I am a Medical Billing Specialist with 7 years of experience in US Healthcare Revenue Cycle Management (RCM), specializing in claim submission, payment posting, AR follow-up, denial management, and insurance verification. I have hands-on experience working with multiple EMR/EHR and medical billing platforms including eClinicalWorks (eCW), AdvancedMD, Intergy, Medisoft, RevolutionEHR, NextGen, Kareo, Athenahealth, and Office Ally. Skilled in: • Claim Submission & Claim Scrubbing • Payment Posting (ERA/EOB) • AR Follow-Up • Denial & Rejection Management • Eligibility & Benefits Verification • Payer Portal Handling • EDI & Clearinghouse Management • Insurance Follow-Up • Primary Care & Vision Billing Experienced with clearinghouse and insurance portals including TriZetto, Availity, VSP, Davis Vision, and commercial payer portals. I focus on maintaining billing accuracy, reducing denials, improving reimbursement turnaround time, and ensuring smooth communication with providers, insurance companies, and healthcare teams. Strong understanding of CPT, ICD-10, HCPCS, HIPAA compliance, and US medical billing workflows.

Skills and Experience - Front office and customer service skills: customer service interactions by telephone, email and in person; calendar support; data entry and management; document filing, scanning, and creation; and cash handling. - Client management and patient support: appointment scheduling, training, insurance authorization and pre-certification, patient eligibility verification. - Organized and detail oriented task manager and supportive resource to team members and management. - Knowledge of medical insurance plans and professional coding practices - HMO, PPO, Managed Care and Government Programs; CPT-4, ICD-9-CM, and HCPCS. - Knowledge of medical legal and ethical standards as related to medical practices and health information. - Computer/Software skills: Microsoft Suite (Word, Excel, Outlook), Canopy, Canva, Constant Contact, Adobe and Adobe Connect, Monday, Calendly, ZenDesk, Google Docs, Hub Spot, Property Radar, MediSoft & Medical Manger, NextGen, MedDocs, Sunquest, EMR/Epic, Invision, Clio, TimeSolv, LegalTracker, LawPay, Podbean, and NetDocs.

