Hire the best Practice Fusion Specialists in Pakistan

Check out Practice Fusion Specialists in Pakistan with the skills you need for your next job.
  • $6 hourly
    HIPPA Certified experienced medical biller/AR and coder with over 8 years of experience in multiple specialties. Proven experience with reducing insurance and patient AR by 70% and strong follow up skills with insurance on claims processing/follow-up. I pride myself on having strong attention to detail and finding efficient ways to get a job done on time and correctly. Experience in the following specialties: • Orthopedic • Primary Care • Pulmonology • Internal Medicine • chiropractic • Anesthesia • Mental Health and Psychology Testing Experience with the following EMR/EHR software and billing websites: • EClinicalWorks (eCW) • Care Cloud • Ipatient Care • Centricity/Athena • Epic • ModMed (dermatology) • Therapy Notes • Allscripts • Availity • Navinet • Payspan • Payerpath • Collaborate MD • Experian Experience with the following insurances: • Anthem BCBS • Aetna and Aetna Better Health (VA) • Medical Mutual • Medicaid (CT and VA) • Medicare • Cigna • United Healthcare • Tricare • Humana • Most Medicare Secondary/Supplemental Plans • Christian based sharing plans • Optima (commercial and Medicaid) • Virginia Premier • Harvard Pilgrim Experience with the following: • Posting charges • Insurance eligibility and benefit verification • Obtaining prior authorizations • Patient statements and collection procedures • Posting insurance and patient payments/EFT's • Explaining charges and EOB's to patients • Insurance claims follow up • Creating billing manuals • Bank and account reconciliations •. Coordinating front desk duties (answering phones, scheduling, checking-in, training, etc) • Setting up Care Credit and Alphaeon for patient payments States I worked with are •CA •IL •MO •NY •FL •NJ •NC •OH and more Please send me a message to see how I can help reduce your patient and insurance AR and better your billing practices!
    Featured Skill Practice Fusion
    Medical Procedure Coding
    Mental Health
    HIPAA
    Electronic Medical Record
    EMR Data Entry
    Healthcare Common Procedure Coding System
    Insurance Consulting
    Insurance Claim Submission
    Insurance Verification
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Accounts Receivable
    ICD Coding
    Insurance Policy Analysis
  • $7 hourly
    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 6 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. Thank you for visiting my profile. I look forward to contributing to your success in healthcare finance!
    Featured Skill Practice Fusion
    Following Procedures
    Time Management
    Client Management
    Insurance Claim Submission
    Medical Mastermind Medical Billing Services
    Medical Billing
    Medical Procedure Coding
    ICD Coding
    Medical Terminology
    Strategic Audit
    Microsoft Excel
    Revenue Cycle Management
    Electronic Health Record
    Medical Billing & Coding
  • $15 hourly
    Medical Billing Professional having 20 years of experience in Healthcare industry is seeking for employers, Medical Practices, Hospitals and Home Health Agency to work with on Medical Billing, Coding, Credentialing, Transcription and Virtual Assistant tasks. Having excellent written/oral communication skill which allows me to demonstrate my expertise with higher level of client's satisfaction. Detail oriented quality focused professional billing specialist. Successful track record of handling complicated assignments. Highly experienced In reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality. Transcribe and edit recorded or written material, including operative reports, discharge summaries, patient history and examinations, physician letters and notes, and pharmacy, rehabilitation, autopsy, and x-ray reports. Collect statistical data to analyze departmental productivity. Oversee daily activities of department to optimize productivity and quality of work. Lead and guide employees performing related work; participate in hiring, interviewing, and training process of new transcriptions. Verify accuracy of patient information such as name and identification number; verify accuracy of transcription for correct punctuation, grammar, and spelling. Respond to inquiries for release of medical information, ensuring that legal requirements are followed and proper consent has been obtained. Maintain logs of medical procedures, incoming dictation, and transcription records. Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and infection control standards. Distribute and collect dictation and transcribed reports; follow up on physician's missing and late dictation. Key Skills ICD-10,CPT-10, & Medical Terminology Medical Insurance Excellent Interpersonal Skills Excellent Phone Skills Various Practice Management Software Claim Entry & Payment Posting Records Organization & Management Insurance & Patient Aging HIPAA Compliance Online Claim Submission & ERA All EMR and EHR Systems I have extensive experience in the following Practice Management and EHR software. Kareo AdvancedMD AthenaCollector (by Athenahealth) NextGen Healthcare DrChrono eClinicalWorks Claim Scrubber PracticeSuite MediTouch (by HealthFusion) EZClaim MediFusion ChiroTouch CareCloud Central OpenPractice Solutions Office Ally Practice Mate MDConnection NueMD AllegianceMD CollaborateMD Medisoft TheraNest ChartLogic Cerner PowerWorks SimplePractice AccuMed Epic Systems Cerner Allscripts Meditech Aprima Amazing Charts
    Featured Skill Practice Fusion
    Internal Auditing
    HIPAA
    Compliance
    Basic Attention Token
    Payment Processing
    Account Reconciliation
    Revenue Management
    Medical Procedure Coding
    Medical Billing
    Financial Report
    ICD Coding
    Revenue Cycle Management
    Insurance Claim Submission
    Medical Billing & Coding
  • $10 hourly
