Hi, I am a Medical Biller working in Medical Billing company as a Billing executive. I have 3 years experience in medical billing, I’ve passed my Bachelor's in 2022 along my job. I am a fast encoder with a 98% accuracy rate. I am well organized, reliable and quick learner. I pride myself on being able to deliver output quickly and accurately. I can provide support in various data entry projects as a virtual administration assistant. I am detailed oriented, organized and hardworking. My Skills in Medical Billing include: • Entering bills • Checking patient eligibility • Adding procedures with their respective diagnosis. • Using modifiers for respective procedures • Using place of service for respective procedures • Creating Patient Statements • Posting payments from Office eobs and Gateway ERA. • Followup on first level denials (Clearing house) • Followup on second leven denials (Insurances) • Medicaid web submission (Primary/Secondary) for North Carolina (NC), South Carolina (SC), New York (NY) and Florida USA. I have knowledge of government payer like Medicare/Medicaid, Medicare/Medicaid Advantage plans, Veterans, Humana, Tricare and commercial payer like Oscar, Health first, Health net, Molina, Ambetter, UHC, Wellcare/Staywell, Aetna, Cigna, BCBS etc. I have knowledge of billing softwares like Medisoft, OfficeAlly, E medical, chirotouch, Doctor.com, Otaine, ECW, and have knowledge of Practice fusion and Office ally EHRs. I have strong grip on Ms. software Ms. Word & Excel. Regards Abdul Wahab

I am a Certified Virtual Medical Assistant and Medical Biller with one year of hands-on experience in the healthcare revenue cycle and a strong foundation in customer support from my background in the IT industry. This unique combination allows me to pair excellent communication, client management, and organizational skills with technical expertise in medical billing and administrative support. Skilled in insurance verification, claim submission, charge entry, payment posting, denial management, and accounts receivable follow-up, I ensure accuracy and compliance with HIPAA regulations while streamlining billing processes for efficient reimbursement. My knowledge extends to working with ICD-10, CPT codes and modifiers and navigating EHR and medical billing software such as Medisoft and LMS, making me highly effective in supporting both clinical and financial operations. As a Virtual Medical Assistant, I specialize in patient communication, appointment scheduling, prior authorization support, and clinical documentation assistance, ensuring providers can focus on delivering quality patient care while I handle essential back-end processes with precision and confidentiality. With proven strengths in problem-solving, multitasking, and collaboration, I work closely with patients, providers, and insurance companies to resolve claim discrepancies, reduce AR days, and optimize revenue cycle performance. Dedicated, detail-oriented, and eager to grow in this field, I am committed to contributing to efficient medical office operations and exceptional patient satisfaction.

Thank you! For visiting my profile. "Being into Medical Billing industry is not only my job or career but it's my passion. Doctors are serving humanity by going above and beyond so being their Medical Biller, I always put my 100% to make sure that they are collecting every cent for their services. I am a HIPAA compliant medical Billing specialist having an extensive experience of 9 years in US Healthcare industry. In which I have served to different specialties including: Internal Medicine Anesthesia Pediatrics Allergy & Immunology Hospitalist Behavioral Health Dental Skilled Nursing facility Home Health Medical Billing Services: Eligibility & Benefits verification. Credentialing guidelines with payers Patient Demographics and Charge entry Insurance claims submission via clearing house and Paper submission Accounts receivable and Denial management. Payment Posting. Claims F/U on denials from insurances Claim status from insurance Portal and calls. Submitting appeals for denied claims. ICD 10, CPT and HCPCS Coding review. I have also had a good experience on different EMR/EHR and Billing Software's including: eCW Kareo Advanced MD Medisoft Practice Fusion Office Ally Dr. Chrono Epic Athenahealth 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 for viewing my profile.

