You will get CPT and Dx specific benefit verifications (VOB) for in and out of network
Project details
I will conduct a comprehensive verification of benefits (VOB) that includes checking both in-network and out-of-network coverage specifically for the requested CPT and diagnosis (Dx) codes. This process will ensure we confirm the exact coverage details, limitations, and patient financial responsibility associated with these specific billing codes before services are rendered.
Project Type
Human ResourcesWhat's included
| Service Tiers |
Starter
$5
|
Standard
$6
|
Advanced
$7
|
|---|---|---|---|
| Delivery Time | 1 day | 1 day | 1 day |
Number of Revisions | 1 | 2 | 3 |
2 reviews
(2)
(0)
(0)
(0)
(0)
This project doesn't have any reviews.
MM
Muhammad M.
Dec 15, 2025
Office Ally Specialist Needed – No Surprises Act 2022 and Appeals on Underpaid Claims
Zia has a good knowledge of the billing software AdvancedMD and the Excel Reporting. While focusing on No Surprise Act (2022) and Medical Billing skills he has been able to increase our revenue from underpaid out of network claims. Wish him best of Luck
ON
Oliver N.
Jun 4, 2025
Medical Biller Needed – Office Ally, CPT, Fee Schedules, Excel Audit
It was a pleasure working with Zia. He delivered a highly skilled and thorough audit of our practice, demonstrating a strong understanding of the task requirements and industry standards. His attention to detail, timely delivery, and clear communication made the entire process smooth and efficient. I highly recommend him to anyone looking for professional and reliable support. Would definitely work with him again.
About Zia Ul Rehman
Certified Medical Biller | Revenue Cycle Management Specialist
100%
Job Success
Rawalpindi, Pakistan - 8:52 pm local time
I am a Certified Medical Biller and Revenue Cycle Management Specialist with deep expertise in optimizing the financial health of medical practices through full-cycle billing solutions. My background includes strict adherence to HIPAA, HITECH, and OIG compliance standards, alongside specialized knowledge of the No Surprises Act. I help practices navigate complex regulatory requirements, including the issuance of Good Faith Estimates and managing balance billing prohibitions to prevent compliance audits. I also assist with provider credentialing and enrollment to ensure your practice is properly set up with payers before the first claim is ever submitted.
My workflow begins with a robust front-end strategy to secure revenue before services are rendered. I conduct detailed Verification of Benefits to confirm patient eligibility, deductibles, co-insurance, and out-of-pocket maximums. I manage the entire Prior Authorization and pre-certification process to minimize front-end denials. My coding expertise covers CPT, ICD-10-CM, and HCPCS Level II, and I utilize NCCI edits to scrub claims for unbundling or incorrect modifier usage. I also ensure medical necessity criteria are met according to LCD and NCD guidelines during charge capture and superbill entry.
On the back end, I manage the complete claims lifecycle, handling electronic and paper submissions via CMS-1500 and UB-04 forms through various clearinghouses like Availity, Waystar, and Change Healthcare. I am an expert in Out-of-Network billing, negotiating Single Case Agreements, and maximizing reimbursement for non-par providers. My financial reconciliation process involves precise payment posting using ERA files and EFT records, ensuring 835 and 837 EDI transactions match perfectly. I aggressively work AR aging buckets, identifying denial trends and submitting corrected claims or reconsiderations to recover revenue from unpaid or underpaid accounts.
I have multi-specialty experience ranging from Mental Health, Physical Therapy, and Chiropractic to Gastroenterology, OB/GYN, Cardiology, and Family Practice. My technical proficiency spans a wide array of EHR and PM systems, including AdvancedMD, Office Ally, Tebra, Noterro, TheraOffice, TherapyNotes, eClinicalWorks, AthenaHealth, DrChrono, NextGen, SimplePractice, CollaborateMD, and Practice Fusion. If you are looking for a dedicated specialist to handle your revenue cycle, reduce your days in AR, and ensure seamless financial operations, I am ready to assist you.
Steps for completing your project
After purchasing the project, send requirements so Zia Ul Rehman can start the project.
Delivery time starts when Zia Ul Rehman receives requirements from you.
Zia Ul Rehman works on your project following the steps below.
Revisions may occur after the delivery date.
Insurance Call
I will call insurance, fill the VOB form and deliver it.