    Thank you! For visiting! I am a Medical Biller and Credentialing specialist and have five plus years of experience. I am familiar with professional Credentialing with HIPPA compliance and professional Medical Biller. AR Specialist, Account Receivable, and Denial Management. Work Experience: In the course of my billing career, I have performed various duties such as HCPCS research, fee investigation for similar providers, as well as development of procedure manuals and business form creation. I have great experience working on the below-mentioned functions of Medical billing. 1. Patient Registration 2. Insurance Verification 3. Pre Authorization Request and verification 4. Charge Posting / Superbill review 5. Evaluation of valid HCPCS codes, ICD 9-10 and Modifier 6. Fixing Rejected Electronic claims 7. Checking clearinghouse reports 8. Provider PIN calling ( for verifying provider TAX id, NPI, and billing address) 9. EOB and check search via websites and batches 10. Payment Posting of Insurance and Patient 11. AR Follow up on denied claims via call or websites 12. Appeal project 13. Collection / Refund / Over-Payment 14. Scheduling new patients In Credentialing I have expertise in the following Services: • Primary Source Verification • Updating CAQH Accounts • PECOS Provider Enrollments • Filing Applications • Initiating Credentialing Process • Credential new providers and re-credential current providers under different Tax ID's. • Verify provider’s license through the state license authority website • Licenses and Affiliation Check • Payer Contract Evaluations and Negotiations • Re-Enrolment and Re-Validation Solutions • Maintain internal provider grid to ensure all information is accurate and logins are available • Update each provider’s CAQH database file timely according to the schedule published by CMS • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid • Complete re-credentialing applications for commercial payers • Take follow up for the Credentialing applications and maintain the record. • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases • Form submission to different Insurance companies like Humana, United, Cigna, Aetna, Anthem, Medicare, Medicaid, BlueCross Blue Shield etc. AR Follow-up: • Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables • Prioritize unpaid claims for calling according to the length of time it has been outstanding • Call insurance companies directly and convince them to pay the outstanding claims • Check the relevance of insurance info offered by the patient • Evaluate unpaid insurance claims • Call insurance companies and check on the status of claims • Transfer the outstanding balance to the patient of he/she doesn’t have adequate insurance coverage • If the claim has already been paid, ask the insurance company for Explanation of Benefits (EOB) • Make corrections to the claim based on inputs from the insurance company. Project Specialists: 1. Daily Audit of sample size. 2. Publishing weekly/monthly report to clients. 3. Working on new ideas to improve process accuracy and productivity. 4. Doing calibration with QCA, Team, and Client to reduce process variances. 5. Tracking or identifying root causes of insurance denials and low revenue. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audits of associates 10. Analyzing trends in quality check and fixing the bulk issue right away. I am serving the US health care industry for the last five years in different states including, IL, MO, NY, TX, NJ, CA, MO, AZ, FL, TN etc. I have worked for the below-mentioned specialties of the provider’s claims. 1. Urology 2. Surgical 3. Genetic Testing 4. DME 5. Physical Therapy 6. Pain management 7. Doctor's clinic or office setting 8. Chiropractic. 9. Internal Medicine, etc. 10. Behavioral and Mental Health EHR Software Work Experience: I have also have a strong grip on different EMR/EHR and Billing Software's including. • Advanced MD PM • Office Ally Practice Mate • ECw • Rain Tree • Practice Fusion • Kareo • Care Cloud • Simple Practice • ClaimMD • IntakeQ • Dr Chorno • Athena health I hope that after reviewing my credentials that you see my professional experience can help your business get to the next level and accomplish what you as the client needs. I look forward to every project and give my full effort at all times. All projects are completed thoroughly and within the time lines given. Thank you Haseeb Ahmed. (HIPAA CERTIFIED)
    Featured Skill Practice Fusion
    Insurance Verification
    Medical Transcription
    Medical Referrals
    Medical Procedure Coding
    Communications
    Medical Mastermind Medical Billing Services
    Electronic Medical Record
    Medical Billing & Coding
    Medical Records Software
    Epic Systems Medical Software
    Medical Records Research
    Time Management
    Google Sheets
    Virtual Assistance
  • $8 hourly
    Thank you for visiting my profile. I am an experienced Medical Billing Professional with over a decade of experience working with US healthcare providers across various specialties. Since 2019, I have successfully collaborated with numerous organizations, delivering high-quality billing services. Please review listed below details about my Experience and don't hesitate to ask me any question . Specialties I’ve Worked With: 1:Urgent Care 2:Chiropractic 3:Ambulatory Surgery Centers (ASCs) 4:Community Health Centers 5:Mental Health Services 6:Home Health Agencies 7:Internal Medicine for Clinic . 8:Physical Therapy. 9:DME Billing Software Expertise: eClinical Works (ECW) Kareo/ Tebra Athena Ethomas Collaborate MD E medical Practice Med office Simple Practice Office Ally. Portals and Clearinghouse UHC Optum Availity Realyhelath Trizetto Waystar Entire RCM services which includes listed Below. 1: Patient Demographic and Charge Entry 2: Claims Scrubbing and Submission 3: AR and Insurance Follow-up 4: Denials Management 5: Appeals Filing (if required) 6: Payment Posting 7: Pre-auth, insurance insurance verification Eligibility and Benefits. 8:Revenue Analysis and Reporting Lets discuss further in interview.
    Featured Skill Practice Fusion
    Insurance Claim Submission
    Healthcare Software
    eClinicalWorks
    Auth0
    Communications
    Customer Care
    Medical Billing & Coding
    ICD Coding
    Microsoft Excel
    Insurance Verification
    Data Entry
    Virtual Assistance
    Accounts Receivable
    Medical Billing
  • $5 hourly
    Streamline Your Medical Billing with Precision and Expertise! Let Us Optimize Your Revenue Flow Today..... Expert Medical Billing Specialist with Proven Revenue Optimization With over 5 years of hands-on experience in medical billing and a deep understanding of industry regulations and practices, I am dedicated to helping healthcare providers maximize their financial returns while ensuring compliance and accuracy. What I have to offer:  VOB  Eligibility  Charge Posting  Claim Submission  Rejection Solving  AR – Follow Up  Appeal Submission  Payment posting  ACH  Denial Management  Secondary Submissions  Patient Payment Posting  Claim Faxing  Insurance Calling Billing Software I have Experienced:  E clinical Works (ECW)  Octane  Doctor.com EMR’s I have Worked On:  Practice Fusion (EMR)  Kipu (EHR)  Athena (EMR) Talk (EHR) Medgen(EHR) Athena (EHR) Clearing House I am familiar with:  Change healthcare  Trizetto  Instamed  spectra Why Choose Me: I am not just a medical billing specialist; I am a partner dedicated to your practice's financial success. My commitment to excellence, attention to detail, and passion for solving billing challenges sets me apart. I am adept at using industry-leading billing software and stay up-to-date with the latest changes in healthcare regulations.
