Top-performing professional with 10+ years of healthcare experience, including: Medical Billing, practice management, operations, management, project management and different administrative roles. I am here to leverage my expertise to help you improve your business and day to day operations. I specialize in working with small, medium and large medical practices. Not only do I provide day-to-day help and support, I can provide unique insights into various ways to improve the running of your business. I provide a high level of reliability, accountability, and knowledge backed by over 10 years of experience in medical billing and administrative roles. As a medical billing and administrative consultant, I can not only do work for you but help you work better, help you start up a new business and streamline your policies and procedures JOB RESPONSIBILITIES: -Provider Credentialing -Medical Billing and coding - 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. - Handling patient concerns/invoicing. - Bookkeeping/QuickBooks - Daily, Weekly, Monthly or Quarterly Reconciliation - Medical Documentation review and Auditing - Customer services, DATA ENTRY and administrative assistance. PROVIDER SPECIALITIES: Urgent care, Home healthcare, Physical therapy, Occupational therapy, Speech therapy, Cognitive and Behavioral Therapy, Mental health, Acupuncture, Family practice, Internal medicine, Cardiology, Radiology, Podiatry, Dietitians, Inpatient billing for Surgeons/Assistant Surgeons, Gynecology, Oncology etc BILLING SOFTWARES and EMR/EHRs Simple Practice AdvancedMD kareo PM/ERH OfficeAlly PM/EHR Docutap Athena, Therabill ECw EZclaim Candid Theranest CMD, ClinixPM Ethomas Healthie Intergy Therapy Notes, NextGen Iclinic, Webpt, Practice Fusion HelloNote, Salesforce, DaisyBill, ICANotes, Experity, Nexttech cloud RXNT Chirofusion ChiroHD ChiroSpring Kinnser KaneTime INSURANCE CARIERS Medicare/Medicaid, Tricare, HMO/PPOs/IPAs, UHC, BCBS, Cigna, Aetna, Humana, WellCare and Magnacare etc Insurance and authorization Webportals Availity, Navinet, Medicare/Medicaid portals, UHC/Optum. Provider Express, Cigna, Ash,Fidelis, Eblue,RadMD.com, AIM, specialty health,Echo, CLEARING HOUSES Navicure / ZirMed, Officeally, Availity, ClaimMD, Emdeon,Trizetto Provider Solutions, Athenahealth, Change healthcare, Eligible, Inc I strive for perfection in all areas of my work. I work hard to produce steady high-performance work to ensure my clients get my very best outcome. I am here to be that extra set hands when there are just not enough hours in the day for you to do it all. I want your business to succeed above and beyond the average business. I am a quick learner and willing to learn new platforms. When learning something new I try and take in all there is to learn about that program. I will reach out with questions and I will also do self-research to better understand how a program works and ways to be more efficient within that program. Please feel free to read through the feedback my previous clients have left on past work. Professionally Momin Shah

I have an extensive 8 years of experience in medical practice management. I'm a highly-skilled, self-motivated, and specialized in delivering high-quality services on time concerning strict deadlines and high expectations. What do I provide to my client? 1- Provide Reliable & Cost-Effective Solutions 2- Provide First Time Resolution (FTR) 3- Service Delivery within Turn Around Time (TAT) 4- Innovative & Continuous Improvement in service. 5- Provide Quality work & unlimited Customer Support. In these years, I was dealing with small & large group practices as well as individual providers. I had performed all the tasks related to billing, such as Eligibility verification, Prior authorizations, Patient Data entry, creating claims (Office/Hospital/Nursing Home/Diagnostics Claims). Posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals, Insurance credentialing, EDI enrollments etc. I believe in providing quality services and client satisfaction, which is the only reason for my success. Job Responsibilities: 1: Patient Registration/Face sheet/demographics/insurance information. 2: Checking patient eligibility and benefits 3: Creating and submitting clean claims to insurance companies. Credentialing and enrollments with payers. 4: Obtaining prior and retro authorizations for services 5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 6: Aging report/Follow-up/Appeals 7:Customer services and administrative assistance. 8: Denials & Rejections management 9: Handling patient concerns regarding billing 10: Bookkeeping 11: QuickBooks 12: Sending invoices to different offices and clients 13. Patient assistance (Inbound & Outbound) Core Skills And Competencies: • HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes • Medicare and Medicaid Guidelines through CMS • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Documentation review and Auditing • Daily, Weekly, Monthly or Quarterly Reconciliation • Performs well in complex environments with little direction Specialties I have been working for are as follow:- Nephrology Urgent care Physical therapy Chiropractic Assisted Living Facility Psychology & Psychiatrists Cardiology Radiology In-patient & Out-patient hospital billing Nursing & Skilled Nursing billing Gynecology Pain Management & Rehabilitation Softwares i can worked. Practice Fusion PrognoCis Simple Practice AdvancedMD Kareo OfficeAlly Athena ECW NextGen & Health Fusion Presidio FILEVINE EHR/EMRs/Clearinghouse:- Trizetto (Gateway) Kareo EHR HelloNote Athena Emdeon Imagine MedCapp My focus points:- 1. Daily audit of sample size. 2. Publishing weekly /monthly dashboard, production, and accuracy report to clients. 3. Working on new projects to improve process accuracy and productivity. 4. Doing calibration with QCA, Team leader, and SME to reduce process variances. 5. Tracking or identifying root causes and process variances. 6. Conducting PKT (Process knowledge test) to bridge the knowledge gap. 7. Suggesting corrective actions, implementing solutions, and reviewing implementation 8. Providing feedback and refresher training to individuals and teams. 9. Doing remotely and side by side audit of associates