## ** Professional Summary ** Highly skilled **Medical Billing and Coding Specialist** with **10+ years of experience** in remote medical billing, claims processing, credentialing, and denial management. Proficient in **ICD-10, CPT, HCPCS, HIPAA compliance**, and EHR/EMR systems. Adept at maximizing revenue by reducing claim denials and ensuring accurate billing. Seeking a **remote medical billing role** to leverage expertise in streamlining billing processes and improving reimbursement rates. ## ** Key Skills** * Medical Billing & Coding (ICD-10, CPT, HCPCS) * Claims Submission & Follow-Up (CMS-1500, UB-04) * Denial Management & Appeals * Provider Credentialing & Enrollment * EHR/EMR Systems (e.g., Epic, NextGen, MediSoft) * HIPAA Compliance & Patient Data Security * Accounts Receivable (A/R) Management * Revenue Cycle Management (RCM) * Insurance Verification & Eligibility Checks

I can maximize your business revenue, eliminate aging balances, and keep financial operations 100% audit ready. I am an enterprise level Revenue Cycle Management (RCM) and Accounts Receivable Specialist with over 10 years of experience managing complex financial data, including high volume portfolios for multinational, Fortune 500 corporations (such as Xerox and General Motors pipelines). I bring hands on mastery of niche billing ecosystems (like CentralReach for behavioral health) and massive corporate ERP (like SAP). I specialize in flawless manual/electronic payment posting (EOBs/ERAs), auditing insurance rejections, conducting Root Cause Analysis (RCA) on process deficiencies, and executing successful denial appeals to capture uncollected revenue. Core Software & System Mastery: •Behavioral Health & Medical Billing: CentralReach, Medisoft CMD, Collaborate Mainframe, Waystar/Zirmed, Practice Admin. • Enterprise ERP & Infrastructure: SAP Financials, GM CMBS, Warren Mainframe, Citrix Workspace, Online Document Management Systems. Whether you are a US medical clinic dealing with a heavy claim-denial backlog, or a B2B business needing strict month end reconciliation and ledger balancing, I deliver precise, clean results with zero oversight. Operating from Jamaica, I offer a 100% time-zone overlap with US East Coast business hours (EST/EDT) from a secure remote environment.

Career Objectives To utilize my skills for an organization to help them achieve company goals; to be successful and accomplish yearly goals with that organization. Summary of Qualifications * Good communication skills * Bilingual in Spanish and English * Computer literate: Microsoft Word, Excel, PowerPoint, Access, Outlook, QuickBooks Medisoft, CVue * Experienced in curriculum development, presentation, and implementation * Meeting benchmark numbers, implementing accreditation policies and requirements, submitting required reports * Training and mentoring new faculty, facilitating meetings, advocating for students * Maintaining an educational department budget in program costs, administrative, faculty requirements * Medical skills: terminology, transcription, billing A/P, A/R, CPT and ICD-10 coding

RCM Billing & Claims Management Expert | 10+ Years Healthcare Revenue Cycle Experience I'm a dedicated Revenue Cycle Management professional with 8+ years of hands-on experience optimizing healthcare billing operations and maximizing revenue for healthcare providers. My expertise spans the complete claims lifecycle—from eligibility verification and prior authorization to claims submission, denial management, and payment posting. **What I Deliver:** • Streamlined claims processing that reduces processing time by 20-30% • Strategic denial management with recovery rates averaging 75%+ • Improved accounts receivable (A/R) aging and cash flow optimization • Enhanced patient eligibility verification to prevent claim rejections • Comprehensive revenue cycle audits identifying hidden revenue leaks • Actionable analytics and reporting for better financial decision-making **Core Competencies:** ✓ End-to-end Claims Processing & Management ✓ Medical Billing & Coding (ICD-10, CPT, HCPCS) ✓ Denial Appeals & Reconsideration Strategies ✓ Insurance Verification & Prior Authorization ✓ Accounts Receivable Management & Collections ✓ Healthcare Compliance (HIPAA, CMS regulations) ✓ Medical Billing Software: Athenahealth, Medisoft, Allscripts, NextGen ✓ Data Analysis & Process Improvement ✓ Multi-specialty Healthcare Experience

Am having experience in medical billing, such as intial billing, edi rejections, ar denail management, provider credentials, correspondence, appeal. Worked with medisoft MDIV, AMD software

