Hire the Best TRAGHM Information Solutions CLAIMS Specialists

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

Dear Recruiter, I am highly organized, accomplished, detailed oriented and focused professional medical biller with more then 6 years of experience in challenging business environments requiring strong organizational, analytical, and follow-through capabilities. 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 relating to management, colleagues, vendors, and customers. Consistently achieves outstanding results in fast-paced, deadline-driven environments. Key responsibilities Patient Access * Insurance Verification * Claims Submissions * EHR Solutions * Accounts Receivable * Coding and Coding Audit Services * AR Recovery * Payment Posting and Reconciliation * Denial Management Services * KPI and Analytics * Physician and Group Credentialing Services PROVIDER SPECIALITIES: Urgent care Home healthcare Physical therapy Occupational therapy Speech therapy Cognitive and Behavioral Therapy Mental health Acupuncture Family practice Internal medicine Cardiology Radiology Podiatry Dietitians Inpatientlling for Surgeons/Assistant Surgeons Gynecology Oncology BILLING SOFTWARES and EMR/EHRs  Simple Practice AdvancedMD  kareo  OfficeAlly Docutap  Athena  Therabill  ECW  EZclaim  Theranest  CMD  ClinixPM  Ethomas  Intergy  Therapy Notes  NextGen  Iclinic  Kareo EHR  Webpt  Practice Fusion  HelloNote  Salesforce  Officeally INSURANCE CARRIERS Medicare/Medicaid, Tricare, HMO/PPOs/IPAs, UHC, BCBS, Cigna, Aetna, Humana, WellCare and Magnacare etc Regards Shahid

𝐀𝐫𝐞 𝐲𝐨𝐮 𝐥𝐨𝐬𝐢𝐧𝐠 𝐫𝐞𝐯𝐞𝐧𝐮𝐞 𝐭𝐨 𝐝𝐞𝐧𝐢𝐞𝐝 𝐜𝐥𝐚𝐢𝐦𝐬, 𝐚𝐠𝐢𝐧𝐠 𝐀/𝐑, 𝐨𝐫 𝐝𝐞𝐥𝐚𝐲𝐞𝐝 𝐢𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐩𝐚𝐲𝐦𝐞𝐧𝐭𝐬? You're not alone. Most healthcare providers struggle with: 📍 Denied Claims 📍 Delayed Reimbursements 📍 Aging Accounts Receivable (A/R) 📍 Eligibility & Benefits Verification Issues 📍 Revenue Leakage Hidden Within Daily Billing Operations 𝐅𝐨𝐫 𝐨𝐯𝐞𝐫 𝟔+ 𝐲𝐞𝐚𝐫𝐬, 𝐈’𝐯𝐞 𝐛𝐞𝐞𝐧 𝐡𝐞𝐥𝐩𝐢𝐧𝐠 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧𝐬, 𝐜𝐥𝐢𝐧𝐢𝐜𝐬, 𝐚𝐧𝐝 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐨𝐫𝐠𝐚𝐧𝐢𝐳𝐚𝐭𝐢𝐨𝐧𝐬 𝐨𝐯𝐞𝐫𝐜𝐨𝐦𝐞 𝐭𝐡𝐞𝐬𝐞 𝐞𝐱𝐚𝐜𝐭 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝐛𝐲 𝐬𝐭𝐫𝐞𝐚𝐦𝐥𝐢𝐧𝐢𝐧𝐠 𝐭𝐡𝐞𝐢𝐫 𝐛𝐢𝐥𝐥𝐢𝐧𝐠, 𝐫𝐞𝐝𝐮𝐜𝐢𝐧𝐠 𝐝𝐞𝐧𝐢𝐚𝐥𝐬, 𝐫𝐞𝐜𝐨𝐯𝐞𝐫𝐢𝐧𝐠 𝐨𝐮𝐭𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 𝐫𝐞𝐯𝐞𝐧𝐮𝐞, 𝐚𝐧𝐝 𝐢𝐦𝐩𝐫𝐨𝐯𝐢𝐧𝐠 𝐜𝐚𝐬𝐡 𝐟𝐥𝐨𝐰. 