You will get Professional Medical Billing A/R Specialist (HIPAA Certified)
Top Rated

Top Rated

Project details
I am a HIPAA-compliant medical biller & AR specialist with 10+ years of cross-functional experience that includes Medical Billing, practice management, operations, management, project management and different administrative roles. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurance, clearinghouses, and third-party payers
JOB RESPONSIBILITIES:
• Patient Registration/patient management.
• Insurance Verification and benefits.
• Claim submission.
• Obtaining prior and retro authorizations.
• Applying payments to accounts from ERA/EOB/websites and also patient payments.
• Aging report/Followup/Appeals.
• Denial management.
• Customer services, and administrative assistance.
BILLING SOFTWARES/EMR
Simple Practice, AdvancedMD, kareo , OfficeAlly,Athena, Therabill, ECW, , Ethomas, Intergy, Therapy Notes, , Kareo EHR, Webpt, Practice Fusion
INSURANCE CARIERS
Availity, Navinet, Medicare/Medicaid portals, UHC/Optum. Provider Express, Cigna, Ash,Fidelis, Eblue,RadMD.com, AIM, specialty health
CLEARING HOUSES
ZirMed, Officeally, Availity, ClaimMD, Emdeon,Trizetto Provider Solutions, Athenahealth, Change Healthcare
Thank you
JOB RESPONSIBILITIES:
• Patient Registration/patient management.
• Insurance Verification and benefits.
• Claim submission.
• Obtaining prior and retro authorizations.
• Applying payments to accounts from ERA/EOB/websites and also patient payments.
• Aging report/Followup/Appeals.
• Denial management.
• Customer services, and administrative assistance.
BILLING SOFTWARES/EMR
Simple Practice, AdvancedMD, kareo , OfficeAlly,Athena, Therabill, ECW, , Ethomas, Intergy, Therapy Notes, , Kareo EHR, Webpt, Practice Fusion
INSURANCE CARIERS
Availity, Navinet, Medicare/Medicaid portals, UHC/Optum. Provider Express, Cigna, Ash,Fidelis, Eblue,RadMD.com, AIM, specialty health
CLEARING HOUSES
ZirMed, Officeally, Availity, ClaimMD, Emdeon,Trizetto Provider Solutions, Athenahealth, Change Healthcare
Thank you
Data Entry Type
Copy Paste, Data Cleansing, Document Conversion, Error Detection, Online Research, Word ProcessingData Entry Tool
CRM Software, ERP Software, Google Docs, Google Sheets, Medical Records Software, Microsoft Excel, Microsoft Office, Microsoft WordWhat's included
| Service Tiers |
Starter
$50
|
Standard
$100
|
Advanced
$200
|
|---|---|---|---|
| Delivery Time | 2 days | 3 days | 5 days |
Number of Revisions | 3 | 3 | 4 |
Number of Hours of Work | 8 | 8 | 8 |
Formatting & Clean Up | |||
Graph & Table Creation |
Optional add-ons
You can add these on the next page.
Additional Revision
+$50
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Sultan K.
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About Marryum
HIPAA Certified Medical Biller & AR Expert|Mental,Home Health&Medical|
100%
Job Success
Rawalpindi, Pakistan - 10:41 am local time
I am a HIPAA compliant medical biller AR & Billing specialist with 10+ years of cross-functional experience that includes Medical Billing, practice management, operations, management, project management and different administrative roles. I was part of the company's top management so in that way mostly involved in making marketing strategies and guiding marketing executives in their projects. The financial analysis has also been done for different projects. I have also experience communicating with US doctors and other third-party healthcare staff i.e. insurances, doctors, clearinghouses, and other third-party payers.
A. MEDICAL BILLING SERVICES
- Eligibility & Benefits verification.
- Appointments Scheduling.
- Credentialing guidelines with payers.
- Patient Demographics and Charge entry.
- Insurance claims submission via clearinghouse and Paper submission.
- Accounts receivable and Denial management.
- Payment Posting.
- Patient billing for PR -1,2,3 and PR 96 and PR 119 etc.
- Claims F/U on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS, Managed care, and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford, etc...)
- Claim status from insurance Portal and calls.
- Submitting appeals for denied claims.
- ICD 10, CPT, and HCPCS Coding review.
B. SPECIALITIES
Durable Medical Equipment, Optometry and Ophthalmology, PHYSICAL THERAPIST, Chiropractic, Acupuncture, Behavioral Health, Ambulatory Surgery, Home Health, Anesthesiology, Cardiology, Skilled Nursing Facility, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Internal Medicine, Orthopedic, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Psychiatry, Radiology, Podiatry, Radiotherapy, Rheumatology, Urology
C. PMS SOFTWARE WORKED ON:
Simple Practice, AdvancedMD, Carecloud, Practice EHR, RXNT, Kareo, Office Ally, Docutap, Therabill, ECW, EZclaim, ClinixPM, Ethomas, Medisoft, Criterions, Dr. Chrono, Athenanet, , Medisoft, Carecloud,
D. CLEARING HOUSE WORKED ON:
Trizetto, Optum EDI, Availity, Apex, Zirmed, Emdeon
E. EHR/EMRs WORKED ON:
Kareo EHR, Webpt, Practice Fusion, HelloNote
I believe in hard work and honesty. I am always interested in making long-term professional relationships with my clients and will never complete the project until the client is 100% satisfied.
Thank you for viewing my profile.
Steps for completing your project
After purchasing the project, send requirements so Marryum can start the project.
Delivery time starts when Marryum receives requirements from you.
Marryum works on your project following the steps below.
Revisions may occur after the delivery date.
Medical Billing project steps
1-Patient Registration 2-Eligibility/auth Verification 3-Charge entry 4-Claim Submission 5-payment Posting 6-AR Follow-up 7-Denial Management 8-patients statements 9- AR reports
Requirements From Client
Need complete practice/agency ( Tax ID, NPI, portal logins, INN & OON status ) and patient details( DOB , name, policy number, payer name). In addition to this , total working hours in a week.