HIPAA-Certified Medical Billing Manager | RCM | AR & Denial Management | 16+ Years Medical Billing & Revenue Cycle Manager | AR Specialist | Denial Expert RCM Specialist | Medical Billing | AR Follow-Up | U.S. Healthcare HIPAA-Certified Medical Billing Manager with 16+ years of experience in U.S. healthcare Revenue Cycle Management (RCM) helping medical practices improve cash flow, reduce claim denials, and maximize insurance reimbursements. I specialize in managing the complete medical billing cycle, from patient eligibility verification and charge entry to claim submission, denial resolution, and accounts receivable follow-ups. I have extensive experience working with U.S. insurance payers, clearinghouses, and physician practices across multiple specialties. My goal is simple: increase collections, reduce AR days, and improve first-pass claim acceptance rates. Services I Provide • Insurance Eligibility & Benefits Verification • Charge Entry & Claim Submission (EDI) • Claim Scrubbing & Rejection Fixing • Accounts Receivable (AR) Follow-Up • Denial Management & Appeals • Payment Posting (ERA/EOB) • Underpayment Investigation • Clearinghouse Error Resolution • Revenue Cycle Analysis & Reporting Medical Billing Software Lytec | Kareo | Office Ally | Medisoft | PracticeMate | AdvancedMD | MacPractice | ClaimMD | MediFusion EHR / EMR Systems eClinicalWorks | CureMD | Athenahealth | Practice Fusion | TherapyNotes Medical Specialties Family Practice | Internal Medicine | Psychiatry | Cardiology | Dermatology | Orthopedics | Pediatrics | Gastroenterology | Urology | Radiology | Physical Therapy | Urgent Care If you are looking for a reliable medical billing professional who understands U.S. healthcare systems and payer requirements, I would be happy to support your practice and improve your revenue cycle. Medical Billing Revenue Cycle Management Accounts Receivable Management Medical Coding Denial Management Insurance Claims Processing HIPAA Compliance Healthcare Administration Payment Posting EDI Claim Scrubbing Medical Billing Software Insurance Verification Healthcare Revenue Optimization Practice Management Software

Engaging in the Medical Billing industry is more than just a profession to me—it is a true passion. As your medical biller, I put my 100% and willing to go through every fight to collect every cent for you. With over 6 years of hands-on experience in the medical billing and coding industry, working with large scale billing companies and recently freelancing on Upwork, I will leverage this expertise to help you maximize your revenue. Adept at navigating the intricacies of billing regulations and reimbursement processes in different states, including New York, Massachusetts, Florida, D.C., Maryland, Virginia, Illinois, Oregon, Colorado, Nebraska, Idaho, North Carolina, Iowa, and Indiana. Committed to accuracy, efficiency, and maximizing revenue for healthcare practices in a complex and ever-changing healthcare landscape. Reasons to Consider Hiring Me: HIPAA Compliant: I place utmost importance on the safety of your data and strictly adhere to HIPAA guidelines, ensuring the security of all patient information. Proficiency in Revenue Cycle Management: I possess comprehensive skills in managing the entire revenue cycle, starting from patient check-in to the final payment, ensuring smooth and efficient operations. Emphasis on Accuracy: With a keen eye for detail and a commitment to accuracy, I work diligently to minimize denials and expedite the payment process. Specialities 🏥Mental & Behavioral Health 🏥Physical Therapy 🏥Occupational Therapy 🏥Pain Management 🏥Orthopedic Surgery 🏥Functional medicine 🏥Optometry 🏥Acupuncture 🏥Hematology 🏥Gastroenterology 🏥Family Medicine 🏥Chiropractic 🏥Primary Care Services Provided ✅Medical Billing Management ✅Insurance Claim Submission ✅Accounts Receivable Management ✅Patient Billing ✅Payment Posting ✅Revenue Cycle Consultation ✅Denial Management ✅Insurance Eligibility and Benefits verification ✅Obtaining Pre-authorizations ✅Credentialing ✅DME Billing EHR & PM software I used 🖥️Charm EHR 🖥️AdvancedMD 🖥️Simple Practice 🖥️TherapyNotes 🖥️Dr. Chrono 🖥️eClinicalworks 🖥️Kareo 🖥️Athena 🖥️Medisoft 🖥️Therabill 🖥️WebPT 🖥️WebPT billing 🖥️Prompt 🖥️Crystal PM I am dedicated to providing top-quality medical billing services that allow you to focus on patient care while optimizing your revenue.

