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I am HIPPA compliant medical biller,AR & Billing specialist with 07 + years of cross-functional operations,revenue cycle and Medical billing experience in a US based healthcare billing company.I have sound knowleged of medical billing for medium to large healthcare clients.Over the years, i have been working with doctors of multiple specialties with multiple states by utilizing various software. My services list and resources listed below. Please feel free to contact me if you need my help. Specialization: ✅ Insurance Verification ✅ Medical Billing and coding ✅ Medical Scrubbing ✅ Credentialing PECOS/CAQH ✅ Appointment Setting/Scheduler ✅ Chat/Email Support ✅ Data Entry ✅ Medical Transcription Tools: ✅ Excellent Typing skill (35-50wpm). ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox. Job Responsibilities:  Patient Registration/demographics/insurance information  Checking patient eligibility and benefits verification  Creating and submitting clean claims to insurance companies. Weekly, monthly, annually billing and coding audit services. .  Obtaining prior and retro authorizations for services  Payments posting from ERA/EOB/websites and also patient payments.  Denials management  Aging report/Follow-up/Appeals  Handling patient calls regarding payments and billing records  Sending invoices to different offices and clients.  EDI 835/837 enrollment Specialties I have been working for are as follow: NEMT Ophthalmology  Urgent care  General Pediatric  Chiropractic  Physical Therapy  Psychiatric  Mental Health  Home healthcare  Family practice  Internal medicine  Cardiology  Radiology  Oncology  Pain Care  Pain Management Medical Billing software’s Office Allay  AdvancedMD  kareo  Docutap  ECW  Ethomas  CureMD  Athena  DrChrono  Collaborate  ChiroTouch (CT)  PracticeFusion  Practice Suite  TheraNest  ICANotes EHR/EMRs  Practice Fusion  Kareo EHR  AdvanceMD EHR  WebPT Insurance web portals that I have used:  CGS(Medicare) Caloptima Medicaid  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  Molina healthcare  Health First  HRSA uninsured Core Skills and Competencies  ICD-10 codes  CPT codes  HCPCS codes  Medical Terminology  Medicare and Medicaid Guidelines  Knowledge of Payer Reimbursement Characteristics and Billing Policies  Medical Documentation review and Auditing  Daily/Weekly/Monthly/Quarterly Reconciliation  Performs well with little\without supervision. Resources : I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection. Looking forward to hearing from you. Thanks!

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.

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

👨‍💼 About Me – Muhammad Ibrahim RCM & Automation Consultant | eCW, Athena, Advance MD, Collaborate MD, Office Ally & Healthfusion Meditouch Specialist: With 8+ years of experience in end-to-end Revenue Cycle Management, I help healthcare practices collect faster, deny less, and scale smarter. My work combines deep billing expertise with automation and data strategy, allowing providers to focus on patients while I protect and grow their revenue. 🏥 What Makes Me Different I don’t just work claims — I engineer revenue systems. ✔ Built 400+ custom scrubber rules for eClinicalWorks (eCW) ✔ Built 180+ automation rules for Athena ✔ Optimized denial dashboards, claim action codes & result codes in eCW ✔ Designed front-office & billing automation to reduce manual work ✔ Improved GCR/NCR, AR turnaround, and first-pass acceptance I am highly specialized in eCW and Athena billing workflows, claim automation, denial prevention, and compliance optimization. 💼 Core Services End-to-End RCM Management (Eligibility → Payments → Appeals) Denial Management & Scrubber Rules AR Follow-Up & Recovery Coding Reviews & Compliance Audits Automation & Workflow Optimization (eCW & Athena) Payer Policy & LCD/NCD Checks KPI Dashboards & Revenue Reporting Credentialing & Prior Authorizations 🏆 Proven Results Recovered $600,000+ after Change Healthcare cyberattack Resolved Optum psychotherapy audit securing thousands Achieved $100K per-resource collection (company record) Reduced denial ratios below MGMA benchmarks Built enterprise-level billing dashboards & productivity tools 🥇 Certifications & Recognition HIPAA Certified Business Associate (US – IACET Accredited) Leader of the Month – Cube Healthcare Best Employee Awards – ProActive QT HRSA Claims Special Project Contributor 📈 Let’s Optimize Your Revenue If you want fewer denials, faster payments, and smarter automation, I am ready to help. 📩 Let’s connect and transform your revenue cycle.