Certainly! As an IT Specialist with extensive experience in networking and a deep knowledge of Medical Billing in the USA and Canada, I have worked in various roles related to health information management, compliance, and documentation improvement. Here’s a brief introduction about me: Hi, I’m Abdur Rehman — a CPC and HIPAA-certified medical billing, coding, and revenue cycle management expert with 6+ years of hands-on experience. I’ve supported more than 70 healthcare providers, clinics, hospitals, and specialty practices across the U.S., helping them improve collections, reduce denials, maintain compliance, and build efficient billing systems that get claims paid on time. Why Clients Choose to Work With Me AAPC certified: CPC® Full-cycle RCM expertise — from patient check-in to payment posting Specialist in credentialing and provider enrollment (Medicare, Medicaid, Commercial payers) Experienced with Surprise Billing (NSA), IDR, TDI arbitration HIPAA-compliant operations & secure workflows 98% clean-claim rate on first submission 60%+ reduction in A/R over 90 days Strong experience with in-network, out-of-network, and DMEPOS billing Services I Offer Complete Revenue Cycle Management Patient demographics, eligibility checks & benefits verification Accurate charge entry (CPT, ICD-10, HCPCS, modifiers) Electronic claim submission (CMS-1500, UB-04) & EDI enrollments Denial/appeal handling, AR follow-up & reconsiderations ERA/EOB posting, adjustments, refunds Fixing clearinghouse rejections Soft collections, patient statements & follow-up Prior authorizations & medical necessity documentation KPI reports, dashboards & financial reconciliation Credentialing & Enrollment Medicare, Medicaid & Commercial payers CAQH setup and maintenance Contracting, renewals & payer compliance Audits, Compliance & Practice Support Chart audits & documentation review Workflow optimization & SOP development Virtual front desk, scheduling & patient registration Specialties I Work With Behavioral Health, Mental Health, Chiropractic, Physical Therapy, Emergency Rooms & FSERs, Internal Medicine, Family Medicine, Pediatrics, Neurology, Pain Management, Surgery, Anesthesia, DME, Orthotics/Prosthetics, Labs & Pathology, Optometry/Ophthalmology, Article 28 & 31 facilities and more. DME / HME Billing Expertise: HCPCS coding, CMNs, SWO, ABNs Prior auths & Plan of Care support Medicare 36-month rental tracking Oxygen therapy, CPAP/BiPAP, concentrators Wheelchairs, braces, orthotics & prosthetics LTOT vs NOT qualification & LCD compliance Capped rental rules & reimbursement optimization Software & Systems I Work With Clearinghouses: Availity, Waystar, Trizetto, Office Ally, Change Healthcare Payers: Medicare, Medicaid, Tricare, UHC/Optum, BCBS, Aetna, Cigna, Humana, Molina EMRs/EHRs: Athena, AdvancedMD, CareCloud, Tebra/Kareo, eClinicalWorks , NextGen, Medisoft, Brightree, Medbill, GoRev, Bflow, Practice Fusion, CollaborateMD 📈 Proven Results Boosted collections 30% in 90 days for a mental health group Recovered $150,000+ in aged AR Reduced denials by 45% using coding & documentation correction Developed SOPs that improved claim turnaround by 40% Ensured full regulatory compliance for Article 28 facilities Networking Expertise: I have a strong background in network administration and have successfully managed complex network infrastructures. My skills include configuring routers, switches, firewalls, and ensuring seamless connectivity across different systems. I’ve designed and implemented secure networks, optimized performance, and resolved network-related issues promptly. Credentialing and Enrollment: Managing the enrollment process for healthcare providers. Educating Staff: Educating clinical and non-clinical staff on billing policies and procedures. Consultancy and Education: I’m passionate about sharing my knowledge and have conducted training sessions on medical billing best practices, compliance, and revenue cycle optimization. As a consultant, I’ve advised healthcare organizations on improving their RCM processes, enhancing billing accuracy, and achieving financial sustainability

I am an established medical biller since 2019 having experience with different software AthenaHealth, Allscripts, Fact, Centricity, Ebridge, TriZetto, Availity using multiple practices audit report pulling claim submission charges payment posting denial management AR follow up carrying HIPAA, I consistently focus on minimizing claim rejections and maximizing reimbursements. I have strong attention to detail and the ability to manage high-volume tasks efficiently. I am committed to maintaining compliance and contributing to the financial success. Who I am? Certified Medical Biller Certified Medical Coder Medical Auditor (CPC & CPB – AAPC) RCM Manager & Accounts Receivable Specialist Credentialing Specialist Medical Research Writer, QA Specialist & Regulatory Pharmacist What I offer I provide complete end-to-end Revenue Cycle Management (RCM) services for US healthcare providers, ensuring accuracy, compliance, and faster reimbursements. Medical Billing Services: Patient demographics entry Charge entry in billing systems Insurance eligibility verification Claim scrubbing and error correction Claim submission (primary, secondary & tertiary) Denial management and appeals Accounts receivable (AR) follow-up Payment posting and adjustments Patient billing (patient responsibility) Financial reporting and analysis Appointment scheduling and calendar management Expertise Coding: ICD-10-CM, ICD-10-PCS CPT, HCPCS Level II, Modifiers DRG coding Specialties: I have hands-on experience across multiple specialties, including: Cardiology, Dermatology, Gastroenterology Family Practice & Internal Medicine Pediatrics & Psychiatry Radiology & Radiotherapy Orthopedics & Sports Medicine Pain Management & Anesthesiology Urology & Endocrinology Emergency Medicine & Urgent Care Home Health & Skilled Nursing Facility Physical Therapy & Rehabilitation Behavioral & Mental Health Optometry & Ophthalmology Telemedicine & Telehealth Laboratory & Diagnostic Services Billing Software Expertise AdvancedMD (PM & EHR) Kareo (Tebra) Athenahealth CareCloud Medisoft Allscripts Centricity Fact Clearinghouses Worked With ClaimMD Change Healthcare Waystar Availity Optum EDI Trizetto Emdeon Apex Closing I am committed to delivering accurate, efficient, and reliable services. My focus is on building long-term professional relationships and ensuring complete client satisfaction through quality work and timely delivery. Thank you for viewing my profile.

