CMD, ClinixPM, eThomas, Intergy, TherapyNotes EHR/EMR Systems: Kareo EHR, WebPT, Practice Fusion, HelloNote, Salesforce, Office Ally Bookkeeping Software: QuickBooks, Xero, FreshBooks, Wave, and Zoho Books Credentialing and Enrollment Services: Medicare and Medicaid enrollment Commercial payer enrollment Credentialing and re-credentialing with commercial insurance, networks, workers’ compensation, and government plans Contracting for commercial insurance, networks, workers’ compensation, and government plans Fee negotiation for commercial insurance, networks, and workers’ compensation Insurance web portal management CAQH application creation and updates PECOS enrollment Individual NPI application creation and updates Group NPI application creation and updates State license, DEA, and CDS applications, renewals, and updates Regards, Inayat

Medical Billing & Credentialing Specialist | Virtual Assistant for Behavioral Health Practices Hi, I’m Zeeshan, a certified medical billing professional with 9+ years of experience in revenue cycle management for mental health practices across the U.S. I help providers streamline billing operations, reduce denials, and maximize reimbursements. Key Expertise: Claim submission, charge entry, and payment posting (Office Ally, TherapyNotes, Kareo, Simple Practice, AdvancedMD, AllScripts) Eligibility verification, denial management, and A/R follow-ups Credentialing and payer enrollment EDI management and custom financial reporting I’m passionate about helping practices improve their financial health and operational efficiency. Let’s connect to discuss how I can add value to your team. Best regards, Zeeshan S.