Expertise includes medical billing, coding, medical transcription and data analysis with management. Reliable multi-tasked with multiple specialty experience. SKILL HIGHLIGHTS - Knowledge of medical plans - HMOs, PPOs, Worker's comp, Medicare and Services / Procedures - CPT and HCPCS coding for US Medical Billing - Maintain strict confidentiality - Behavioral Health, Internal Medicine, Gastroenterology, OB-GYN, Physical Therapy, OB-GYN, Pain Management, Neurology, Vascular Study experience - Good written and verbal communication - Strong work ethics - Strong planning skills - HIPAA compliance •Prepare and maintain the financial reports on weekly, monthly and yearly basis. •Appropriately and correctly identify errors and re-filed denied/rejected claims as they were received. •Submit refund requests for claims paid in error. •Ensure timely and accurate charge submission through electronic charge capture, including the billing and account receivables system and clearing house. •Prepare and attach all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials. •Responsible for billing medical claims via electronic media and resolving the rejected claims. •Remain up-to-date with all insurance requirements, including the details of patient financial responsibilities. •Maintenance of all Medical Billing database. •Handle the medical billing process assigned, on behalf of the doctors by working on the individual systems. •Post charges, payments, and adjustments. •Follow up for any denied/rejected/pending claims. •Perform quality control of the data entry system to verify that claims and payments were posted correctly. •Timely billing of claims from superbills, applying payments & adjustments after proper quality checks. •Manage the reconciliation of the accounts receivable on daily basis. •Prepare and e-mail the exception report every day to the US client. •Carefully code disease and injury diagnoses, acuity of care and procedures in an outpatient setting. •Accurately enter procedure codes, diagnosis codes and patient information into billing software. Transcription Services - - Transcription of medical summaries for the doctors of all specialties - 35 to 40 dictations of 45 to 50 lines (each of 7 to 10 minutes) - Maintain accuracy and speed of above 90% with excellent proofreading skills - Transcribe 350 lines per day

Professional Summary: With 12 years of experience in medical billing, coding, and credentialing, I have worked as a Medical Biller, A/R Specialist, and Credentialing Specialist for various medical billing companies. I take pride in seeing the successful completion of projects I’ve contributed to and enjoy helping organizations streamline their processes. My goal is to apply my skills to assist companies in efficiently managing their tasks while continuing to expand my own knowledge and experience. Over the years, I’ve gained extensive expertise in multiple areas of medical billing, including data entry, billing submission, payment posting, follow-up with insurance companies on claims, and preparing appeals for late-filed claims. Additionally, I am highly proficient in various medical billing software programs such as Office Ally, Practice Mate, Tebra/Kareo, Practice Fusion, eClinicalWorks, Medisoft (versions 16, 17, and 19), DrChrono, CGM Daqbilling, TotalMD, iCanote, Open Dental, and more. Medical Billing Services Include: Eligibility Verification: Verify patients' health benefits from insurance carriers' websites. Patient Demographics and Charge Entry: Accurate entry of patient details and charges. Insurance Claims Submission: Submit primary, secondary, or tertiary insurance claims. Accounts Receivable Analysis: Perform AR analysis with corrective and preventive actions for collections. Claims Follow-Up: Strong follow-up on insurance denials to ensure timely reimbursement. Patient Billing Inquiries: Address patient billing questions based on provider office details. Claim Status Checks: Regularly check claim statuses through insurance websites or auto-response units. Coding Review: Review ICD-10, CPT, and HCPCS codes for accuracy. AR Financial Reports: Prepare daily, monthly, and annual AR financial reports. Patient Billing: Process and manage patient billing for accuracy and compliance. Medical Coding: Code Research: Ensure accurate DX and CPT codes based on medical records. DX Pointer Accuracy: Provide correct DX pointers to avoid payment delays. Credentialing: Credentialing & Recredentialing: Manage credentialing with government payers, commercial insurers, and ensure EFT setup. Specialties: Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General Surgery Geriatrics Gynecology and Obstetrics Internal Medicine Pulmonology Orthopedics Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapy Psychiatry Neurology Radiology Radiation Therapy Rheumatology Urology Durable Medical Equipment (DME)