I have extensive experience in medical billing (over 22+ years using various different systems) and have an associates degree in health care administration. I am friendly, loyal, and dedicate, individual who has an ambition to succeed in any given environment. I am an avid and quick learner, and am always up to a challenge whatever the situation. I get along well with others, self motivated and work efficiently on my own. I strongly believe in good communication between freelancer and client, therefore we are always on the same page. I have my own phone line and fax line, which is HIPAA regulated for patient confidentially. My knowledge of CPT / ICD 10 Codes are up to date. Begin in the medical has granted me a great opportunity to aquire my skills. I have highlighted just a few below 1. Medical billing for several practice, which included posting charges, payments, ( reading EOB), working denials, F/U, very comfortable interacting with insurances and understanding exactly what needs to be done with denials/ re submissions. 2. Referral Corrdinator/ Medication Authorization: Referral and obatin authorization for patient. Performing authorization for studies ( MRI, MRA, CT, US, HIDA etc.) as well as medication authorizations. 1.Demographics Entry (a) Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. (b) Create appointments on scheduler while receiving patient calls 4.Claim Submission(Primary & Secondary Insurance) 5.Rejection Reports 6.Basic coding 7.Authorization 8.Account Receivable (a)Accounts receivable analysis with corrective and preventive actions and decision making for Collections. (b)- 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, Tricare etc...) 9. Patient Calling With work experience on the following PMS and EMR Software 1. Centralreach 2. EPIC Clearing House: 1. Officeally 2. Changehealth Office Specialties: Internal Medicine, Family Practice, Pain Management, Chiropractic, Psychiatrist, home health, ST/OT and ABA Thank you much for taking the time.. to review my profile.

Hi, I worked as a General Virtual Assistant supporting a US-based company. I provided reliable administrative and virtual assistance, including managing emails and customer inquiries, scheduling meetings, and maintaining calendars. I organized files and documents in Google Drive, prepared reports and spreadsheets, and handled data entry. I also managed product and space listings, processed and tracked orders, recorded expenses and income, and monitored caregivers' working hours. Additionally, I conducted online research, handled phone calls and correspondence, and communicated with clients, vendors, and service providers to ensure smooth daily operations. I previously worked as a Data Analyst and Reserve Quality Auditor for an insurance claims project, where I handled both payer- and provider-side functions, including claims processing, medical billing, and patient enrollment. I processed claims in line with established guidelines, including high-value and prior authorization cases, while verifying insurance eligibility, reviewing data for errors, and ensuring accurate outputs. I also managed charge entry, payment posting, and claim denials, conducted quality audits, and generated reports on processing errors and aging claims. In addition, I maintained and updated patient and provider information, organized documentation, and supported team efficiency by training new associates and ensuring compliance with industry standards. I also have experience in data research and curation for a search engine company, where I contributed to improving the quality and relevance of search results. In this role, I collected, verified, and curated data from various sources, ensuring accuracy, consistency, and alignment with quality standards. I am a detail-oriented and organized team player who is eager to learn and embrace new opportunities. I am highly adaptable and can quickly adjust to new systems, processes, and work environments. Open to training and continuous development, I am committed to delivering accurate, efficient, and high-quality work while contributing positively to team goals. Tools and Software: Google Workspace, Microsoft Office, Outlook, Asana, Slack, Canva, Zoom, eBay, Puzzle, Autoflow, Turo, HQ Rental, Meta Ads Manager, Medisoft, Office Ally, Practice Fusion, Power Chart, Availity, Facets, Clarity, HHA Exchange