    Featured Skill Practice Fusion
    Virtual Assistance
    Email Communication
    Medical Mastermind Medical Billing Services
    Medical Billing
    Managed File Transfer
    EMR Data Entry
    Accounts Receivable
    eClinicalWorks
    Medical Billing & Coding
    Microsoft Excel
    Data Entry
    Typing
    Microsoft Word
  • $8 hourly
    Direction: A clear vision and goals are essential for success. I work with you to refine your ideas and aspirations into specific, measurable objectives via OKRs, strategies, and roadmaps. Then, I help you promote your vision and hold you accountable to your commitments. Hi there, It's Hammad Ali. I have more then 7 years of experience as a medical billing professional having strong capability of tracking billing records in order to increase revenue of our providers. I am aware of a number of Software's which are used in the medical billing: 1. eClinicalWorks 2. Kareo 3. Office Ally 4. EHI connect 5. Optimantra 6. Practice EHR 7. Brightree 8. Sequel Med Inc. 9. Simple Practice 10. MIQS 11. Collaborate MD 12. Optimantra 13. Athena 14. NextGen 15. Thera Bill 16. WebPT 17. Raintree EHR 18. ChiroFusion 19. Therapy Notes Specialists: 1. Internal Medicine 2. Cardiology 3. Psychiatry (Mental Health) 4. Dialysis 5. DME Pharmacy 6. Liver Transplant 7. Urgent Care 8. Physical Therapy 9. Hospital Billing (UB-04) 10. Acupuncture Services Offered: 1. Patient Demographic and Charge Entry 2. Claims scrubbing and submission 3. AR and insurance follow-up 4. Denials Management 5. Appeals Filing (if required) 6. Payment Posting 7. Revenue Analysis and Reporting Want to learn more about my work and how I can help you? Check out my client feedback, project examples, or schedule a 30-minute discovery call. Simply hit the "Send Message" button.
    Featured Skill Practice Fusion
    Electronic Medical Record
    Electronic Health Record
    Medical Mastermind Medical Billing Services
    Accounts Receivable
    HIPAA
    Mental Health
    Accounts Receivable Management
    Revenue Cycle Management
    Medicine
    Hospital Services
    Medical Billing & Coding
    Scheduling
    Cardiovascular Training
    Microsoft Excel
  • $16 hourly
    Are you looking for a medical billing and coding expert who can streamline your revenue cycle, reduce denials, and ensure timely reimbursements? Look no further! With 6 years of hands-on experience, I specialize in optimizing medical billing and coding processes for practices of all sizes. Why Choose Me? Expert in Medical Coding: Proficient in CPT, ICD-10, and HCPCS coding for multiple specialties, including OB/GYN, family medicine, and more. Modifier Expertise: Accurate application of modifiers like 22, 25, 26, 33, 50, 51, 59, 91, XE and other, to avoid denials and maximize reimbursements. Claims Submission & Follow-Up: Submit clean claims with a 48-hour turnaround time and manage denied claims for faster resolutions. End-to-End Revenue Cycle Management: From eligibility verification to payment posting, I handle the entire billing cycle with precision. Specialized Knowledge: Skilled in dealing with complex scenarios like global periods, bundled payments, and payer-specific rules. Content Creator for Medical Billing & Coding Beyond my hands-on expertise, I actively contribute to the medical billing and coding community by writing articles and creating guidelines to support practices across various specialties. My recent works include: Modifier 52 for Incomplete or Partial Delivery Master Obstetrical Ultrasound Coding with CPT Codes 76805, 76811, and More Prevent Mistakes When a Pregnant Patient Switches Insurance During Global Period Comprehensive Guidelines for Denials and Payer-Specific Rules Technical Skills & Tools: EMR Systems: Proficient in Athenahealth, Kareo, eClinicalWorks, AdvancedMD, and Epic. Claims Management: Expertise in managing Front-End and Back-End Denials, soft/hard holds, and scrubbing tools. Billing Platforms: Skilled in reporting, payment posting, and accounts receivable management to enhance revenue cycle efficiency. Why Work With Me? I’m passionate about helping practices simplify complex billing challenges, stay compliant, and boost revenue. Whether it’s coding, audits, modifiers, or denials, I bring a strategic approach to ensure your claims are paid accurately and on time. Let’s work together to achieve your goals! Reach out today for expert guidance and support.
    Featured Skill Practice Fusion
    eClinicalWorks
    Epic Systems Medical Software
    Medical Transcription
    Medical Terminology
    Medical Billing
    Medical Referrals
    Medical Procedure Coding
    Medical Billing & Coding
    Insurance Verification
    Scheduling
    Electronic Medical Record
    Communication Skills
    Healthcare
    ICD Coding
  • $12 hourly
    🦷 Dental Biller | Credentialing Specialist | EDI Analyst 6+ Years of Experience in Dental Billing and Revenue Cycle Management I’m a dedicated Dental Billing Specialist with over 6 years of hands-on experience managing the full dental billing cycle. I’ve worked with a variety of dental practices, handling everything from claim submission to AR follow-up, and guiding billing teams toward improved collections and reduced denials. ✅ Dental Billing Expertise: Patient Registration & Demographic Entry Insurance Verification & Breakdown Fill-up Pre-Determination Submission E-Claim Submission & Rejection Management Clearinghouse Reports (DentalXChange, Vyne Dental, CHC) EOB/ERA Retrieval & Payment Posting AR Follow-up (Calls & Web Portals) Denials Management & Appeals Daily Claim Submission & Workflow Management Provider Credentialing, ERA & EFT Setup ✅ Dental Software Experience: Open Dental Practice Web Dentrix Denticon Tab32 Eaglesoft Curve Dental ✅ Major Dental Insurances Worked With: Delta Dental MetLife Guardian UHC Dental Liberty Dental MCNA DentaQuest Medicaid & Medicare (Dental Plans) Cigna Dental Aetna Dental Humana Dental Tricare / ChampVA Workers’ Comp Claims 🔹 Strong attention to detail with a proactive approach to denials and collections 🔹 Experienced in SOP creation and AR team training 🔹 Fast learner with the ability to adapt to any dental software 🔹 Committed to maximizing reimbursements and minimizing claim delays
    Featured Skill Practice Fusion
    Healthcare Management
    Insurance Verification
    Medical Billing
    Dental Care
    Electronic Data Interchange
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Insurance Claim Submission
    Medical Records Software
    Electronic Funds Transfer
    Accounts Payable
    Accounts Receivable
  • $15 hourly
    Greetings from Radiant RCM! In healthcare finance, we are your dedicated ally, offering efficient revenue cycle management to elevate your practice. With a transparent $150 flat fee per application/plan for credentialing, we aim to redefine medical billing. Interested in optimizing your financial landscape? Let's discuss further. We invite you to explore our services and company policies in a brief meeting at your convenience. Thank you for considering Radiant RCM as your ally in healthcare finance optimization. Looking forward to the opportunity.
