You will get Credentialing, Faster Approvals and Improved Provider Onboarding
Project details
I specialize in improving credentialing processes to reduce turnaround time and ensure compliance. My structured approach includes reviewing workflows, updating documents, and creating clear templates, giving your team and providers an efficient, smooth experience.
I provide clear, structured credentialing updates to streamline approvals and enhance provider onboarding. My approach ensures compliance, faster processing, and a better provider experience.
I provide clear, structured credentialing updates to streamline approvals and enhance provider onboarding. My approach ensures compliance, faster processing, and a better provider experience.
Project Type
Data Entry, Project Management, Virtual Assistance, Customer Support, OtherWhat's included
| Service Tiers |
Starter
$30
|
Standard
$60
|
Advanced
$120
|
|---|---|---|---|
| Delivery Time | 30 days | 60 days | 70 days |
Number of Revisions | 1 | 4 | 6 |
Optional add-ons
You can add these on the next page.
Additional Revision
+$1Frequently asked questions
About Usman
RCM | Billing & Credentialing | AR & Eligibility & Verification
Islamabad, Pakistan - 11:41 am local time
With over five years of dedicated experience in medical billing since December 2018, I offer a comprehensive range of services designed to streamline your revenue cycle management and improve your practice’s financial performance. By partnering with me, you receive expert support across multiple facets of billing and credentialing, all delivered with accuracy, efficiency, and professionalism.
Feel free to contact me if you require assistance in optimizing your medical billing or credentialing processes.
Work Experience & Core Competencies
Throughout my career, I have successfully handled diverse responsibilities related to medical billing, including HCPCS research, fee investigation, procedure manual development, and business form creation. My hands-on expertise includes:
Patient Registration and Scheduling
Insurance Verification and Pre-Authorization Requests
Charge Posting and Superbill Review
Evaluation of HCPCS codes, ICD-9/10, and Modifiers
Resolving Rejected Electronic Claims
Clearinghouse Report Analysis
Provider PIN Verification (TAX ID, NPI, Billing Address)
EOB and Payment Search via Websites and Batch Processing
Insurance and Patient Payment Posting
Accounts Receivable (AR) Follow-Up on Denied Claims
Appeals and Denial Management
Collections, Refunds, and Over-Payment Handling
Accounts Receivable Follow-Up
Contact insurance companies on behalf of providers to resolve outstanding accounts receivable
Prioritize and manage unpaid claims according to aging timelines
Directly communicate with insurers to expedite claim payments
Verify insurance information provided by patients for accuracy
Evaluate and track unpaid insurance claims, including status follow-ups
Transfer balances to patients when insurance coverage is insufficient
Request and analyze Explanation of Benefits (EOB) when necessary
Make claim corrections based on insurance feedback to ensure payment
Credentialing Expertise
Primary Source Verification and License Validation
CAQH Account Management and Updates
PECOS Provider Enrollments and Re-enrollments
Filing and Initiation of Credentialing Applications
Credentialing and Re-credentialing of Providers across Tax IDs
State License and Affiliation Checks
Payer Contract Evaluation and Negotiation
Maintaining Accurate Provider Profiles on CAQH, PECOS, NPPES, and CMS
Follow-Up and Record Maintenance for Credentialing Applications
Form Submission to Major Insurance Companies including Humana, UnitedHealthcare, Cigna, Aetna, Anthem, Medicare, Medicaid, BlueCross BlueShield, and others
Geographic and Specialty Experience
I have served healthcare providers across multiple U.S. states, including Illinois, Missouri, New York, Texas, New Jersey, California, Arizona, Florida, Tennessee, and more.
My experience spans a broad range of specialties such as:
Behavioral and Mental Health
Chiropractic
Genetic Testing
Durable Medical Equipment (DME)
Physical Therapy
Pain Management
Medical Clinics and Office Settings
Surgical Practices
Internal Medicine
Urology
EHR and Billing Software Proficiency
I am proficient in working with various EMR/EHR and billing systems, including but not limited to:
AdvancedMD PM
Office Ally Practice Mate
eClinicalWorks (ECW)
Luminello
Practice Fusion
Kareo
CareCloud
SimplePractice
ClaimMD
IntakeQ
DrChrono
Athena Health
Waystar
Commitment to Excellence
My goal is to help your practice reach the next level of operational and financial success by providing thorough, reliable, and timely service. I approach every project with dedication and professionalism, ensuring that all tasks are completed efficiently and within the agreed timelines.
Thank you for considering my services. I look forward to the opportunity to contribute to your practice’s growth and success.
Steps for completing your project
After purchasing the project, send requirements so Usman can start the project.
Delivery time starts when Usman receives requirements from you.
Usman works on your project following the steps below.
Revisions may occur after the delivery date.
Document Review
I review the current credentialing process and gather necessary details.