𝐈’𝐦 𝐚 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 & 𝐑𝐞𝐯𝐞𝐧𝐮𝐞 𝐂𝐲𝐜𝐥𝐞 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 (𝐑𝐂𝐌) 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 focused on one thing: 𝐇𝐞𝐥𝐩𝐢𝐧𝐠 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐩𝐫𝐨𝐯𝐢𝐝𝐞𝐫𝐬 𝐢𝐧𝐜𝐫𝐞𝐚𝐬𝐞 𝐜𝐨𝐥𝐥𝐞𝐜𝐭𝐢𝐨𝐧𝐬, 𝐫𝐞𝐝𝐮𝐜𝐞 𝐜𝐥𝐚𝐢𝐦 𝐝𝐞𝐧𝐢𝐚𝐥𝐬, 𝐚𝐧𝐝 𝐢𝐦𝐩𝐫𝐨𝐯𝐞 𝐜𝐚𝐬𝐡 𝐟𝐥𝐨𝐰. I support physicians, clinics, group practices, behavioral health providers, and healthcare organizations by managing the billing process from insurance verification through reimbursement. 𝐑𝐞𝐝𝐮𝐜𝐞 𝐂𝐥𝐚𝐢𝐦 𝐃𝐞𝐧𝐢𝐚𝐥𝐬 & 𝐈𝐦𝐩𝐫𝐨𝐯𝐞 𝐑𝐞𝐢𝐦𝐛𝐮𝐫𝐬𝐞𝐦𝐞𝐧𝐭𝐬 📍 Medical Billing & Coding 📍 Insurance Verification (VOB) 📍 Claims Submission & Claim Tracking 📍 Denial Management & Appeals 📍 Payment Posting 📍 Accounts Receivable (A/R) Follow-Up 📍 Patient Demographics Review 📍 Clearinghouse Rejection Resolution 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐞 𝐘𝐨𝐮𝐫 𝐑𝐞𝐯𝐞𝐧𝐮𝐞 𝐂𝐲𝐜𝐥𝐞 📍 Revenue Cycle Management (RCM) 📍 Eligibility & Benefits Verification 📍 Prior Authorization Support 📍 Provider Credentialing & Enrollment 📍 Medical Records Management 📍 EMR/EHR Data Entry 📍 HIPAA-Compliant Billing Workflows 📍 CPT & ICD-10 Coding Support 𝐌𝐞𝐧𝐭𝐚𝐥 𝐇𝐞𝐚𝐥𝐭𝐡 & 𝐌𝐮𝐥𝐭𝐢-𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐲 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 📍 Mental Health Billing 📍 Behavioral Health Billing 📍 Therapy & Psychiatry Billing 📍 Commercial Insurance, Medicare & Medicaid Claims 𝐒𝐨𝐟𝐭𝐰𝐚𝐫𝐞 & 𝐏𝐥𝐚𝐭𝐟𝐨𝐫𝐦𝐬 📍 Kareo (Tebra) 📍 Athenahealth 📍 AdvancedMD 📍 eClinicalWorks 📍 NextGen 📍 SimplePractice 📍 Office Ally 𝐖𝐡𝐚𝐭 𝐂𝐥𝐢𝐞𝐧𝐭𝐬 𝐓𝐲𝐩𝐢𝐜𝐚𝐥𝐥𝐲 𝐇𝐢𝐫𝐞 𝐌𝐞 𝐅𝐨𝐫 Medical Billing Specialist Medical Billing & Coding Revenue Cycle Management (RCM) Insurance Verification Specialist Accounts Receivable (AR) Follow-Up Denial Management Medical Claims Processing Provider Credentialing Mental Health Billing Virtual Medical Assistant 𝐇𝐎𝐖 𝐈 𝐖𝐎𝐑𝐊 ✔ Review your current billing process ✔ Identify revenue leakage and denial patterns ✔ Improve claim accuracy and reimbursement rates ✔ Reduce aging A/R and outstanding balances ✔ Maintain consistent reporting and communication ✔ Deliver HIPAA-compliant support throughout the revenue cycle If your practice is dealing with denied claims, delayed payments, insurance verification issues, or aging accounts receivable, I can help build a cleaner and more profitable billing process. Send me a message or invite me to your project. Let's discuss how we can improve collections, reduce denials, and strengthen your revenue cycle.