    Featured Skill Practice Fusion
    Insurance
    Medical Billing
    Medical Billing & Coding
  • $9 hourly
    Is your practice struggling with delayed payments, claim denials, and rejections? Are increasing account receivables jeopardizing your financial health, even though these issues are preventable? Let me take care of your medical billing needs so you can focus on what truly matters—providing exceptional care to your patients. With my expertise, I help medical practices streamline their billing processes, minimize errors, and ultimately maximize revenue for sustained financial growth. I am a HIPAA Certified Revenue Cycle Management Specialist with over SIX years of practical experience. I offer comprehensive Revenue Cycle Management services to medical practices. While you focus on your patients' health, I ensure the financial well-being of your practice. I am working on the following services: • Patient Demographics • Eligibility and benefits • Insurance claim submission • Charge Creation • Claims follow-up • Appeals • Patient Calling • Patient Statements • Monthly & Annual Reports • Audit & Scrubbing Following is a list of Specialties which I worked since my career began: Cardiology Behavioral Health/Mental Health Anesthesiology Internal Medicine Family Medicine Pediatrics Nephrologists Hospitalists Urgent Care Physical Therapy Occupational Therapy Clinical Medical Labs Following is a list of the software with which I worked since my career: eCW Collaborate MD Epic Care Cloud Simple Practice PracticeQ/IntakeQ TherapyNotes Athena Health Office Ally AdvancedMD Why should place an order here? • Fast and accurate service • 100% Accuracy • 100% Buyer sanctification • 100% Time for delivery • 100% Quality Assurance • 100% on-time Delivery • 100% Quick Response • 100% Data Confidentiality I hope that after reviewing my credentials, you will see that my professional experience can help your business get to the next level and accomplish what you, as the client, need. I look forward to every project and give my full effort at all times. All projects are completed thoroughly and within the timelines given. Thank you for taking the time to review!
    Featured Skill Practice Fusion
    Phone Communication
    Microsoft Excel PowerPivot
    Medical Mastermind Medical Billing Services
    Appointment Scheduling
    eClinicalWorks
    Electronic Medical Record
    Microsoft Excel
    Accounts Receivable
    Medical Records Software
    Insurance Claim Submission
    Customer Service
    Insurance Verification
    Medical Billing
    Medical Billing & Coding
  • $12 hourly
    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
    Featured Skill Practice Fusion
    Preauthorization
    Insurance Consulting
    Electronic Funds Transfer
    Medical Billing & Coding
    Revenue Management
    Electronic Health Record
    Accounts Receivable
    Medical Procedure Coding
    Office 365
    Insurance Verification
    eClinicalWorks
    Electronic Data Interchange
    Microsoft Excel
    Medical Records Software
  • $8 hourly
    Greeting, This is Chris, I am a certified HIPAA professional and professional biller 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. HIPAA Certification 2. 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, KAREO, 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 Regards, Chris Louis
    Featured Skill Practice Fusion
    Preauthorization
    Insurance Consulting
    Electronic Funds Transfer
    Medical Billing & Coding
    Revenue Management
    Revenue Cycle Management
    Electronic Health Record
    Accounts Receivable
    Medical Procedure Coding
    Insurance Verification
    eClinicalWorks
    Electronic Data Interchange
    Medical Records Software
    Microsoft Excel
  • $8 hourly
    I am a Medical Biller, Auditor, and Healthcare Financial Professional (BS degree) as well as a Business consultant providing personalized services for hospitals, healthcare facilities, small business practices, solo practitioners, students, and other entities in the United States. I specialize in services such as ICD-10-CM, CPT, and HCPCS Level II Coding/Billing, Medical Documentation Auditing/Compliance, Revenue Cycle Management, Claim Appeals, Third-Payer Payer Audits, Workflow Development, EMR transition, Financial and Accounting, and many other services. Skills: ICD-10-CM, CPT, Compliance, Coding Guidelines, Diagnosis Coding, Facility/Professional Coding, Revenue Cycle Management, TeleHealth/Virtual Visits, Provider Education, UB-04, CMS-1500, Software’s, Subject Matter Expert, and many more. Specialties: Pediatric, Family/Internal Medicine, Neurology, Psychiatry, Behavioral/Mental Health, Pain Management, Rheumatology, Infusion and Hydration, Podiatry, and much more. Software Experience: eCW, Office Ally, Practice Fusion, MDLand, Allscripts, Nextgen, AdvancedMD, Waystar, Trizetto, ClaimRemedi, EncoderPro. States: NY, NJ, WA, OH, FL, NC, MA Specializations: I specialize in the following areas: Identifying gaps in workflows and drafting new workflows Appointments scheduling Eligibility and Benefits verification Insurance verification Authorization submission Charge Entry Insurance claim submission Clearinghouse and insurance Rejections, corrections, and Resubmissions Resolving claim denials Denial Management and Identifying root causes of claim denials Payment posting via ERA and Manually AR Follow-up (In Network, Out of Network, and Self-pay) Validating insurance payments underpayments and overpayments according to contractual agreements Drafting claim appeals Patient collections Patient statements and Follow-up Daily, weekly, and monthly CPT-wise charges, and payment reports Daily, weekly, and monthly Claim wise charges, and payment reports Monthly invoices and KPI reports Additional Experience: I have worked with commercial and government payers in different states. Provider Portals Setup ERA and EFT’s Setup My experiences include: - Working with a wide range of clients of different specialties and overseeing the daily coding/billing operations, charge entry, claims, payments, reimbursement, and insurance follow-ups. Develop and provide educational material to physicians specific to their scope of practice such as Pediatric, Family/Internal Medicine, Evaluation and Management, Surgeries, and many other specialties. Working one-on-one with clients to ensure effective communication and ensure the