You will get Complete Medical Billing & Credentialing Solutions for Your Practice
Project details
With over 5 years of experience in medical billing and credentialing, I help practices increase revenue, reduce denials, and maintain compliance. I manage the complete billing cycle including patient registration, insurance verification, pre-authorizations, accurate CPT/HCPCS/ICD-10 coding, charge posting, and claim submission. I also handle clearinghouse rejections, payment posting, AR follow-up, appeals, and reporting to keep your cash flow steady.
Along with billing, I provide full credentialing and enrollment support. This includes CAQH updates, PECOS enrollments, NPPES verification, payer applications, license checks, re-credentialing, and payer contract management. I monitor each application, address payer requests, and keep provider profiles current to avoid reimbursement delays.
I have supported practices across multiple states and specialties such as Behavioral Health, Physical Therapy, Pain Management, Chiropractic, DME, and Internal Medicine. Experienced with AdvancedMD, Tebra/Kareo, Athena, Office Ally, CareCloud, ECW, and Practice Fusion, I ensure seamless integration. My focus is accuracy, transparency, and timely results to strengthen your revenue cycle.
Along with billing, I provide full credentialing and enrollment support. This includes CAQH updates, PECOS enrollments, NPPES verification, payer applications, license checks, re-credentialing, and payer contract management. I monitor each application, address payer requests, and keep provider profiles current to avoid reimbursement delays.
I have supported practices across multiple states and specialties such as Behavioral Health, Physical Therapy, Pain Management, Chiropractic, DME, and Internal Medicine. Experienced with AdvancedMD, Tebra/Kareo, Athena, Office Ally, CareCloud, ECW, and Practice Fusion, I ensure seamless integration. My focus is accuracy, transparency, and timely results to strengthen your revenue cycle.
Target Country
Worldwide, United States, CanadaWhat's included
| Service Tiers |
Starter
$360
|
Standard
$600
|
Advanced
$1,200
|
|---|---|---|---|
| Delivery Time | 3 days | 5 days | 10 days |
Number of Projects | 1 | 1 | 1 |
General Project Consulting | |||
Define Project Goals | |||
Define Deliverables & KPIs | - | - | - |
Establish Schedule & Milestones | |||
Risk Management | |||
Resource Management | |||
Budget Management | - | - | - |
Project Reports | |||
Project Diagrams Provided | - | - | - |
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MA
Mehmood A.
Jun 12, 2026
Credentialing Specialist Required
Highly professional and easy to collaborate with. The project was completed smoothly, on time, and beyond expectations.
FI
Fozia I.
Jun 9, 2026
Medical Collection Specialist Needed for Accounts Receivable Management
Excellent work on medical collections and accounts receivable management. Demonstrated strong follow-up skills, professionalism, and attention to detail, resulting in improved collections and timely resolution of outstanding balances. Reliable, efficient, and highly recommended!
HL
Healthcare Intermediaries L.
Mar 8, 2024
Experienced Charm EHR Specialist Needed for Custom Intake Form Development
Highly recommend this freelancer. Would use him again in the future for medical billing needs. He is very knowledgeable, efficient, and trustworthy. Will be contacting him again soon.
TC
Todd C.
Feb 19, 2024
Mental Health Billing Specialist
We worked with Ismail for quite some time. He was consistent, knows billing well and is dependable. We recommend working with him.
About Ismail
HIPAA Certified Medical Biller | AR & Billing Specialist/Credentialing
100%
Job Success
Nowshera Cantonment, Pakistan - 12:15 am local time
Work Experience:
In the course of my billing career, I have performed various duties such as HCPCS research, fee investigation for similar providers, as well as development of procedure manuals and business form creation. I have great experience working on the below-mentioned functions of Medical billing.
1. Patient Registration
2. Insurance Verification
3. Pre Authorization Request and verification
4. Charge Posting / Superbill review
5. Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
6. Fixing Rejected Electronic claims
7. Checking clearinghouse reports
8. Provider PIN calling ( for verifying provider TAX id, NPI, and billing address)
9. EOB and check search via websites and batches
10. Payment Posting of Insurance and Patient
11. AR Follow up on denied claims via call or websites
12. Appeal project
13. Collection / Refund / Over-Payment
14. Scheduling new patients
AR Follow-up:
• Call Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables
• Prioritize unpaid claims for calling according to the length of time it has been outstanding
• Call insurance companies directly and convince them to pay the outstanding claims
• Check the relevance of insurance info offered by the patient
• Evaluate unpaid insurance claims
• Call insurance companies and check on the status of claims
• Transfer the outstanding balance to the patient of he/she doesn’t have adequate insurance coverage
• If the claim has already been paid, ask the insurance company for Explanation of Benefits (EOB)
• Make corrections to the claim based on inputs from the insurance company.
In Credentialing I have expertise in the following Services:
• Primary Source Verification
• Updating CAQH Accounts
• PECOS Provider Enrollments
• Filing Applications
• Initiating Credentialing Process
• Credential new providers and re-credential current providers under different Tax ID's.
• Verify provider’s license through the state license authority website
• Licenses and Affiliation Check
• Payer Contract Evaluations and Negotiations
• Re-Enrolment and Re-Validation Solutions
• Maintain internal provider grid to ensure all information is accurate and logins are available
• Update each provider’s CAQH database file timely according to the schedule published by CMS
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
• Complete re-credentialing applications for commercial payers
• Take follow up for the Credentialing applications and maintain the record.
• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Form submission to different Insurance companies like Humana, United, Cigna, Aetna, Anthem, Medicare, Medicaid, BlueCross Blue Shield etc.
I am serving the US health care industry for the last five years in different states including, IL, MO, NY, TX, NJ, CA, MO, AZ, FL, TN etc. I have worked for the below-mentioned specialties of the provider’s claims.
1. Behavioral and Mental Health
2. Chiropractic.
3. Genetic Testing
4. DME
5. Physical Therapy
6. Pain management
7. Doctor's clinic or office setting
8. Surgical.
9. Internal Medicine, etc.
10.Urology
EHR Software Work Experience:
I have also have a strong grip on different EMR/EHR and Billing Software's including.
• Advanced MD PM
• Office Ally Practice Mate
• ECw
• Luminello
• Practice Fusion
• Kareo
• Care Cloud
• Simple Practice
• ClaimMD
• IntakeQ
• Dr Chorno
• Athena health
• waystar
I hope that after reviewing 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.
Best Regard
Ismail
Steps for completing your project
After purchasing the project, send requirements so Ismail can start the project.
Delivery time starts when Ismail receives requirements from you.
Ismail works on your project following the steps below.
Revisions may occur after the delivery date.
Billing & Credentialing Pro
I will collect your provider and practice details, verify enrollments, set up systems, process claims or credentialing applications, follow up on any issues, and provide reports to ensure smooth revenue cycle operations.