You will get an experienced candidate for US Medical Billing.
Top Rated
Project details
With over 10 years of extensive experience in end to end Medical Billing & Coding. Will perform 100% and honesty on insurance eligibility and benefit verification, Pre-Authorization Specialist, Demo Entry, Denial Coding, Charge Entry, Transmission, Payment Posting, Accounts Receivable and denial management, patient registration, Credentialing, indexing medical records and Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding.
Project Type
Data Entry, Virtual Assistance, Customer Support, OtherWhat's included
| Service Tiers |
Starter
$100
|
Standard
$150
|
Advanced
$400
|
|---|---|---|---|
| Delivery Time | 1 day | 1 day | 1 day |
Number of Revisions | 1 | 1 | 1 |
Optional add-ons
You can add these on the next page.
Additional Revision
+$80
8 reviews
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SS
Shibu S.
Jul 12, 2025
Medical Billing AR Follow-up for one month / 160 hrs / M-F 8 hrs. daily 9am-5pm PDT
DD
Daniel D.
May 16, 2024
Experienced Medical Collector
NC
Nerlynne C.
Jan 27, 2021
Remote Billing Specialists
KA
Karina A.
Jan 19, 2021
Billing Assistant
Pankaj joined Opencare in early 2020, and has been an integral part of developing the Claims Assistant role. He worked closely with the Claims Specialists to aid in their daily work. Pankaj is a wonderful colleague and we wish him all the best in the future.
KA
Karina A.
Oct 26, 2020
Dental Insurance Biller
Cancelling the contract because we will transfer to a fixed-rate contract here in Upwork. Great job, Pankaj!
About Pankaj
Experienced Medical Biller & AR Specialist| Claims Management | RCM
100%
Job Success
New Delhi, India - 3:02 am local time
1) Eligibility & Benefits verification
Eligibility & Benefits will be checked via website & phone with insurance.
2) ICD 10 Coding
To review superbills & code the patient visit with appropriate CPT, ICD 10 also check for any modifier requirement.
3) Charge entry
While coding, charges are entered in billing system & billed to insurance.
4) Resolving rejected claims
If any claim is rejected then to correct it & rebill to insurance.
5) Posting payments & account Reconciling.
Once payment is received either via EFT or check it will be posted to respective patient account & statement is sent to patient for his/her responsibility.
6) Follow up on claims & denial management
If any claim is denied then to call insurance to find out the reason & take correct action such as any correction in claims data or to send appeal if required. At the end of month to create a report of denied claims to find out top denials & to take a preventive action to avoid such denials in future.
7) Creating various reports as per requirement.
I can create monthly reports for aging, collection & other custom reports per requirement.
Work Experience of Doctor Speciality:
1) Physical Therapy
2) Pain Managment
3) Chiropractic
4) Mental health
5) Dental
6) Skill Nursing Facility
7) Internal Medicine
8) Pediatrics
9) ENT
10) Home Health
11) Podiatry
12) Orthopedic
13) Gastroentrology
Experience of Software :
1) Medical Manger ( MM 9 and 10 version)
2) Advance MD
3) Dr. Chrono
4) WRS
5) Office ally
6) Citrix
7) eClinicalWorks
8) Open Practice Solutions
9) Kareo
10) Open Dental
11) Next Gen
12) Epic
13) Athena
Gateways:
1) Trizetto
2) Optum EDI
3) Availity
4) Apex
5) Zirmed
6) Emdeon
7) Change Healthcare
8) Waystar
Payers I am experienced with
1) All commercial payers: BCBS, Cigna, Aetna, Humana, UHC, Care Plus, etc
2) Federal Payer: Medicare, Medicaid, Tricare
3) Workers Comp & Auto insurances.
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.
Thanks for your Consideration.
Steps for completing your project
After purchasing the project, send requirements so Pankaj can start the project.
Delivery time starts when Pankaj receives requirements from you.
Pankaj works on your project following the steps below.
Revisions may occur after the delivery date.
End to End Medicare Billing
Perform my task for Eligibility Verification and submit claims