needs of the practices are met through revenue cycle management. Continuously provide feedback on documentation and effectively respond to disputes in audit findings, payer denials, and prospective/retrospective audits through crucial industry metrics. Taking on large capacity projects and developing workflows to improve productivity levels so that the Revenue Cycle Management and Coding/Billing could run smoothly. Currently, I assist small businesses and individual clients and understand that time management and accuracy are essential. Support individual practices with A/R, compliance, reporting, billing, documentation, insurance, EMRs, revenue, and eliminating administrative burdens from practices. Providing transparent reports to practices such as weekly/monthly revenue reporting (billing performances, AR aging, movements & trends), operational reports (number of appointments made, number of inbound & outbound calls), claim management, profitability analysis, and much more for easy understanding on what is happening within the practice. Development of facility charge master which includes creating patient charge description documents based on coded medical records, training clinical staff in coding procedures, and making sure coding and charge descriptions are compliant with industry standards, legal mandates, and reporting requirements. (Used in hospital facility UB-04) Conclusion: My work hours are flexible to meet your needs. I am excited to partner with you to get your project completed successfully on time and within budget. I look forward to discussing how we can strategically improve your revenue cycle and build a solid financial infrastructure. Dynamic problem solver with proven effectiveness in identifying system inefficiencies and implementing corrective measures to improve cash flow, reduce costs, and strengthen business relationships. Demonstrate exceptional interpersonal and communication skills in relation to management, Clients vendors, and customers. Consistently achieves outstanding results in fast-paced, deadline-driven environments.
    Featured Skill Practice Fusion
    eClinicalWorks
    HIPAA
    Virtual Assistance
    Data Entry
    Medical Records Software
    Email Communication
    Administrative Support
    Accounts Receivable Management
    Accounts Receivable
    Medical Mastermind Medical Billing Services
    Customer Service
    Medical Billing & Coding
    Medical Billing
    Revenue Cycle Management
  • $10 hourly
    Welcome to my profile! I am a dedicated and results-oriented professional with an extensive background with over 9 years of experience in medical billing and credentialing. With a proven track record of optimizing revenue streams and streamlining administrative processes, I am committed to helping healthcare providers achieve financial success and operational excellence. My comprehensive knowledge of medical billing codes, regulations, and insurance protocols combined with my meticulous attention to detail makes me the ideal partner for your medical billing and credentialing needs. Services Offered: Medical Billing Services: • Claims Submission and Follow-Up: Ensure accurate claim submission, monitor claim status, and swiftly address any issues for maximum reimbursement. • Revenue Cycle Management: Streamline billing processes, reduce claim denials, and accelerate revenue cycles. • Insurance Verification: Verify patient insurance coverage and eligibility to prevent billing errors and minimize claim rejections. • Accounts Receivable Management: Expertly manage accounts receivable, track payments, and resolve outstanding balances promptly. Credentialing Services: • Provider Enrollment: Efficiently manage the enrollment process with insurance panels and other credentialing entities. • Credentialing Audits: Conduct comprehensive audits to ensure provider credentials are up to date and compliant with industry standards. • Re-Credentialing: Timely and accurately renew provider credentials to maintain uninterrupted participation in insurance networks. • Payer Enrollment: Navigate the complex world of payer enrollment, ensuring smooth transitions and ongoing participation. Why Choose Me: • Extensive Expertise: I possess a deep understanding of medical billing codes, regulations, and insurance industry intricacies, allowing me to navigate the complexities of billing and credentialing with precision. • Maximized Revenue: My strategies are designed to optimize revenue collection through accurate claims submission, diligent follow-up, and swift resolution of payment discrepancies. • Efficiency Enhancement: By leveraging advanced technology and efficient processes, I ensure timely reimbursements and streamlined operations, freeing up valuable time for healthcare providers. • Detail-Oriented: My meticulous attention to detail guarantees error-free claims submission, minimizing rejections and accelerating reimbursement. • Compliance Focus: I stay up to date with the latest industry regulations and compliance standards, ensuring that your billing and credentialing processes remain fully compliant. • Clear Communication: Transparent and proactive communication is at the heart of my approach. You can expect regular updates, timely responses, and a collaborative partnership. • Client-Centered Approach: I tailor my services to meet your specific needs, whether you're a solo practitioner, a group practice, or a healthcare facility. Your success is my priority. Let's Collaborate: If you're seeking a dedicated and experienced medical billing and credentialing specialist who can optimize your revenue, enhance efficiency, and ensure compliance, look no further. Let's connect and discuss how I can contribute to your financial success and operational excellence. Contact me today to schedule a consultation and take the first step towards a stronger financial future for your healthcare practice. Regards, Farhan Asghar
    Featured Skill Practice Fusion
    Appointment Scheduling
    Virtual Assistance
    Scheduling
    Healthcare Management
    eClinicalWorks
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Revenue Management
    Medical Billing & Coding
    Data Entry
  • $20 hourly
    I'm a highly qualified Pharmacist currently working as a clinical pharmacist in a well reputed company in Chicago. I've been serving in patient health care professionally from last 2 years. I do medical reconciliation.