/ Strengths: To find a rewarding and challenging position with an organization that offers diverse job responsibilities and the potential for advancement. Excellent written and oral communication skills, Accurate, efficient, and detail oriented, Personable, motivated, and enthusiastic. Willing to relocate: Anywhere Authorized to work in the US for any employer Skills * Faxing * Billing * Medical billing * Filing * Typing * 65 wpm * Icd * Multi-line * Multi-line phones * Cpt * Medisoft * Cms * Claims * Reconciliation * Ten-key * Icd-9 * Medical terminology * Collections * Posting * Insurance terminology * Medical Records * EMR Systems * Epic * Insurance Verification * Medical Office Experience * Office Administration * Medical Coding * Clerical Experience * QuickBooks * Business Development

𝐓𝐡𝐚𝐧𝐤 𝐲𝐨𝐮 𝐟𝐨𝐫 𝐯𝐢𝐬𝐢𝐭𝐢𝐧𝐠 𝐦𝐲 𝐩𝐫𝐨𝐟𝐢𝐥𝐞! I’m 𝐒𝐲𝐞𝐝 𝐊𝐚𝐦𝐫𝐚𝐧 𝐁𝐮𝐤𝐡𝐚𝐫𝐢, a results-driven 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭, 𝐕𝐢𝐫𝐭𝐮𝐚𝐥 𝐀𝐬𝐬𝐢𝐬𝐭𝐚𝐧𝐭 , and 𝐑𝐂𝐌 𝐏𝐫𝐨𝐣𝐞𝐜𝐭 Manager with 𝟖+ 𝐲𝐞𝐚𝐫𝐬 𝐨𝐟 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 helping U.S. healthcare providers maximize their revenue cycle and reduce claim denials. Since 2018, I’ve supported practices across NY, NJ, TN, MS, MD, VA, TX, and AR — streamlining billing workflows with 𝟗𝟗% 𝐚𝐜𝐜𝐮𝐫𝐚𝐜𝐲 and excellent payer communication. 🔧 𝐂𝐨𝐫𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 & 𝐑𝐂𝐌 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬: Eligibility & Benefits Verification Authorizations & Referrals Full-Cycle Revenue Cycle Management (RCM) Claims Submission (Primary, Secondary & Tertiary) Payment Posting (EOB/ERA) Denial Management & Appeals AR Follow-up & Collections Insurance & Patient Call Handling Credentialing & EDI/ERA Setup Customized Financial Reporting 🩺 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐢𝐞𝐬 𝐈’𝐯𝐞 𝐖𝐨𝐫𝐤𝐞𝐝 𝐖𝐢𝐭𝐡: Pain Management, Physical Therapy, Internal Medicine, Pediatrics, Cardiology, Psychiatry, Gastroenterology, Urgent Care, Anesthesiology, Orthopedics, Ophthalmology, Chiropractic, Podiatry & more. 💻 𝐒𝐨𝐟𝐭𝐰𝐚𝐫𝐞 𝐏𝐫𝐨𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲: AdvancedMD, eClinicalWorks, Kareo, CollaborateMD, Axxess, Raintree, AthenaNet, CareTracker, Office Ally, DrChrono, StreamlineMD, Practice Fusion, Centricity, Ovation 2K ⚙️ 𝐓𝐞𝐜𝐡 & 𝐀𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐯𝐞 𝐒𝐤𝐢𝐥𝐥𝐬: 50+ WPM Typing | MS Office 365 | Google Workspace | Adobe Acrobat Web Research | Email & Call Handling | Data Entry & Export Appointment Scheduling | ZOHO CRM | Staff Training I take pride in delivering accurate, HIPAA-compliant, and timely billing services. If you're looking for a dependable professional who can 𝐨𝐩𝐭𝐢𝐦𝐢𝐳𝐞 𝐲𝐨𝐮𝐫 𝐑𝐂𝐌, 𝐦𝐢𝐧𝐢𝐦𝐢𝐳𝐞 𝐝𝐞𝐧𝐢𝐚𝐥𝐬, and improve cash flow — let’s connect! 𝐋𝐨𝐨𝐤𝐢𝐧𝐠 𝐟𝐨𝐫𝐰𝐚𝐫𝐝 𝐭𝐨 𝐡𝐞𝐥𝐩𝐢𝐧𝐠 𝐲𝐨𝐮𝐫 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝐭𝐡𝐫𝐢𝐯𝐞. Warm regards, 𝐒𝐲𝐞𝐝 𝐊𝐚𝐦𝐫𝐚𝐧 𝐁𝐮𝐤𝐡𝐚𝐫𝐢

