You will get Medical Provider Credentialing Case Study
Top Rated
Top Rated
Project details
I specialize in end-to-end Medical Credentialing and Revenue Cycle Management (RCM) support with over 6 years of hands-on experience working with healthcare providers, hospitals, and insurance systems across the United States. What sets my work apart is my combination of credentialing expertise, payer enrollment knowledge, and deep understanding of billing workflows, ensuring providers are not only enrolled quickly but also positioned for maximum revenue efficiency.
I have extensive experience working with systems such as Availity, Noridian, Optum, Payspan, Veradigm PM, and various EHR platforms, allowing me to handle credentialing, re-credentialing, CAQH updates, and payer follow-ups with accuracy and speed. My approach is detail-oriented, compliance-driven, and focused on reducing delays in approvals.
I also integrate credentialing with billing insights, helping providers avoid enrollment gaps that lead to claim denials. My goal is to deliver a smooth, transparent, and efficient credentialing process that supports long-term practice growth and payer compliance.
I have extensive experience working with systems such as Availity, Noridian, Optum, Payspan, Veradigm PM, and various EHR platforms, allowing me to handle credentialing, re-credentialing, CAQH updates, and payer follow-ups with accuracy and speed. My approach is detail-oriented, compliance-driven, and focused on reducing delays in approvals.
I also integrate credentialing with billing insights, helping providers avoid enrollment gaps that lead to claim denials. My goal is to deliver a smooth, transparent, and efficient credentialing process that supports long-term practice growth and payer compliance.
Purpose
BusinessLanguage
EnglishWhat's included
| Service Tiers |
Starter
$100
|
Standard
$300
|
Advanced
$600
|
|---|---|---|---|
| Delivery Time | 3 days | 30 days | 60 days |
Basic Photo Editing | - | - | - |
Organize & Classify/Tag Files | - | - | - |
Formatting & Clean Up | - | - | - |
Project Management Support | - | - | - |
Travel Planning | - | - | - |
10 reviews
(9)
(0)
(1)
(0)
(0)
This project doesn't have any reviews.
BA
Brittany A.
Jun 26, 2026
AdvancedMD Medical Billing Specialist – Contract (Immediate Start)
Dumindu was amazing to work with. He is highly knowledgeable in medical billing, very responsive, and always addressed issues promptly and efficiently. I truly appreciated his attention to detail and professionalism. His work made a big difference in our billing process, and I would highly recommend him to anyone looking for a reliable and skilled biller.
aw
abigail w.
Jun 16, 2026
Billing and Revenue Cycle Specialist for Behavioral Health Therapy
Not a good match for the project
GJ
Gerald A J.
Dec 8, 2025
Data Entry Specialist Needed
LM
Luke M.
Oct 27, 2025
Healthcare Billing Assistant
Dimindu was professional, knowledgeable and very proactive. He completed the work requested and was willing to share his knowledge of claims processing with the team. We appreciated his work and his patience with us as we navigated our growing claims issues.
PS
Prabath S.
Oct 21, 2025
Medical billing specialist for a private practice
Dumindu worked on my medical billing project and did an excellent job. He managed claim submissions, payment posting, and denial management with great attention to detail. In addition, he provided extra support by completing credentialing for Medicare and Medicaid payers using PECO. His communication was clear, timely, and professional throughout the project. I truly appreciate his expertise and dedication to ensuring accurate and efficient billing and credentialing processes. I would highly recommend Dumindu for any medical billing, credentialing, or revenue cycle management work!
About Dumindu
Medical Biller & Billing Specialist | Denial Expert RCM
92%
Job Success
Colombo, Sri Lanka - 11:27 pm local time
I'm a seasoned medical billing specialist / Practice consultant, boasting a track record of assisting over a hundred providers in streamlining their billing processes and boosting their cash flows.
I have experience working with over a 40+ practices/clinics, 20+ Solo healthcare practitioners and laboratories.
With a solid close to 10 years of hands-on experience in the medical billing industry, I worked with large scale billing companies for over 05 years and recently started freelancing on Upwork. I've got the chops to handle all your end-to-end medical billing needs. From insurance credentialing & enrollment to claims entry, eligibility verification, prior authorization, and all the way through to denial management and collections – I've got it covered.
I've collaborated with a diverse range of healthcare professionals, including physicians, mental health providers, psychiatric clinics, family medicine practices, and laboratories. Over the past half-decade, I've served a whopping 100 providers, and here's a snapshot of what I bring to the table:
A few 𝗘𝗛𝗥 / 𝐏𝐌𝐒 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 𝗜'𝗺 𝗙𝗮𝗺𝗶𝗹𝗶𝗮𝗿 𝗪𝗶𝘁𝗵:
Advanced MD
Kareo / Tebra
Office Ally
Simple Practice
Headway
Chirotech
EClinicals / ECW / Eclinicalworks
I-CANotes
Athena
ECW
Simple Practice
Therapy Appointments
Candid
Healthie
NextGen
Practice Fusion
Therapy Notes, and more.
𝗖𝗹𝗲𝗮𝗿𝗶𝗻𝗴 𝗛𝗼𝘂𝘀𝗲𝘀:
Waystar
Change Healthcare
Office Ally
Trizetto
Zirmed
𝗛𝗲𝗿𝗲`𝘀 𝘀𝗼𝗺𝗲 𝗼𝗳 𝗺𝘆 𝗺𝗮𝗶𝗻 𝘀𝗲𝗿𝘃𝗶𝗰𝗲𝘀.
Medical coding
Medical billing
Accounts Receivable and Collections:
Verification of Benefits and Eligibility:
Payment Posting:
Credentialing and Enrollment:
Denial Management:
Insurance follow ups;
EDI set up;
ERA set up;
Staff trainings - Billing related;
EHR software setup, Data migration;
I'm eager to discuss how I can contribute to your practice's success. Let's chat!
#Medicalcoder #medicalbiller # #insuranceverification #Verificationofbenefits #VOB #credentialing #insurancecredentialing #enrollment #medicalbilling #medicalcoding #accountsreceivable #AR #denial #physical therapy #speech therapy #occupational therapy #denialmanagement #insurancedenial #paymentposting #medicalcoder #claimsfollowup #AdvancedMD #eclinicalworks #medicalvirtualassistant #simplepractice
less
Steps for completing your project
After purchasing the project, send requirements so Dumindu can start the project.
Delivery time starts when Dumindu receives requirements from you.
Dumindu works on your project following the steps below.
Revisions may occur after the delivery date.
Provider & Practice Information Collection
Collect provider and practice information including NPI, CAQH access, licenses, malpractice insurance, W-9, and payer list. Review documents for accuracy and prepare all required details to begin the credentialing and enrollment process.