    Featured Skill Practice Fusion
    eClinicalWorks
    Alternative Medicine
    Writing
    Science & Medical Translation
    Book Writing
    Copywriting
    Patient Care
    Medical Writing
    Clinical Trial
    Medicine
    Telemedicine
    Prescription Refills
    Medical Report
    Lab Report
  • $5 hourly
    Hi Welcome to my Profile! Are you looking for a professional Medical Biller & Collector? Then you are in the right place. I am a medical biller AR & Billing specialist having 4 years of experience. I have work experience in Internal Medicine, Family Medicine, Chiropractic, Neurologist, Ophthalmologist, Gynecologist, Hospitality, and, Covid Lab Billing. States I have worked with CA, NY, MO, FL, NJ, OH, and more. I have used the following Software eCW, Kareo, Talk EHR, Websoft, Practice fusion, Collaborate MD, Criterion MD, Fusion Web, Nextgen, Medics Primer, and Office Aly. My services include! ✅Data Entry, Charge Entry ✅Patient Demographic Verification ✅Insurance Eligibility Verification ✅Insurance claims Submission ✅Payment Posting ✅Patient Calling ✅Denial Management/ Claims Follow Up ✅Patient Balance Maintenance ✅Monthly and Annual Client Reporting ✅Revenue Cycle Management ✅Patient Statements verification ✅Appeals Filling Why should place an order Here? ✅Fast and accurate service ✅100% Accuracy ✅100% Quality Assurance ✅100% In time Delivery ✅100% Quick Response ✅100% Data Confidentiality I hope after reviewing my profile and work experience, it can help your business get to the next level and accomplish what you as the client needs. I look forward to every project and give my full effort at all times. All projects are completed thoroughly and within the timelines given. Looking forward to helping providers, Labs, and companies with their Medical Billing well as Revenue Cycle Management needs.
    Featured Skill Practice Fusion
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Insurance Claim Submission
    Healthcare Management
    Insurance Policy Analysis
    Scheduling
    ICD Coding
    Data Entry
    Microsoft Excel
    Microsoft Office
  • $6 hourly
    🌟 Welcome! 🩺 Seeking a seasoned Medical Biller? With years of hands-on experience in the field, I excel in verification of benefits, proir authorization, charge entry, payment posting, claim submission, claims processing, AR follow-up, denial management, appeals, and medical records submission. Let's optimize revenue cycles for your healthcare practice. Together, we'll streamline your billing processes and maximize revenue!
    Featured Skill Practice Fusion
    Epic Systems Medical Software
    Electronic Health Record
    Medical Terminology
    Insurance Verification
    Insurance Claim Submission
    Revenue Cycle Management
    Medical Billing
  • $5 hourly
    Professional Medical Billing Specialist | Revenue Cycle Expert | Maximizing Your Financial Performance Hello! I’m Babar Mughal, a dedicated and detail-oriented Medical Billing Specialist with 7 years of experience in streamlining billing processes and optimizing revenue cycles for healthcare providers. My expertise lies in ensuring accurate and timely submission of medical claims, reducing claim denials, and enhancing reimbursement rates. What I Offer: Comprehensive Medical Billing: Expertise in coding, submitting claims, and following up on unpaid claims to ensure maximum reimbursement. Revenue Cycle Management: Skilled in managing the end-to-end revenue cycle process, from patient registration to collections. Insurance Verification & Credentialing: Proficient in verifying patient insurance information and managing provider credentialing. Problem Resolution: Adept at resolving billing discrepancies and collaborating with insurance companies and healthcare providers to clarify issues. Compliance & Confidentiality: Strict adherence to healthcare regulations and standards, maintaining patient confidentiality and data security. Why Choose Me? Proven Track Record: Successfully managed billing for various healthcare providers with a high accuracy rate. Detail-Oriented: Meticulous attention to detail, ensuring all claims are accurately coded and submitted on time. Client Satisfaction: Dedicated to providing exceptional service, with a focus on improving your financial performance and operational efficiency. Freelance Flexibility: As a freelancer, I offer flexible services tailored to meet your unique needs and schedules. Let’s work together to streamline your billing processes and maximize your revenue. Contact me today to discuss how I can support your practice’s financial health!
    Featured Skill Practice Fusion
    Insurance Verification
    Medical Referrals
    ICD Coding
    Medical Billing & Coding
    Front Desk
    Claim Listing
    EMR Data Entry
    Medical Condition Coding
    Insurance Claim Submission
    Account Reconciliation
    Revenue Cycle Management
    Invoicing
    Management Skills
    Medical Billing
  • $10 hourly
    As a dedicated and versatile freelancer, I bring a strong set of skills tailored to meet client needs with precision and creativity. My core expertise includes [Your Primary Skill, e.g., content writing, graphic design, or web development], supported by proficiency in tools.
    Featured Skill Practice Fusion
    ChatGPT
    Family Law
    Nursing
    Teaching
    Freestyle Drawing
    PDF Conversion
    Cooking
    Manage Google Shopping
    Administrative Support
  • $15 hourly
    HIPAA Certified Medical Billing, AR Recovery and Credentialing Specialist I am a HIPAA compliant medical biller AR & Billing specialist having 6 years of experience. I am specialized in Anesthesiologist, Internal Medicine, Family Medicine, Pediatrics, Nephrologist, Urology, Freestanding Emergency Rooms, Plastic Surgery, Out of network billing, Hospitals, and, Urgent care.. I have used following Software Athena, eCW, Kareo, Care Cloud, Practice EHR, Next Gen, Mod Med, Therapy Notes, Simple Practice, Ipatient Care, Medisoft, Aprima, Advance MD, Collaborate MD, Office Aly and many more. My services includes! Patient Demographics eligibility and benefits, Insurance claims submission, Charge Creation, Claims Follow up, Denial Management, Appeals, Patient Calling, Patient Statements, Monthly and Annual Reports, Transition, Credentialing, Audit, And Scribing. Why should you Hire Me ? - Fast and accurate service - 100% Accuracy - 100% Buyer satisfaction - 100% Time for delivery - 100% Quality Assurance - 100% Quick Response - 100% Data Confidentiality - 100% Money-Back Guarantee With my experience of over 12 years as certified medical biller and coder, i can guarantee quality, timely response, my valuable insight on how to improve patient volume and end revenue.
