Hire the Best TRAGHM Information Solutions CLAIMS Specialists

𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞𝐝 𝐇𝐈𝐏𝐀𝐀-𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐞𝐝 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐞𝐫 𝐰𝐢𝐭𝐡 𝟏2+ 𝐘𝐞𝐚𝐫𝐬 𝐨𝐟 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 As a dedicated professional, I specialize in streamlining medical billing processes, ensuring accuracy, and maximizing revenue for healthcare providers. 📈 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 𝐈 𝐎𝐟𝐟𝐞𝐫: 🔹 Accounts Receivable (A/R) Management: Timely follow-up on unpaid claims, minimizing aging balances. 🔹 Insurance Verification & Eligibility: Accurate validation of patient data and coverage. 🔹 Denial Management: Expert handling and resolution of claim denials to ensure reimbursement. 🔹 Payment Posting: Precision in posting ERA and manual payments, ensuring accuracy in records. 🔹 Patient Communication: Compassionate and professional handling of patient inquiries, fostering positive relationships. 📊 𝐄𝐇𝐑/𝐏𝐌𝐒 𝐒𝐲𝐬𝐭𝐞𝐦𝐬 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞: I have hands-on experience working with a variety of Electronic Health Records (EHR) and Practice Management Systems (PMS), including: ✅ EHR Systems: Epic, Cerner, AdvancedMD, DrChrono, PracticeFusion, Kareo, MDVision, CollaborateMD, and more. ✅ Clearinghouses: GatewayEDI, ClaimMD, OfficeAlly, Waystar. ✅ Comprehensive Solutions: AthenaHealth and other platforms. 🩺 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐳𝐚𝐭𝐢𝐨𝐧𝐬: I have experience working across various medical specialties: ✅ Internal Medicine ✅ Mental Health ✅ Family Practice ✅ Gynecology & Obstetrics ✅ Orthopedic Surgery ✅ Urology ✅ Telehealth ✅ Vision Labs ✅ And more! 🌟 𝐖𝐡𝐲 𝐂𝐡𝐨𝐨𝐬𝐞 𝐌𝐞? 🌟 I’m committed to delivering exceptional results and ensuring that your billing needs are managed with precision and professionalism. With a focus on clear communication, timely delivery, and a collaborative approach, I’m here to help you achieve your goals efficiently. 💬 𝐋𝐞𝐭'𝐬 𝐂𝐨𝐧𝐧𝐞𝐜𝐭 If you’re looking for a reliable, detail-oriented medical billing professional, I’m just a message away. Whether you need help with a one-time project or ongoing support, let’s collaborate to ensure smooth operations and optimize your billing process.