I am a RCM Specialist with 18+ years of experience. I am open to Opportunity to work. Looking forward to connecting with you soon. 📌I specialize in Specialties: Dermatology, Obstetrics & Gynecology, Cardiology, Physio Therapy, Pediatrics, Internal Medicine, Chiropractic, Pain Management (Worker’s Compensation) , Family Practice. 📌Billing Software Worked: Medisoft, IMS, EMDS, Kareo, CGM DAQ Billing, E-clinical Works, Practice Manager, Perfect Care HER, Prognocis, Care Cloud. 📌Medical Coding, ISO, AI tools & Other Certifications: ✅Advanced Certification in Medical Coding – ACHIEVERS SPOT, T Nagar, Chennai. ✅Compliance Certificate (Aug’2024) ✅Information Security Management System (ISMS) Certificate (Dec’2024) ✅Skill Nation Certification on AI Powered Dynamic Dashboard using Power BI (Oct’2024) ✅Office Master’s Advanced Excel & AI tools Workshop certification: (Nov’2024) ✅Iraedu’s Advanced MS Excel Workshop certification: (Nov’2024) ✅ISO 9001- 2015 Lead Auditor Certification – The Knowledge Academy, Bangalore (Feb’2024) ✅ISO 10002 Customer Satisfaction and Complaints Handling Certification – The Knowledge Academy, Bangalore (Mar’2024) ✅Soft Skill Certificate (Dec’2024) 📌Personal Qualities: Self-motivated, Creative, Adaptable, Friendly and Upbeat attitude. ✅Skills set : Strong leadership, communication, and problem-solving skills to drive organizational growth. ✅Data Analytics & Visualization software: Interactive Dynamic Dashboard using Microsoft Power BI, Zoho Analytics & MS excel ✅Automation skills: AI Tools, Advanced prompts ✅Languages known: Tamil, English & Hindi 📌🔄 End-to-End Revenue Cycle Responsibilities 📌 Mid-Cycle Responsibilities (Service & Coding) ✅Charge Capture- Reviewing provider documentation,Ensuring complete and accurate charge entry, Identifying missing charges ✅Medical Coding - Assigning accurate ICD-10, CPT, HCPCS codes,Ensuring coding compliance (CMS & payer guidelines) ✅Claim Preparation - Scrubbing claims for errors, Validating modifiers, Ensuring NPI, Taxonomy, POS accuracy 📌 Back-End Responsibilities (Post-Service) ✅Claims Submission - Electronic claim filing (EDI clearinghouse), Monitoring claim acceptance/rejection reports ✅Denial Management - Root cause analysis, Appeal preparation & submission,Tracking denial trends, Corrective action implementation ✅Accounts Receivable (A/R) Follow-Up - Following up on unpaid claims, Working aging reports (30/60/90/120+ days), Escalating underpayments ✅Payment Posting - Posting ERA/EOB payments,Identifying contractual adjustments, Reconciling bank deposits ✅Patient Collections- Sending statements, Handling billing inquiries 📌 Strategic Responsibilities ✅Revenue leakage analysis ✅KPI dashboard monitoring ✅Process automation implementation ✅Workflow optimization ✅Client financial reporting ✅Payer contract analysis ✅Staff training & quality audits 📌 Key Performance Metrics Managed ✅ First Pass Resolution Rate (FPR) ✅ Denial Rate % ✅ Days in A/R ✅ Net Collection Rate ✅ Clean Claim Rate ✅ Cost to Collect % ✅ Aging >90 Days % 📌 Compliance & Regulatory Knowledge ✅ CMS guidelines ✅ HIPAA compliance ✅ Payer-specific policies ✅ State Medicaid rules I bring real-world business experience, quick turnaround, and client-focused communication. If you're looking for someone reliable who understands business and AI tools—I’m here to help. 🔒 100% confidentiality assured | 🕐 On-time delivery | 🎯 Results-driven

Is your practice losing revenue to unresolved claims or outdated processes? With 30+ years of experience in healthcare administration, I help medical groups and insurance entities solve their most complex operational challenges on a flexible, remote basis. My background spans the entire healthcare ecosystem—from managing large billing departments to leading network engagement for major health plans. I don't just identify problems; I implement the systems to fix them. Services I provide on Upwork: A/R Recovery & Billing Audits: I specialize in clearing aged AR and resolving complex claim escalations (claims, configuration, and payment integrity). Practice Start-up & Consulting: Policy development, Credentialing and Payor Contracting, EHR implementation (Epic/Athena), and staff training. Compliance & Fraud Mitigation: Conducting deep-dive audits to ensure 100% adherence to CMS and Medicaid/Medicare regulations. I am a Lean Green Belt certified professional who uses data-driven insights to improve your bottom line. I am available for short-term projects or ongoing advisory roles. Let’s connect to discuss how I can streamline your operations.