Results-driven Registered Nurse and healthcare operations professional with over 14 years of experience across medical billing, insurance operations, patient engagement, prior authorization, accounts receivable, and virtual healthcare support within BPO and remote environments. Strong background in patient engagement and care coordination, with hands-on experience as a Patient Engagement Specialist supporting appointment scheduling, patient communication, follow-ups, and ensuring seamless coordination between patients, providers, and healthcare teams. Also served as a Clinical Coordinator in an ABA therapy clinic, supporting client onboarding, scheduling coordination, documentation management, and day-to-day operational support for clinical workflows in a behavioral health setting. Experienced Process Trainer for a medical billing account, responsible for onboarding and training new hires, reinforcing billing processes, claims workflows, insurance guidelines, and system navigation to ensure accuracy, compliance, and performance readiness in revenue cycle operations. Extensive experience supporting healthcare providers, behavioral health clinics, insurance carriers, and patients through end-to-end revenue cycle functions, including claims follow-up, denial management, appeals and reconsiderations, prior authorizations, insurance verification, EOB/ERA analysis, and reimbursement coordination, ensuring accurate and timely resolution of insurance-related concerns. Previously worked as a Team Lead in Property & Casualty insurance operations, managing remote teams, overseeing workflow performance, handling escalations, and maintaining quality standards in high-volume, deadline-driven environments. Known for strong communication, leadership, and organizational skills, with a consistent focus on accuracy, efficiency, and compassionate, patient-centered, solutions-oriented support in complex healthcare environments. My experience includes: • Patient Engagement & Client Care Coordination • Medical Billing & Accounts Receivable Support • Claims Follow-Up, Appeals & Reconsiderations • Prior Authorization & Behavioral Health Support • Insurance Verification & Benefits Eligibility • Appointment Scheduling & Consultation Coordination • Healthcare Virtual Assistance • Property & Casualty Insurance Operations • Team Leadership & Remote Team Management • Inbound & Outbound Client/Insurance Communication • EOB/ERA Review & Billing Resolution • CRM/EHR/EMR Documentation & Management • Workflow & Pipeline Management • Administrative & Operational Support • Process Improvement & Coordination Proficient in EHR/EMR systems, insurance portals, Salesforce CRM, Google Workspace, Microsoft Office, and workflow management tools. Seeking opportunities in Medical Billing, Patient Engagement, Prior Authorization, Healthcare Virtual Assistance, Insurance Operations, or Client Support where I can contribute my healthcare, billing, and leadership expertise.

If your claims keep getting denied, your AR is aging past 90 days, or your providers are still waiting on insruance credentialing and enrollment, you are losing revenue that is already yours. I recover it. I do not just submit claims and move on. I build systems, document workflows, train staff where needed, and stay accountable with regular reporting. I am Mujahid, a Top Rated Medical Billing and Credentialing Specialist with 7+ years of hands-on US healthcare RCM experience. My setup is fully HIPAA-compliant, I work US business hours, and I bring end-to-end ownership to every engagement: from eligibility verification and prior auth all the way through denial appeals, payer enrollment, EMR configuration, and monthly KPI reporting. My clients have increased revenue by up to 30% after optimizing their billing workflows with me. On average, I bring denial rates below 3%, clean claim rates above 98%, and Days in AR into the 18 to 34 day range. I follow CMS and commercial payer guidelines closely, apply NCCI edits correctly, and use the right CPT, HCPCS, ICD, modifier, add-on, drug administration codes, and MUEs to ensure every claim is clean and payable on first submission. I am currently co-developing an EHR system as the healthcare domain expert, which means I understand how billing, clinical workflow, and technology connect at a level most billers do not. Medical Billing and Coding CPT, ICD-10, HCPCS, and modifier accuracy with claim scrubbing before submission Eligibility verification and benefits checks Prior authorization and referral coordination Telehealth billing: POS 02/10, modifier 95 and GT NCCI edits, MUE compliance, and bundling rules Complex denial management: root-cause analysis, trend identification, and appeals including peer-to-peer review support AR management by aging buckets: 0 to 30, 31 to 60, 61 to 90, and 90 to 120+ days Credentialing and Provider Enrollment Individual and group enrollment: Medicare, Medicaid, Tricare, and all major commercial