Denied claims. AR aging past 90 days. Providers still waiting on credentialing. That's revenue you already earned, sitting in someone else's account. I get it back. I'm Mujahid a Top Rated Plus Medical Billing, Coding & Credentialing Specialist with 7+ years in US healthcare Revenue Cycle Management. HIPAA-compliant remote setup, US business hours, full ownership from eligibility check to final payment. 𝗥𝗘𝗦𝗨𝗟𝗧𝗦 𝗜 𝗗𝗘𝗟𝗜𝗩𝗘𝗥 ▪ Denial rate below 3% ▪ Clean claim rate above 98% ▪ Days in AR down to 18–34 days ▪ Up to 30% revenue lift after a full workflow cleanup 𝗠𝗘𝗗𝗜𝗖𝗔𝗟 𝗕𝗜𝗟𝗟𝗜𝗡𝗚 & 𝗖𝗢𝗗𝗜𝗡𝗚 ▪ Medical billing and coding: CPT, ICD-10, HCPCS and modifier accuracy + claim scrubbing ▪ Eligibility verification, benefits checks, prior authorization and referrals ▪ NCCI edits, MUE compliance and bundling rules ▪ Telehealth billing (POS 02/10, modifiers 95 and GT) ▪ Denial management: root-cause analysis, appeals, peer-to-peer support ▪ AR follow-up by aging bucket (0–30, 31–60, 61–90, 90–120+) ▪ Charge entry, payment posting and ERA reconciliation 𝗖𝗥𝗘𝗗𝗘𝗡𝗧𝗜𝗔𝗟𝗜𝗡𝗚 & 𝗣𝗥𝗢𝗩𝗜𝗗𝗘𝗥 𝗘𝗡𝗥𝗢𝗟𝗟𝗠𝗘𝗡𝗧 ▪ Provider enrollment, individual and group: Medicare, Medicaid, Tricare, all major commercial payers ▪ CAQH registration, attestation and ongoing maintenance ▪ NPPES / NPI setup and updates ▪ Primary Source Verification and recredentialing ▪ License and malpractice expiration tracking ▪ ERA / EFT / ACH enrollment and PMS linking 𝗘𝗛𝗥 𝗦𝗘𝗧𝗨𝗣 & 𝗖𝗟𝗘𝗔𝗥𝗜𝗡𝗚𝗛𝗢𝗨𝗦𝗘 𝗖𝗢𝗡𝗙𝗜𝗚𝗨𝗥𝗔𝗧𝗜𝗢𝗡 ▪ Full EHR / EMR build: payer setup, fee schedules, code libraries, encounter templates ▪ EDI and ERA connections: Availity, Waystar, Change Healthcare, Trizetto, ClaimMD, Office Ally ▪ Workflow automation for submission, posting and daily operations 𝗥𝗘𝗣𝗢𝗥𝗧𝗜𝗡𝗚 & 𝗣𝗥𝗔𝗖𝗧𝗜𝗖𝗘 𝗙𝗜𝗡𝗔𝗡𝗖𝗜𝗔𝗟𝗦 ▪ Weekly and monthly KPI dashboards: denial rate, clean claim rate, days in AR, collections ▪ Fee schedule review and payer rate negotiation support ▪ Cash flow planning and HIPAA/payer compliance checks ▪ Written SOPs for every RCM workflow 𝗣𝗟𝗔𝗧𝗙𝗢𝗥𝗠𝗦 𝗜 𝗪𝗢𝗥𝗞 𝗜𝗡 eClinicalWorks (eCW), DrChrono, ModMed, Tebra/Kareo, AthenaHealth, AdvancedMD, CollaborateMD, SimplePractice, TherapyNotes, Insync/Qualifacts, Office Ally, KanTime, EmpowerEMR, Apollo, SessionHealth, Lauris Online — and more. Not listed? Just ask. 𝗦𝗣𝗘𝗖𝗜𝗔𝗟𝗧𝗜𝗘𝗦 Primary Care, Urgent Care, Emergency Medicine, Mental & Behavioral Health, Physical Therapy, Dermatology, Cardiology, Pain Management, Pediatrics, Plastic Surgery, Wound Care & Grafting, Birth Centers, Home Health, Nurse Practitioners. Outpatient and hospital settings both — which means I know how payer behavior shifts across care settings. 𝗪𝗛𝗬 𝗖𝗟𝗜𝗘𝗡𝗧𝗦 𝗦𝗧𝗔𝗬 Most billers submit claims and move on. I build the system: documented workflows, trained staff, reporting you can actually read. I'm also co-developing an EHR platform as the healthcare domain expert, so I know exactly where billing, clinical workflow and technology break — and how to fix it. 𝗥𝗘𝗔𝗗𝗬 𝗧𝗢 𝗦𝗧𝗔𝗥𝗧? Message me with three things: your specialty, your EMR, and your biggest bottleneck (denials, AR, or credentialing). I'll tell you where I'd start and what it takes to fix it. Free 20-minute call on Zoom or Google Meet.

With 8 years of hands-on experience in full-cycle RCM, I specialize in precision medical billing, prior authorizations, and denial management for solo, group, and virtual practices. I combine deep knowledge of EHR systems, payer requirements, and specialty workflows to deliver results—not just process claims. What I Can Do for Your Practice Full-Cycle RCM: From patient eligibility to final claim payment Prior Authorizations: Ensure approvals are accurate and fast Denial Management & Recovery: Reduce denials, recover revenue efficiently Audit-Ready Compliance: Keep claims clean and documentation precise Reporting & Insights: Actionable data to optimize workflow and revenue I partner with growth-focused providers to build systems that scale and processes that work, ensuring your revenue cycle runs smoothly and your practice can focus on patient care.

Hello and welcome to my profile! I am a HIPAA-certified medical biller with 6 years of experience in the healthcare industry. I have a deep understanding of medical billing codes, insurance regulations, and reimbursement procedures, which allows me to ensure that medical claims are accurately and efficiently processed. Experience with the following: ✅ Medical Billing ✅ Verification of Benefits & Authorization ✅ Insurance Verification ✅ Posting insurance and patient payments/EFT's ✅ Insurance claims follow up ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Aging report/Follow-up/Appeals ✅ Handling patient calls regarding payments and billing records ✅ Denials management ✅ Patient statements and collection procedures ✅ Data Entry Tools: ✅ Excellent Typing skill ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. Specialties I have experience in:  Mental health  Internal Medicine  Chiropractic  Psychiatry  Home healthcare (CCM, RPM, and HHC)  Family practice  Internal medicine  Cardiology  Radiology  Pain care  Pain management Medical billing software I am proficient in:  TherapyNotes  SimplePractice  TherapyMate  Doctor.com  Officeally  QuickPractice  ECW  Collaborate  MobileMediclaim ICANotes Session Health Clearing houses I have experience using:  Trizetto  Availity  ClaimMD  Zermid EHR/EMRs I am familiar with:  Practice Fusion  Kareo EHR  AdvanceMD EHR Insurance web portals I have used:  CGS (Medicare)  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  Molina Healthcare & many more. Please message me to see how I can help reduce your patient and insurance AR and better your billing practices! Thank You!