You will get Provider Credentialing & Enrollment (CAQH, PECOS, Medicare)
Project details
This project provides organized provider credentialing and enrollment support for healthcare professionals. From CAQH and PECOS profile management to Medicare and commercial payer applications, I handle documentation, submission, and follow-ups through approval. The objective is smooth enrollment, reduced delays, and proper billing activation without administrative confusion.
Purpose
BusinessWhat's included
| Service Tiers |
Starter
$100
|
Standard
$250
|
Advanced
$500
|
|---|---|---|---|
| Delivery Time | 2 days | 14 days | 30 days |
Frequently asked questions
About Abdul
Medical Billing & RCM Specialist | AR Follow-Ups | Denial Management
Karachi, Pakistan - 1:53 pm local time
Healthcare practices lose significant revenue every month due to claim denials, aging accounts receivable, credentialing delays, and billing errors. A well-managed Revenue Cycle is critical for keeping reimbursements consistent and cash flow stable.
With 5+ years of experience in US Medical Billing and Revenue Cycle Management (RCM), I help healthcare providers streamline their billing operations, reduce claim denials, and recover outstanding revenue from insurance payers.
I manage the complete medical billing cycle, from front-end patient verification to back-end accounts receivable resolution. My focus is always on accurate claim submission, faster reimbursements, and strong AR recovery.
If your practice needs a reliable professional who understands payer workflows, claim processing, and revenue recovery, I can step in and support your billing operations efficiently.
Revenue Cycle Management Services:
I provide end-to-end medical billing and RCM support for healthcare providers and medical groups.
Front-End Revenue Protection
Insurance Eligibility & Benefits Verification (VOB)
Prior Authorizations (PA)
Patient Demographics & Registration Accuracy
Charge Entry & Claim Preparation
Proper front-end verification prevents claim denials and ensures claims are ready for submission.
Claim Processing & Submission:
Medical Claim Scrubbing
Electronic Claim Submission (Primary / Secondary / Tertiary)
Clearinghouse Rejection Resolution
CMS-1500 claim processing
Coordination of Benefits (COB)
These steps ensure claims are submitted correctly the first time, minimizing rejections and delays.
Back-End Revenue Recovery:
Payment Posting (ERA / EOB)
Insurance Accounts Receivable (AR) Follow-Ups
30 / 60 / 90 / 120+ Day AR Management
Denial Management & Appeals
Underpayment Investigation & Recovery
Consistent AR follow-ups with insurance payers help recover delayed or unpaid claims and keep the revenue cycle healthy.
Insurance Payers Experience:
Experienced working with major US insurance carriers including
Medicare, Medicaid, Blue Cross Blue Shield (BCBS), United Healthcare (UHC), Aetna, Cigna, Humana, and other commercial insurance payers.
Billing Systems & Workflow:
Experienced working with various EHR, EMR, and Practice Management systems used by healthcare providers.
Comfortable navigating:
Insurance payer portals
Clearinghouse claim systems
Electronic remittance (ERA) processing
AR tracking and payment posting workflows
Medical billing documentation review
I quickly adapt to new software platforms and workflows used by different medical practices.
Compliance & Billing Accuracy:
HIPAA compliant billing workflow
PHI protection and secure handling of patient data
Root cause denial analysis
Accurate documentation review before claim submission
Clear reporting and communication with providers
Why Healthcare Practices Work With Me:
5+ years experience supporting US healthcare billing operations
Strong understanding of payer guidelines and claim processing
Reliable AR follow-ups and denial resolution
Focused on improving reimbursements and reducing revenue leakage
Conclusion:
If your practice is dealing with aging AR, denied claims, or inconsistent reimbursements, I can help strengthen your revenue cycle and ensure claims are processed efficiently.
Let’s discuss how I can support your medical billing operations.
Regards
Abdul Samad
Steps for completing your project
After purchasing the project, send requirements so Abdul can start the project.
Delivery time starts when Abdul receives requirements from you.
Abdul works on your project following the steps below.
Revisions may occur after the delivery date.
Credentialing Review
Review CAQH profile and collect required documentation.
Application Submission
Submit enrollment applications to selected payers.