You will get complete RCM including billing, AR, and denial management
Project details
With over 5 years of experience in medical billing and credentialing, I provide complete Revenue Cycle Management (RCM) solutions to maximize reimbursements and reduce denials. My services cover the entire billing cycle, including patient registration, insurance verification, eligibility checks, pre-authorizations, coding (CPT, HCPCS, ICD-10, modifiers), charge posting, claims submission, denial management, AR follow-up, appeals, payment posting, and patient billing.
I also handle credentialing and enrollment services such as CAQH updates, PECOS enrollments, payer applications, re-credentialing, license verification, and contract negotiations. I’ve worked with major payers (Medicare, Medicaid, BCBS, United, Aetna, Cigna, Humana, Anthem) across multiple states and specialties like Behavioral Health, Chiropractic, DME, Physical Therapy, Pain Management, Internal Medicine, and Surgery.
Proficient in EHR/PM systems such as AdvancedMD, Kareo/Tebra, Athena, Office Ally, CareCloud, ECW, and Practice Fusion, I ensure accuracy, compliance, and timely follow-up to help practices improve cash flow and efficiency.
I also handle credentialing and enrollment services such as CAQH updates, PECOS enrollments, payer applications, re-credentialing, license verification, and contract negotiations. I’ve worked with major payers (Medicare, Medicaid, BCBS, United, Aetna, Cigna, Humana, Anthem) across multiple states and specialties like Behavioral Health, Chiropractic, DME, Physical Therapy, Pain Management, Internal Medicine, and Surgery.
Proficient in EHR/PM systems such as AdvancedMD, Kareo/Tebra, Athena, Office Ally, CareCloud, ECW, and Practice Fusion, I ensure accuracy, compliance, and timely follow-up to help practices improve cash flow and efficiency.
Target Country
Worldwide, United States, CanadaWhat's included
| Service Tiers |
Starter
$400
|
Standard
$800
|
Advanced
$2,000
|
|---|---|---|---|
| Delivery Time | 5 days | 10 days | 30 days |
Number of Projects | 40 | 80 | 200 |
General Project Consulting | |||
Define Project Goals | |||
Define Deliverables & KPIs | |||
Establish Schedule & Milestones | |||
Risk Management | |||
Resource Management | |||
Budget Management | |||
Project Reports | |||
Project Diagrams Provided | - | - | - |
4 reviews
(4)
(0)
(0)
(0)
(0)
This project doesn't have any reviews.
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 - 4:35 pm 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.
Collect Practice Information
I will gather provider credentials, practice details, and insurance portal access to set up the billing process correctly.
Verify Provider Enrollment
I’ll check NPI, taxonomy codes, and payer enrollments to ensure claims are accepted without enrollment-related denials.