I am Muhammad Saad, a HIPAA Certified professional medical biller and RCM specialist with extensive expertise in Revenue Cycle Management (RCM), Provider Enrollment, Credentialing, and Contracting. I partner with healthcare facilities, small practices, and solo practitioners across the United States to streamline operations, ensure compliance, and maximize revenue. My focus is on delivering personalized, transparent, and results-driven solutions that reduce administrative burdens, improve cash flow, and strengthen payer relationships. Core RCM Services: • Revenue Cycle Management (RCM): Appointment scheduling, eligibility & benefits verification, insurance verification, authorization submission, charge entry, claim submission, clearinghouse rejections, denial management, AR follow-up, payment posting, patient collections, and KPI reporting. • RCM Dashboard Overview: o First pass claim acceptance rate: >95 o Submit clean claims within 48 hours o Clear billing/client queues, rejections, errors → Daily o Provider queries, email/text/call response → Same day o Follow up unpaid claims → Every 7/14 days o Resolve claim rejections → Within 48 business days o Weekly A/R aging reports → Weekly o Monthly reporting → KPI reports Monthly • Denials Management & Appeals: In‑depth denial analysis, root‑cause identification, corrective resubmissions, and drafting appeals via payer portals and mailing addresses. Proactive strategies to reduce future denials and improve first‑pass claim acceptance. • Payment Posting & Reconciliation: Accurate posting of insurance and patient payments (ERA/manual), reconciliation with bank statements, validation of underpayments/overpayments against contractual agreements, and ensuring financial accuracy across systems. • Patient Balance Follow‑Up: Generating and sending patient statements, managing collections, and following up on outstanding balances to maintain healthy cash flow. • Credentialing & Enrollment: Provider/facility enrollment, credentialing, contracting, and payer negotiations. o CAQH Maintenance: Profile setup, ongoing updates, and compliance monitoring to ensure providers remain active and accessible to payers. o PECOS Enrollment: Medicare enrollment and maintenance through PECOS, including revalidation and updates for provider/facility records. o Government Payer Enrollment: Medicaid and Medicare enrollment, revalidation, and compliance support across multiple states. o Commercial Payer Enrollment: End‑to‑end enrollment with major commercial insurers (Aetna, Cigna, UnitedHealthcare, etc.), including contract negotiations and portal setup. • Practice Support: Workflow development, EMR transition, provider portal setup, ERA/EFT enrollment, compliance reporting, and operational analysis. • Consulting: Business process optimization, financial infrastructure development, and strategic guidance for healthcare practices. • Transparent Reporting: Weekly, bi-monthly, and monthly KPI reports covering billing performance, AR aging, claim trends, and profitability analysis, giving practices full visibility into their financial health. Specialties: • Pediatric • Family/Internal Medicine • Neurology • Psychiatry & Behavioral Health • Mental Health • Pain Management • Rheumatology • Infusion & Hydration • Podiatry DME • Women's Health (OB/GYN) • Telehealth Software EHR/EMR Experience: eCW, AthenaHealth, Office Ally, Practice Fusion, MDLand, Allscripts, Nextgen, AdvancedMD, DrChrono, Chirotouch, Kareo/Tebra, CharmEHR, Therabill, Epic system, PrognoCIS, Therapy notes, ICA notes, IntakeQ, Simple Practice, Carecloud, etc. Clearinghouse Experience: Waystar, Trizetto, ClaimRemedi, PayerPath, Availity, Optum, Office Ally, etc. Multi-state Experience: NY, NJ, WA, OH, FL, NC, MA, MN, ND, TX, MI etc. Value Proposition: I help practices increase efficiency, reduce denials, and improve revenue outcomes by identifying workflow gaps and implementing tailored solutions. My transparent reporting and hands-on approach ensure practices have full visibility into billing performance, AR aging, claim management, and profitability trends. Conclusion: My work hours are flexible to meet your needs, and I am committed to delivering projects on time and within budget. I look forward to discussing how we can strategically improve your revenue cycle and build a solid financial infrastructure. Thank you for visiting my profile. I welcome the opportunity to connect and look forward to building a successful partnership with you. Regards Muhammad Saad