You will get Medical Billing Claims Processing, EDI Review & Clean Claim Submission
Project details
I combine 5+ years of medical billing experience with strong attention to detail, accurate claims processing, EDI review, payment posting, and data tracking. I focus on reducing errors, keeping records organized, and delivering reliable results on time.
Data Entry Type
Data Cleansing, Error DetectionData Entry Tool
Medical Records Software, Microsoft Excel, Microsoft OfficeWhat's included
| Service Tiers |
Starter
$50
|
Standard
$95
|
Advanced
$160
|
|---|---|---|---|
| Delivery Time | 2 days | 3 days | 5 days |
Number of Revisions | 1 | 2 | 3 |
Number of Hours of Work | 1 | 2 | 4 |
Formatting & Clean Up | - | - | - |
Graph & Table Creation | - | - | - |
Optional add-ons
You can add these on the next page.
Additional Revision
+$15
Additional Hour of Work
+$20Frequently asked questions
About Ahmed
Medical Billing & Denial Management Specialist | EDI, Claims, Payment
Ranipet, India - 5:08 pm local time
I help U.S. healthcare practices reduce claim rejections, clean aging AR, and improve first-pass acceptance rates through accurate charge entry, clean claim submission, EDI troubleshooting, payment posting, and systematic denial management.
Key achievement:
• Improved first-pass claim acceptance rate from 82% to 97% by identifying recurring EDI and clearinghouse rejection patterns and implementing preventive validation rules.
Additional results from previous role:
• Performed root-cause analysis on ANSI X12 837 files and payer responses
• Partnered with development teams to implement preventive rules that stopped repeat errors before submission
• Trained staff on EDI standards and claim submission best practices
Core services I deliver:
• Charge entry & claims submission (CMS-1500)
• EDI rejection analysis & resolution (837 files, clearinghouse responses)
• Payment posting & ERA/EOB reconciliation
• Denial management & AR follow-up
• Insurance eligibility/verification support
• Excel trackers, reports, and process documentation
I work with U.S. payer guidelines, clearinghouses, and standard billing software. I am detail-oriented, HIPAA-aware, and focused on measurable improvements in clean claim rate and cash flow.
Available for ongoing support or project-based work. Let’s discuss your current rejection rate, aging AR, or claim volume.
Steps for completing your project
After purchasing the project, send requirements so Ahmed can start the project.
Delivery time starts when Ahmed receives requirements from you.
Ahmed works on your project following the steps below.
Revisions may occur after the delivery date.
Review & Organize Claims Data
I review the provided claims files, instructions, and required output format.
Process & Validate Claims
I process the claims, perform data entry, and check for missing or inconsistent information.