MEDICAL BILLING - Top Rated Plus HIPAA Certified Medical Biller - RCM | Medical Scriber. - Experienced Medical Virtual Assistant with a demonstrated history of working in the hospital & health care industry. I am a certified medical biller with over 12 years of experience in the healthcare industry. I have a strong understanding of medical terminology, insurance regulations, and coding procedures. I am also proficient in a variety of practice management software programs. SKILLS • Medical billing • Insurance coding • Claim scrubbing and follow-up • Reading clearinghouse reports and re/submissions • Contacting payors by phone and over the internet • Knowledge of correct use of modifiers • Prior experience with Claims in different States with portals: AVAILITY, NORIDIAN, MEDI-CAL CIGNA, AETNA, UNITED HEALTHCARE. • Ability to problem solve claims not just resubmit • HIPAA compliance • Customer service • Time management • Attention to detail EXPERIENCE • Medical Biller, WinClaims, 2018-Present • Managed all aspects of medical billing for a large medical center, including patient registration, insurance verification, claim submission, and denials management. • Successfully increased collections by 15% • Coded medical records for a variety of specialties, including internal medicine, pediatrics, chiropractic, physical therapy, mental health. • Maintained a high level of accuracy and compliance with coding standards. WHY YOU SHOULD HIRE ME? • I am a highly skilled and experienced medical biller with a proven track record of success. • I am proficient in a variety of practice management software programs. • I am HIPAA compliant and committed to providing high-quality customer service. • I am a hard worker and I am always willing to go the extra mile. I look forward to working with you! PRIOR EXPERIENCE WITH EMR; • Office Ally • AdvancedMD • ECW • Kareo • Practice Fusion • TalkEHR • Dynamic EMR

As a Certified Medical Revenue Specialist, I bring over 13 years of extensive experience in medical billing across various specialties, including internist, psychiatric, gastrologist, neurosurgeon, infectious specialist, pulmonologist, allergist, and PCP billing, along with hospital-affiliated professional billing. My expertise spans the entire revenue cycle management (RCM) process, from coding charts and patient registration to insurance verification, charge processing, and EOB/EOP/ERA processing. I excel in denial management, AR follow-up, patient statement processing, and collections, ensuring optimal financial outcomes for practices. I specialize in provider enrollment, Medicare/Medicaid revalidation, and CAQH maintenance, ensuring compliance with regulatory requirements. Additionally, I am adept at navigating various practice management systems (PMS) such as eClinicalWorks (eCW), DigiDMS, Kareo, and MEDITECH, as well as clearinghouses including Trizetto, Capario, Change Healthcare, WebMD, and Emdeon. During the COVID-19 pandemic, I successfully managed billing processes and facilitated telehealth/telemedicine services, adapting seamlessly to evolving healthcare demands. My commitment to excellence and passion for medical billing makes me an ideal partner for your practice. I receive all charts and patient information through FTP in PDF format or direct access to systems such as eCW, hospital portals, and patient information systems, ensuring efficient collaboration and workflow management.

As a HIPAA-certified AR/Follow-up Denial Management Specialist, I specialize in helping healthcare organizations achieve their financial goals. With extensive experience in multiple software's to bring a wealth of knowledge to the table. I have experience in below mentioned specialties 1: Internal Medicine 2: Cardiology, Radiology 3: PT/OT, 4: Allergy Medicine 5: Podiatry/DME 6: Psychiatric emergency 7: Pain Medicine 8: CCM 8:RPM/TCM/Telemetry 9: Covid Billing 10: Telehealth/Telemedicine 11: Pediatrics My strength in follow-up and denial management is complemented by my expert-level proficiency in reporting and proficiency with Microsoft Excel and Google Sheets. I have worked with a range of billing software systems which enables me to deliver tailored solutions for every client. I have experience in below mentioned billing software's 1: Office-ally 2: Advance MD 3: All script 4: Athena Net 5: PEHR 6: Aquila 7: TheraBIll 8: ECW 9: Drchrono 10: Kareo a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals I take great pride in my ability to manage medical billing services and charges with precision and accuracy, making me a valuable asset to any healthcare organization. If you're looking for a results-driven professional who can optimize your billing and charges management processes, then contact me today to learn more about how I can help.