payers CAQH registration, attestation, and ongoing maintenance NPPES/NPI setup and updates Primary Source Verification (PSV) and recredentialing License and malpractice expiration tracking and renewal coordination ERA/EFT/ACH enrollment and bank/PMS linking Clearinghouse setup and configuration: Change Healthcare, Waystar, ClaimMD, Trizetto, Availity, and others EHR and EMR Setup and Optimization Full EMR configuration: payer setup, fee schedules, CPT/ICD/modifier entry, and encounter templates Clearinghouse EDI setup and ERA linking Workflow automation for claims submission, remittance posting, and daily operations Front Desk and Pre-Authorization Support Verification of Benefits (VOB) and eligibility checks Prior authorization and referral coordination Patient statements, invoicing, and follow-up communication Practice Financials and Reporting Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, adjustments, and payment reconciliation Fee schedule review and payer rate negotiation support Cash flow improvement planning HIPAA and payer compliance checks SOP documentation for all RCM workflows Project and task management via ClickUp, Monday, Trello, or Asana EMR and EHR Platforms I Work In: eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, CollaborateMD, Athena Health, AdvancedMD, SimplePractice, TherapyNotes, Insync/Qualifacts, OfficeAlly, Apollo, EmpowerEMR, KanTime, SessionHealth, Lauris Online, and several others. If your system is not listed, ask me directly. Specialties I Serve: Urgent Care, Emergency Medicine, Primary Care, Mental Health and Physical Therapy, Dermatology, Birthcenter, Plastic Surgeon, Cardiology, Pain Management, Pediatrics, Wound Care and Grafting, Nurse Practitioners, and more. I have billed for both outpatient practices and hospital settings, which gives me a broader understanding of payer behavior across care settings. Why clients keep working with me: I do not just submit claims and move on. I build systems, document workflows, train staff where needed, and stay accountable with regular reporting. My remote setup is HIPAA-compliant, my communication is clear, and my turnaround times are fast. I treat every practice's revenue as if it is my own problem to solve, because that is what gets results. Let's connect over Zoom or Google Meet to talk through your specific situation and figure out where to start.

Independent Medical Billing Freelancer! Welcome to my profile! I am a HIPAA-certified Medical Biller, Virtual assistant, Practice consultant and RCM specialist with 6+ years of experience in medical billing across various specialties and software platforms with demonstrated knowledge of complete (RCM) Including all Medical billing issues. I am handling the client towards solving their billing problems.! My keen interest is satisfaction of client and boost up the revenue of my client through my skill and knowledge which I got during 10+ years’ experience. Software's which I know are: • Advance MD • Simple Practice • ECW eClinicalWorks • Office Ally • Patient Click • ICA Notes • Therapy Notes • Kareo • Epic • Dr Chrono • Collaborate MD • Cure MD • Carepatron • Therapy IQ • CHARM EHR • Central Reach • Kan Time • Lytec • E Thomas • Chiro8000 • Med Mode • Open PM • Ocean Friends My Services are: • Denial Management. • Account Receivable. • Charge Entry and Claim Submission on Daily Basis. • Payment Posting / Adjustments. • Daily/ Weekly /Monthly Deposit Reconciliation. • Medical Coding & Transcription Services. • Patient Statements. • Weekly / Monthly / Quarterly Administrative & Customized Reports. • Dedicated Follow-Up Team. • Customer Care Services Patient Help Desk Services. • Credentialing & Enrollment Services. • Eligibility Benefits & Deductible Verification. • Account receivable According to MGMA standard. • Appeal processing. • Prior Authorization process after communicating with insurances. • Out of network claim processing according to maximum approved rates • Negotiation process before claim processing and after claim processing • Verification of benefit before claim submission • Financial overview base on your average charges and payment • Monthly financial forecasting and Analysis reports. • Monthly meeting schedule according to ongoing practices issues and solutions. specialties which I worked are: • Internal Medicine. • Dietitians • Dialysis • Worker Compensation • Family Medicine. • Anesthesia & Pain Management. • Emergency Medicine. • Oncology. • General Practice/Surgery • Mental Health. • Pulmonology, Sleep Studies, Critical Care. • Physical Medicine & Rehab. • Psychiatry/ Psychologist • Chiropractic/ Practitioner. • Physical Therapy, Occupational Therapy & Speech Therapy. • Dermatology. • Ophthalmology. • Cardiology. • Neurology. • Social Worker. • Pediatric. • Podiatry. • OB/GYN. • Preventive Medicine. • DME Billing I am available full-time and would love the opportunity to work with you. Thank you for your time & viewing my profile.