Hi Welcome to my Profile! Are you looking for a professional Medical Biller, Credentialing & Enrollment services? Then you are in the right place. I am a HIPAA compliant Medical Biller, AR & Billing specialist and Credentialing & Enrollment specialist having 6 years of experience. I am specialized in Anesthesiologist, Internal Medicine, Family Medicine, Pediatrics, Nephrologist, Hospitalist, Urgent Care, Behavioral, Physical Therapy, Occupational Therapy, Chiropractic, Mobile X-Ray, Mobile Labs and Clinical Medical Labs. I worked on different states like CA, IL, OK, NY, FL, NJ, NC, OH and many more. Following are the list of the software which I worked since my career, • ECW • Kareo • Care Cloud • Practice EHR • Inpatient Care • Medisoft • Aprima • Advance MD • Athena • Collaborate MD • Office Ally I am working on the following services, • Patient Demographics • Eligibility and benefits • Insurance claims submission • Charge Creation • Claims follow up • Appeals • Patient Calling • Patient Statements • Monthly & Annual Reports • Audit & Scrubbing Credentialing & Enrollment Services, • Credentialing Audits • Credentialing Documentation • Credentialing Policies • Credentialing Requirements • Certified Provider Credentialing Specialist • Credentialing Process • Facility Credentialing • Enrollment Assistance • Enrollment Requirements • Enrollment Management • Enrollment Coordination • Enrollment Processing • Open Enrollment • Enrollment Procedures • Practitioner Enrollment • Physician Enrollment • Provider Enrollment • Insurance Credentialing Processes • Solo Practitioner Credentialing • Credentialing Data Coordination • Re-Credentialing Processes • ERA Enrollment • EDI Enrollment • EFT Enrollment Why should place order Here? • Fast and accurate service • 100% Accuracy • 100% Buyer sanctification • 100% Time for delivery • 100% Quality Assurance • 100% in time Delivery • 100% Quick Response • 100% Data Confidentiality 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 timelines given. Thank you for taking time to review!

Are you looking for a reliable Medical Billing Expert who can improve your revenue cycle management (RCM) and ensure faster payments? With 8+ years of hands-on experience, I specialize in medical claim processing, insurance verification, and denial resolution for both government and commercial payers. Key Medical Billing Services: Medical Billing and Coding (ICD-10, CPT, HCPCS) Insurance Eligibility and Benefits Verification Claim Creation and Electronic Submission AR Follow-Up and Denied Claim Resolution Payment Posting and Adjustments Authorization Management Patient Billing and Insurance Communication Software Proficiency: Kareo, Medisoft, eClinicalWorks (eCW), CollaborateMD, CareCloud, Office Ally, NextGen, eThomas I ensure clean claim submission, minimize billing errors, and strictly follow HIPAA compliance. I have helped providers reduce aging AR, increase reimbursement rates, and improve overall cash flow. I’m confident in handling end-to-end medical billing tasks, whether you’re a solo provider, group practice, or billing company. Let’s work together to streamline your billing system and boost your revenue.

A result-oriented professional with 5+ years of experience as a Medical Biller and AR Specialist. Possesses experience in all major sections of the Revenue Cycle Management of Medical Billing, namely Eligibility and benefits Verification, Demographic Updating, Charge Entry, Payment Posting, Denials Management, AR Follow-up, Third-party collections, and Reporting through Microsoft tools. I have been handling: -Internal Medicine -General Practice -Family Medicine -Surgery Clients -Cardiology, Neurology -Nephrology -Rehabilitation Practice -Gynaecology -Behavioural Practice -Podiatry -Paediatrics -Urgent Care -Chiropractor -Infectious Disease -Psychiatric -Anesthesiology -DME & etc. Furthermore, I'm well-versed in various billing platforms, including but not limited to: -Office Ally -ECW -Advanced MD -Spectrum Soft -OPS -Doctors.com -Kareo -Claim MD -CareCloud -Therapy Notes -InSync -Talk EHR -Athena -Medisoft -Practice Fusion & etc. My expertise extends to navigating clearinghouse portals like: -Office Ally -MD Online (Ability) -Availity -TriZetto -Change Healthcare- -Zirmed/WayStar & etc. When you choose me, you're not just getting an experienced professional; you're getting a dedicated expert who will elevate your medical billing operations to new heights.

I am a 1099 independent freelancer expertise in medical billing with over 9 years of experience in : Peer to Peer Health Operations Management Credentialling AR (Accounts Receivable) follow ups Insurance claims Customer Service Staffing I am specialized in DMEs, Physicians and Pediatric care. I have used following Software:- Brightree NextGN Tebra/Kareo Athena eCW Medisoft Aprima Epic Advance MD Collaborate MD Office Aly and many more.. Highly skilled in analyzing and validating patient information, diagnoses, billing data, Payment Posting AR (Accounts Receivable) Follow-up. Responsible for following up on claims, calling and collecting money from insurance companies. • Resolved billing issues identified by insurance carriers and patients. • Reviewed claim denials and payer requirements for corrective action and prevention in the future. • Researched and replied in a timely manner to insurance, patient, and internal customer inquiries. • Kept accurate records of all activity and conversations for each claim. I have experience working in the hospital & health care industry. Skilled in Healthcare Information Technology (HIT), Hospitals, Healthcare, U.S. Health Insurance Portability and Accountability Act (HIPAA), and Health Insurance.