Well-come to my profile ! I am a HIPAA compliant medical biller AR & Billing specialist with 10+ years of cross-functional experience that includes Medical Billing, practice management, operations, management, project management and different administrative roles. I was part of the company's top management so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. The financial analysis has also been done for different projects. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers. A. MEDICAL BILLING SERVICES • Eligibility & Benefits verification. • Appointments Scheduling. • Credentialing guidelines with payers. • Patient Demographics and Charge entry. • Insurance claims submission via clearinghouse and Paper submission. • Accounts receivable and Denial management. • Payment Posting. • Patient billing for PR -1,2,3 and PR 96 and PR 119 etc. • Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...) • Claim status from insurance Portal and calls. • Submitting appeals for denied claims. • ICD 10, CPT, and HCPCS Coding review. B. SPECIALITIES Durable Medical Equipment, Optometry and Ophthalmology, PHYSICAL THERAPIST, Chiropractic, Acupuncture, Behavioral Health, Ambulatory Surgery, Home Health, Anesthesiology, Cardiology, Skilled Nursing Facility, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Internal Medicine, Orthopedic, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, Podiatry, Radiotherapy, Rheumatology, Urology C. PMS SOFTWARE WORKED ON: Simple Practice, AdvancedMD, Carecloud, Practice EHR, RXNT, Kareo, Office Ally, Docutap, Therabill, ECW, EZclaim, ClinixPM, Ethomas, Medisoft, Criterions, Dr. Chrono, Athenanet, , Medisoft, Carecloud, D. CLEARING HOUSE WORKED ON: Trizetto, Optum EDI, Availity, Apex, Zirmed, Emdeon E. EHR/EMRs WORKED ON: Kareo EHR, Webpt, Practice Fusion, HelloNote I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied. Thank you for viewing my profile.

Welcome to my Profile ! ☑️ I am a Medical Biller and Coder and has 8 years experience and counting. I am familiar with ICD-10 coding, CPT codes, modifiers, Medical Terminologies, Insurance Billing Process and guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification, etc. Managing all issues related to Billing, Coding, Payments and Follow up, etc. • Patient Registration • Insurance Verification • Pre Authorization Request and verification • Charge Posting / Super bill review • Evaluation of valid HCPCS codes, ICD 9-10 and Modifier • Fixing Rejected Electronic claims • Checking clearing house reports (Phicure, Trizedo, Availity) • Provider PIN calling ( for verifying provider TAX id, NPI and billing address) • EOB and check search via websites and batches • Payment Posting of Insurance and Patient • AR Follow up on denied claims via call or websites • Appeal project • Collection / Refund / Over-Payment • Scheduling new patients I have worked on following specialties like: • Internal Medicine. • Family Medicine. • Chiropractic • Gastroenterology. • Cardiology. • Radiology. • Oncology. • Ophthalmology. • Acupuncture etc. • Physical Therapy. • Mental Health Softwares:- I’m good at using different Billing cloud base software. Like: • Advanced MD. • Office Ally. • Drchrono • Collaborate MD. • eCW (E-clinical Works). • Athena Net • Care Tracker • Icanotes • Kareo • Medisoft • CareCloud • Emdeon EHR/EMR system • EPM (Electronic Practice Management)