    Featured Skill Practice Fusion
    HIPAA
    Medical Transcription
    eClinicalWorks
    Payment Processing
    Project Prioritization
    Electronic Medical Record
    Insurance Claim Submission
    EMR Data Entry
    Insurance Verification
    Revenue Cycle Management
    ICD Coding
    Accounts Receivable Management
    Medical Billing & Coding
    Medical Procedure Coding
  • $30 hourly
    I have more than 12 years of medical coding experience working on: • Women Care Centers  obstetrics and gynecology related services antepartum, delivery and postpartum services, ultrasounds, surgeries coding • Ambulatory Surgery Centers  institutional (facility) and professional claims coding for specialties: o orthopedics o podiatry o pain management o spinal surgeries o ENT o ophthalmology o obstetrics and gynecology o cardiology o Urology o Otolaryngology o Dermatology o gastroenterology o general surgical procedures • Outpatient clinical practices  assist with coding queries from the providers related to office visits E&M leveling, ultrasounds, labs, injection procedures for specialties: o internal medicine o emergency medicine o orthopedics o ENT o Neurology o Urology o Radiology o cardiology o pain management o gastroenterology o ophthalmology o podiatry o spinal • hospitalists coding services  inpatient and outpatient hospital visits and consultations and surgeries coding related to any and all the specialties Besides this I have successfully performed coding audits on larger and smaller practices with good feedback increasing the practices revenue within a short span of time. Medical coding certifications: 1. CPC (Certified Professional Coder) awarded by AAPC 2. CCS (Certified Coding Specialist) awarded by AHIMA 3. Certification in E&M Coding awarded by AAPC Oher certifications: 1. CPMB (Certified Professional Medical Biller) 2. Certified Electronic Health Records Specialist (EHRS) 3. HIPAA Certification 4. Advance Excel Expertise in coding standards: 1. Current Procedural Terminology (CPT-4) 2. ICD-10-CM (the International Classification of Diseases, Tenth Revision, Clinical Modification) 3. ICD-11-CM (the International Classification of Diseases, Eleventh Revision, Clinical Modification) 4. HCPCS (Healthcare Common Procedure Coding System) Codes mapping expertise: • Logical Observation Identifiers Names and Codes (LOINC) – Current Procedural Terminology (CPT-4) mapping EMRs used: 1. eClinical Works (eCW) 2. Athena Health 3. ModMed 4. Nextgen 5. Kareo 6. Simple practice 7. Practice Fusion Insurances worked with: • Medicare • Medicaid • UHC • Cigna • UMR • BCBS • Aetna • Workers’ compensation • No fault • Molina Please allow me if we can schedule a Zoom/Teams or WhatsApp call with you so I can discuss this opportunity in detail. Regards, Adnan Ali | CCS, CPC #AmbulatorySurgeryCenter(ASC)Coder #CertifiedMedicalCoder #OBGYNCoder #OrthopedicsCoder #PodiatryCoder #SpinalCoder #PainManagementCoder #MedicalCodingExpert
    Featured Skill Practice Fusion
    Citrix
    Data Entry
    Typing
    Microsoft Excel
    Demographics Pro
    Medical Translation
    Computer Skills
    eClinicalWorks
    English
    Medical Records
    Electronic Medical Record
    ICD Coding
    Medical Procedure Coding
    Medical Billing & Coding
  • $10 hourly
    ### Professional Overview I am a Medical Transcription Specialist and Medical Coding professional with 20+ years of experience in the healthcare industry. My career focuses on accuracy and attention to detail, supporting healthcare providers in delivering high-quality patient care. Over the past four years at MTBC, I have honed my transcription skills and enhanced customer service capabilities, ensuring that clients receive tailored support to meet their needs. ### Medical Transcription and Coding Expertise I have extensive experience in medical transcription and coding across various specialties, including plastic surgery, neurosurgery, vein surgery, cardiology, orthopedics, and pediatrics, among others. My proficiency in converting audio recordings into precise written documents ensures that every transcription is error-free and compliant with industry standards. I am well-versed in medical terminology, which enables me to provide high-quality support to healthcare professionals. Additionally, I excel in medical billing and coding, utilizing systems such as ICD-10, CPT, and HCPCS. I have effectively managed billing processes for in-network and out-of-network providers, implementing reimbursement strategies that optimize financial outcomes. My expertise extends to full account management, including payment posting, accounts receivable (AR) follow-up, and credentialing. ### Advanced Customer Service and Management Skills My strong background in customer service allows me to communicate effectively with healthcare providers and administrative staff. I prioritize building trust with clients, ensuring their needs are met promptly and efficiently. As a team lead and project manager, I have coordinated billing and coding teams, ensuring compliance and smooth operations. This experience has equipped me to streamline processes and improve efficiency across various projects. ### Comprehensive Knowledge of Billing Processes I possess a thorough understanding of medical billing and coding processes, including: - **Specialties**: Plastic surgery, neurosurgery, vein surgery, and more. - **Billing Software**: Proficient in eClinicalWorks (eCW), NextGen, CollaborateMD, Office Ally, Tebra, ModMed, and Athena. - **Clearinghouses**: Experienced with clearinghouses that facilitate timely claims processing for major insurers like Aetna, Cigna, BCBS, UHC, Medi-Cal, Medicare, Medicaid, and commercial payers. This knowledge allows me to navigate the complexities of billing and coding effectively, enhancing the financial health of healthcare practices. ### Benefits of My Services My services provide several key benefits: 1. **Accuracy**: Extensive experience ensures error-free documentation, minimizing risks to patient care and revenue. 2. **Compliance**: Adherence to HIPAA regulations and coding standards ensures regulatory compliance. 3. **Timeliness**: I prioritize meeting deadlines without compromising quality, allowing providers to focus on patient care. 4. **Customization**: I tailor services to meet the unique needs of each client, whether for specific specialties or complex coding scenarios. 5. **Communication**: Strong customer service skills facilitate open communication, ensuring feedback is promptly addressed. ### Conclusion With 20+ years in healthcare, including four years as a Medical Transcription Specialist at MTBC, I am well-positioned to support providers in documentation, coding, and billing needs. My expertise in revenue cycle management and effective communication sets me apart in this field. I look forward to collaborating with healthcare professionals to enhance patient care through precise documentation and optimized revenue cycle management.
