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

Is your practice losing revenue to unresolved claims or outdated processes?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.

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

With 6+ years of professional experience across healthcare revenue cycle, customer service operations, and B2B sales, I bring a rare combination of accuracy, client communication, and operational consistency to every role. Most recently, I spent 3 years as a Medical Billing Executive at PRG Pakistan (Physicians Revenue Group), where I managed end-to-end billing operations for US-based healthcare providers. Previous experience includes: 4 years Customer Service Representative at Superb Property Management and General Maintenance, Abu Dhabi UAE 1 year Sales Consultant at Jubilee Life Insurance, Sargodha I am detail-oriented, calm under pressure, a quick learner, and consistently reliable across high-volume environments.

Hi, I’m a Virtual Assistant with experience in healthcare, including dental and medical environments. I understand how clinics operate and can help support daily tasks such as: - Patient scheduling and follow-ups - Insurance verification and coordination - Data entry and record management - Administrative support for busy practices I am reliable, detail-oriented, and familiar with healthcare workflows, making it easy for me to step in and help your team stay organized and efficient. I’m ready to start immediately and support your practice remotely. Let’s work together!

I have over seven years of experience in medical billing, coding, and data processing, with a strong focus on accuracy and compliance. My proficiency in managing high-volume data entry and financial documentation enables me to thrive under pressure while ensuring timely project completion. I excel in working with international clients, particularly in the healthcare and mortgage sectors, where I've honed my communication and teamwork skills in both English and multiple languages. Eager to contribute my expertise to European logistics or data entry environments, I adapt quickly to new systems and challenges. If you're seeking a detail-oriented professional who can enhance your data operations and streamline your processes, let's connect and discuss how I can support your goals.

I’m a bilingual virtual assistant with 10+ years of experience in customer service and administrative support. As a native Spanish speaker from Venezuela, I offer accurate English ↔ Spanish translations and professional virtual assistance. I specialize in: • Email & calendar management • Data entry & file organization • Microsoft 365 (Word, Excel, PowerPoint, Outlook, Teams) • Google Workspace (Gmail, Docs, Sheets, Calendar) I’m reliable, detail-oriented, and committed to helping your business run smoothly.

I offer over 10 years of experience as a Senior Remote Solutions Administrator, specializing in detail oriented research, proofreading, human behavior, psychological evaluation, and technology-driven business management. Throughout my career, I've successfully managed ROI projects for hospital systems and medical facilities, demonstrating my ability to deliver measurable results. My finely tuned people skills enable me to connect with clients and team members effectively, ensuring smooth project execution. I excel at multitasking, consistently meeting job requirements with accuracy and efficiency. If you need a proactive problem-solver who can enhance your organization's operational strategies and technology use, I’m here to help. Let's discuss your project and how I can contribute to its success.

Indian English, Hindi Noida, India KEY SKILLS Medical Billing US Healthcare Claims Processing Charge Posting HIPAA Team Handling Advanced Excel Ms Office VLOOKUP Pivottables Medicare Claimscases Rejection ONLINE PROFILES * LinkedIn

I have over 30 years of experience in operations/client management/event management and I would love to bring my knowledge and expertise to a new team. Since 2003, I have worked in a remote environment while running an event and wedding planning business. My years of being a business owner have allowed me to excel in juggling daily priorities, customer relationships and project management while being detail oriented and organized with my time. During that timeframe, I also managed a busy doctor’s office part-time for six years. Prior to those positions, I worked for 6 years as a project manager in a quick based brand management environment and a floor designer for a local furniture chain. I am a quick learner and a natural born leader who enjoys understanding all facets of a company to fully understand how my job affects the overall organization.