With over 4 years of experience in US Medical Billing, I help healthcare practices, with a special focus on ABA (Applied Behavior Analysis) clinics, get paid faster and grow their patient base. I combine hands-on revenue cycle management expertise with practical marketing know-how, so I don't just fix your billing, I help fill your schedule too. ABA BILLING & ABA PRACTICE MARKETING (Core Focus): ABA-specific CPT/HCPCS billing: 97151, 97153, 97154, 97155, 97156, 97158, H0032, H2019, etc. Authorization & re-authorization tracking for BCBA, RBT, and BT sessions Insurance verification and benefits checks specific to ABA/behavioral health payers Claims follow-up and denial management for ABA claims (Medicaid, BCBS, Commercial, Managed Care) Parent/caregiver billing communication and PR balance resolution ABA-focused EMR/practice management: CentralReach, Rethink, TheraNest, WebPT Marketing support for ABA practices: lead generation, intake funnel optimization, referral source outreach (pediatricians, schools, insurance directories) Social media management and content for ABA clinics (Facebook/Instagram presence, parent-facing posts) Google Business Profile optimization and local SEO to increase inbound family inquiries Website/landing page suggestions to convert visitors into scheduled intake calls Tracking marketing ROI alongside billing data to show practices what's actually driving new patients GENERAL MEDICAL BILLING SERVICES: Eligibility & Benefits Verification Appointment Scheduling Credentialing with Payers Patient Demographics & Charge Entry Insurance Claims Submission (Clearinghouse & Paper) Accounts Receivable & Denial Management Payment Posting Patient Billing (PR-1, PR-2, PR-3, PR-96, PR-119, etc.) Claims Follow-Up on denials from Workers Comp (DOL, Sedgwick, ESIS, State Fund), Medicare, Medicaid, BCBS, Managed Care, and Commercial Insurances (Aetna, Cigna, UHC, Oxford, etc.) Claim Status via Insurance Portals and Calls Appeals for Denied Claims ICD-10, CPT, and HCPCS Coding Review SPECIALTIES: ABA / Behavioral Health, Workers Comp, APG, Durable Medical Equipment, Optometry & Ophthalmology, Physical Therapy, Chiropractic, Acupuncture, 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 & Rehabilitation, Psychiatry, Radiology, Podiatry, Radiotherapy, Rheumatology, Urology PMS / EMR SOFTWARE: CentralReach, Rethink, TheraNest, TherapyNotes, WebPT, ClinicSource, Valant, Luminello, plus Athenahealth, eClinicalWorks, AdvancedMD, Kareo, Practice Fusion, DrChrono, NextGen Healthcare, Greenway Health, CareCloud, Cerner, Epic Systems, Allscripts, MDToolbox, NueMD, Azalea Health, Praxis EMR, Office Ally, CharmHealth, SimplePractice, RXNT, Prognocis, Healthie, PracticeQ, ICANotes, Jane App, Fusion Web Clinic, Compulink Healthcare Solutions, Medisoft, PracticeSuite, Simple Interact, Therabill, CollaborateMD, AdvancedBilling. CLEARINGHOUSES: Office Ally, Availity, Claim.MD, Change Healthcare, Trizetto, Waystar, Emdeon, Optum360, Navicure, Gateway EDI, Apex EDI, Capario, Experian Health, SSI Group, Smart Data Solutions, EDIinsight, MedData, Quadax. I'm dedicated to honest, high-quality work and building long-term, trusted relationships with my clients, whether you need rock-solid billing operations, a marketing push for your ABA practice, or both working together. Let's grow your revenue from two directions at once.

A result oriented professional with over 9 years of experience in Revenue Cycle Management Operations. I am capable of managing the end to end revenue cycle management services like scheduling, benefits verification, authorization, coding, charges entry, claims submission, rejections fixing, denials management, primary and secondary AR, payments posting, patient statements, EDI enrollments etc Specialties I have worked: Internal Medicine, Podiatry, Pediatrics, Urology, Nephrology, Cardiovascular, Neurology, OBGYN, Sleep Studies, Wound Care, Behavioral Health, Lab, Ambulatory Surgical Center (ASC), Home Health, DME, Nursing Home, Dermatology, Physical Therapy, Mental Health, CCM/RPM/TCM • I am familiar with several practice management software’s and clearing houses. For example EMR System: • eClinical Works, AdvancedMD, Medisoft, Officeally, Kareo, MTBC, Medwroxs, MDVision, Clearpath, Allscripts, Care Cloud, Practice Fusion, Citrix Vision, Athena Health, MDLand, Green View, Modrenizing Medicine, Medent, Dr. Chrono, EZClaims, Therapy Notes, Prognocis HER Cleaaring Houses: Availity, Emdeon, Navicure, Officeally, Gateway EDI, Change Healthcare Trizetto, RelayHealth, ZirMED