    Featured Skill Practice Fusion
    Insurance Verification
    Customer Service
    Medical Report
    Revenue Cycle Management
    Project Management Professional
    Family Planning
    Electronic Medical Record
    Medical Records
    Administrative Support
    Medical Procedure Coding
    Healthcare Common Procedure Coding System
    ICD Coding
    Medical Transcription
    Medical Billing & Coding
  • $20 hourly
    Are you a healthcare provider looking for an experienced Virtual Medical Assistant to handle patient scheduling, medical documentation, scribing, and care coordination efficiently? I have extensive experience in US healthcare, specializing in: ✅ Medical Scribing (Live & Asynchronous) ✅ Specialized Care Management (CCM, PCM, BHI, RPM, RTM) ✅ Patient Scheduling & Referral Coordination ✅ Surgical Scheduling & Documentation ✅ Prior Authorization, Medical Necessity, Denials, & Excuse/Disability Letters ✅ HIPAA Compliance & Secure EHR Management I have successfully managed entire RPM programs, introduced AI-driven automation, and worked with multiple EHR systems (TalkEHR, DrChrono, eCW, Practice Fusion, Chirotouch, and more). If you need a reliable, detail-oriented, and proactive medical virtual assistant, let’s discuss how I can support your practice.
    Featured Skill Practice Fusion
    Artificial Intelligence
    Time Management
    Communication Skills
    Appointment Scheduling
    Electronic Medical Record
    Electronic Health Record
    ChiroTouch
    eClinicalWorks
    drchrono
    Medical Records Software
    HIPAA
    Medical Records
    Medical Terminology
    Medical Transcription
  • $5 hourly
    I am a Medical Billing Professional, can speak English and Urdu fluently. I have almost 11 years of Medical Billing, Coding and Credentialing experience. I Can operate multiple billing software like, eCW, Kareo, AdvancedMD, Office ally, Nextgin, Dr.Chrono, Practice Fusion and Medisoft etc.. I pride myself on being extremely professional and aim to always deliver a job well done before a deadline. I look forward to working with you and helping you streamline your tasks to improve your business productivity.
    Featured Skill Practice Fusion
    Managerial Finance
    Management Development
    Communications
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    eClinicalWorks
    Financial Reporting
    Customer Support
  • $10 hourly
    Hello! I'm a HIPAA-Certified Professional with extensive experience in medical billing, credentialing, and enrollment. I offer expert freelancing services focused on precise billing and efficient revenue cycle management (RCM) solutions to optimize your practice's operations. Services Offered: ✅ Healthcare Practice Start-up / Enrollment & EIN Linkage: ✅ CAQH / NPPES / NPI Profile Creation & Maintenance: Ensure your provider profiles are accurate, complete, and up-to-date for seamless participation with payers. ✅ Credentialing, Contracting & Enrollment: Efficiently manage credentialing, contracting, and enrollment for all specialties and payers, ensuring smooth operations for your practice. ✅ Medical, Behavioral Health, and Dental Credentialing: Expert credentialing services tailored to various healthcare fields, ensuring compliance and timely approval with insurance companies. ✅ Demographics Update & Address Change: Keep your practice information up-to-date across all necessary platforms and systems to prevent disruptions in billing and reimbursement. ✅ Rates Negotiation: Maximize your revenue by negotiating optimal reimbursement rates with insurance companies. ✅ ERA, EDI, & EFT Enrollment: Streamline your billing and payments by enrolling in electronic transactions, ensuring faster, more efficient payment processing.
    Featured Skill Practice Fusion
    Administrative Support
    Medical Procedure Coding
    Customer Service
    eClinicalWorks
    Insurance Claim Submission
    Data Entry
    ICD Coding
    Claim Listing
    Insurance Software
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Insurance Verification
    Appointment Scheduling
    Denial-of-Service Attack Mitigation
  • $10 hourly
    Title: Bio - Syed Imran Subtitle: Medical Billing & RCM Expert | 8+ Years of Experience Introduction: I am a highly skilled Medical Billing Manager with over 9 years of experience in the Revenue Cycle Management (RCM) industry. I have worked in various roles, including Team Leader, Supervisor, Assistant Manager, and now as a Billing Manager, providing top-notch billing solutions to healthcare providers. With a strong grip on the entire RCM process, I specialize in: ✅ End-to-End Medical Billing – From patient scheduling and charge entry to payment posting. ✅ Claim Submission & Denial Management – Ensuring clean claims, reducing denials, and improving cash flow. ✅ Medical Billing Audits – Conducting detailed audits to optimize revenue and minimize errors. ✅ Billing Software & EHR Proficiency – Hands-on experience with all major billing platforms and EHR systems. ✅ AR & Collections Management – Maximizing reimbursements with effective follow-ups and appeals. ✅ Multi-Specialty Billing Expertise – Worked with a variety of medical specialties, providing tailored billing solutions. I have successfully helped multiple practices and healthcare providers improve their revenue cycle efficiency while ensuring compliance with industry regulations. Whether you need RCM consulting, billing process optimization, or full-cycle medical billing services, I am here to help! Let’s connect and take your medical billing operations to the next level!
    Featured Skill Practice Fusion
    PowerPoint Presentation
    Microsoft Excel
    Office 365
    eClinicalWorks
    Electronic Health Record
    Medical Billing
    Audition Preparation
    Scheduling
    Patient Care
    Front Desk
    Payment Processing
    Insurance Policy Analysis
    Insurance Claim Submission
    Revenue Cycle Management
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