You will get Practice and provider Credentialing/Enrollment within 2 months on fast pace

Saqib G.
Saqib G.
4.9
Top Rated

Let a pro handle the details

Buy Administration services from Saqib, priced and ready to go.

You will get Practice and provider Credentialing/Enrollment within 2 months on fast pace

Saqib G.
Saqib G.
4.9
Top Rated

What's included $4,000

Initial Credentialing

Enrollment application submissions and follow up

  • Delivery Time 70 days
  • Number of Revisions 20
  • Number of Hours of Work 700
    • Project Management Support
70 days delivery — Sep 30, 2024
Revisions may occur after this date.
Upwork Payment Protection
Fund the project upfront. Saqib gets paid once you are satisfied with the work.

Let a pro handle the details

Buy Administration services from Saqib, priced and ready to go.

Project details

Credentialing is the most necessary part for practice accurate payments and forecasting the payment structure. Mostly the insurances discourage their customers to go "out of network" providers in the community to avoid unnecessary patient owes in terms of high deductibles and cost-sharing.

I’ve been doing practice demographics updates, credentialing and enrollments since 2015 for facilities (urgent care, emergency room and laboratory), behavior health, PT, OT, Psychiatry, PCP and specialists clinics enrollments in the state of TX, KY, AZ and VA.
Purpose
Business
Industry
Financial Services, Medical & Pharmaceutical
What's included $4,000 These options are included with the project scope.
$4,000
  • Delivery Time 70 days
  • Number of Revisions 20
  • Number of Hours of Work 700
    • Project Management Support

Frequently asked questions

4.9
10 reviews
90% Complete
10% Complete
1% Complete
(0)
1% Complete
(0)
1% Complete
(0)
Rating breakdown
Availability
4.9
Deadlines
4.9
Skills
5.0
Quality
4.9
Cooperation
4.9
Communication
4.9

SP

Sarah P.
4.40
Nov 22, 2023
DrChrono A/R help He was a good worker. He did make a mistake of posting a screenshot of our EHR schedule with patient names and visit types. He was made aware and stated he did not know this was a HIPAA violation. We had hired him for previous jobs and they were always done very well and quickly. It is the end of the year and we do not need as much help. We have decided to end the contract. But we thank Saqib for his time.

SP

Sarah P.
4.80
Apr 10, 2023
DrChrono Administrative Help

SP

Sarah P.
5.00
Mar 10, 2023
Manually Posting ERA/EOBs Saqib was wonderful to work with. He understood the project needs quickly and was very communicative. The project was done faster than we anticipated and with very high accuracy. Will definitely be working with him again!

SH

Sarah H.
5.00
Nov 22, 2022
Office Ally - Practice Mate Medical Billing for Covid Testing / Vaccines Thanks for your help Saqib

DD

Daniel D.
5.00
Oct 28, 2022
Medical Biller
Saqib G.

About Saqib

Saqib G.
Certified Credentialing and Enrollment Specialist I Medical Billing I
100% Job Success
4.9  (10 reviews)
Islamabad, Pakistan - 1:16 am local time
Hello, I extend my best wishes for your well-being and health. My name is Saqib Gardezi, and I specialize in practice revenue recovery, credentialing and medical billing services with 99.9% successful result . Also, I am providing comprehensive credentialing services for all specialties like mental health and substance use disorder, dental, emergency rooms, diagnostic laboratories, home health and hospice, primary care physician and specialist clinics with a decade of experience in various states. My focus is on securing 100% in-network approvals with all insurance companies across any state, all at competitive rates.

I am a research analyst

✅Medical Billing and Coding

I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I have great experience working on the below-mentioned functions of Medical billing.

✅Patient Registration
✅Insurance Verification
✅Pre Authorization Request and verification
✅Charge Posting / Superbill review
✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
✅Fixing Rejected Electronic claims
✅Checking clearinghouse reports (Phicure, Trizetto, availity and Navinet)
✅Provider PIN calling (for verifying provider TAX id, NPI, and billing address)
✅EOB and check search via websites and batches
✅Payment Posting of Insurance and Patient
✅AR Follow up on denied claims via call or websites
✅Appeal project
✅Collection / Refund / Over-Payment
✅Scheduling new patients Project Specialization

✅Credentialing & Enrollment Experience

Practice and provider credentialing, re-credentialing with all US government, commercial, managed-care payers/insurances of any provider or practice specialty.

✅Medicare, Medicaid, Medicare & Medicaid plans and commercial insurance and plans enrollment
✅Follow up on submissions of all enrollment every week
✅Getting Type 1 and Type 2 NPI through NPPES registry
✅ERA and EFT enrollments
✅Contract negotiations and fee schedule settlements
✅CAQH up to date, NPPES up to date and weekly track the issues and communicate with front office and providers.
✅Provider Directory maintenance
✅Maintain spreadsheet with following dates tasks regarding progress enrollment follow-up.
✅Daily & Weekly basis provider communication regarding enrollment concerns, missing information, and latest updates on enrollments.
✅Providers and NP’s/PA’s Hospital affiliation paper work and approval with any of desired hospital

✅Software Experience (PM and EMR)

Work Experience of Software I have work experience with the below software mentioned in medical billing. I have excellent grasping power, so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software.

1. Waiting Room Solutions
2. AdvancedMD
3. Zen desk
4. Xifin
5. Phicure
6. Trizetto
7. EZ Claim
8. Office Ally
9. Kareo
10. Simple Practice
11. Care Cloud
12. Brightree
13. Collaborate MD
14. Ipatient Care
15. Limbs

✅Major follow up Insurance

1. Medicare
2. Medicaid
3. BCBS
4. Aetna
5. UHC
6. Cigna
7. Molina (Medicare, Medicaid and marketplace plans)
8. Tricare
9. ChampVA
10. Humana
11. Guardian
12. Oxford
13. Workers Compensation

Ability to control multiple assignments and tasks by identifying their level of importance • I have the ability to listen, writing and speaking effectively. • I have excellent interpersonal abilities that help me maintain a good relationship between my employer and colleagues. I am willing to be trained and open to learning new things. I am a fast learner and self-motivated. Looking forward to working with you

Steps for completing your project

After purchasing the project, send requirements so Saqib can start the project.

Delivery time starts when Saqib receives requirements from you.

Saqib works on your project following the steps below.

Revisions may occur after the delivery date.

Sign up for credentialing and enrollment

Provide you with the complete required details in a spreadsheet and initiate the enrollment right away. No Delay, complete follow up through calls and email with each insurance

Review the work, release payment, and leave feedback to Saqib.