Dental and Medical billing expert having 10+ years experience in US healthcare, Having strong skills and abilities to resolve any denied or rejected claims, Insurance verification, doing timely AR follow-ups, Payment Posting, Claims entry and submission, Obtaining Authorization, Denial Management, Patient appointment setting, Practice Management and Productivity Reports (Daily/Weekly/Monthly). Having great experience in submitting clean claims to the insurance both electronic & paper, Payment posting, Analysis of Explanation of Benefits of denied claims and take appropriate action. Refile the corrected claim to insurance carriers. Eligibility verification through phone and insurance web portal. Updating missing demographics, insurance information and refilling claims. Follow-up with insurance carrier if additional information needed. Denial Management, claim edits and taking Adjustments. Dental Software’s which I familiar: Open Dental || Dentrix || Denticon || Dentrix Ascend || Curve-Hero || Eagle Soft || Practice WEB || Win OMS || OMS Vision Clearing House which I familiar: DentalXChange || E Central|| Vyne ||Remote Lite OVERALL RESPONSIBILITIES - Dental and Medical Billing - Insurance Eligibility and Benefits Verification - Claims Creation, attachments and Submission - Clearing House Rejections - Accounts Receivables( AR Follow Up) - Payment Posting - Denial Management - Provider Credentialing - Submitting Electronic Dental/Medical Records - Working on Referrals and Authorization OTHER EXPERIENCE DETAILS Also i am very specialized in Data Entry, Entering Hand written images, Entering PDF to spreadsheet, Data Conversion, Data Processing, Form Filling and Processing, Data mining, Check Processing, Insurance Claim Processing, General Claim Processing, Bills Processing, Forms Creation, Template Creation, Data Entry into software Program and application, Internet Research, Lead research and Back Office support, sales, phone customer support, cold calling etc.

Hello! I have extensive experience in Medical Billing, Mental/ Dental Billing, Physician Billing Homehealth Billing and Hospice Billing, coding and credentialing expert with nearly 10 years of experience. I am friendly, loyal, and dedicated, to my work. My Solution & Expertise: Specialization: * Insurance Verification * Medical Billing * Medical Scrubbing * Credentialing PECOS/CAQH * Appointment Setting/Scheduler * Chat/Email Support * Data Entry * Medical Transcription * Customer services Tools: * Excellent Typing skill (35-50wpm). * MS Office. * Microsoft Excel. * Google Docs. * Google Spreadsheet. * Dropbox. * Teams * Slack Job Responsibilities: * Patient Registration/demographics/insurance information * Checking patient eligibility and benefits verification * Creating and submitting clean claims to insurance companies. Weekly, monthly, annually billing and coding audit services. . * Obtaining prior and retro authorizations for services * Payments posting from ERA/EOB/websites and also patient payments. * Denials management * Aging report/Follow-up/Appeals * Handling patient calls regarding payments and billing records * Sending invoices to different offices and clients. * EDI 835/837 enrollment * Charge posting and Demographic entry. 5.Payment posting on claims through ERA/ EOB/ Web site, IVR, Fax. * Billing primary and Secondary Claims and to patients where required. * Resolve/ Repair the claims rejected by clearing house in electronic submission. * follow up on unpaid claims within standard billing cycle timeframe. * prepare appeals for denied claims. * Telephonic conversation with insurance companies for issue resolution and claim status 11.A/R Management. And much more... Specialties I have been working for are as follow: * Ophthalmology * Urgent care * General Pediatric * Skilled Nursing * Physical Therapy * Psychiatric * Mental Health * Home healthcare * Family practice * Internal medicine * Pain Care * Pain Management * Medical Billing * Physician Billing * Hospice Billing Billing Software's I have used: 1.Kinnser. Wellsky 2.officeAlly 3.Devero 4.Healthcare First 5.MatrixCare 6.Kantime 7.Countinulink 8.Allegheny 9.point click 10. DSL 11. Medbillit 12. NextGen 13.Athena 14.Modmed 15.Eclinical work 16.Kareo 17.AdvanceMd 18. Careficient 19.PracticeFusion 20.Practice Suite 21. TheraNest 22.IHeal 23 Alora plus 24.Open Practise and much more.. Insurance web portals that I have used: * CGS(Medicare) * WPS (Medicare) * Palmetto GBA (Medicare) * Noridian (Medicare) * Novitas (Medicare) * Navinet * Availity * UHC * Cigna * Optum * Payspan * Humana * Molina healthcare * Health First * MS Medicaid * HRSA uninsured Skills and Competencies * ICD-10 codes * CPT codes * HCPCS codes * Medical Terminology * Medicare and Medicaid Guidelines * Knowledge of Payer Reimbursement Characteristics and Billing Policies * Medical Documentation review and Auditing * Daily/Weekly/Monthly/Quarterly Reconciliation * Performs well with little\without supervision. Resources : I have all the resources available like USA Phone, Computers/Laptop & High-speed Internet Connection. Why You Should Hire me ? Fast and accurate service 100% Accuracy 100% Satisfaction If you have any questions, feel free to ask me anything. Looking forward to hearing from you. Best Regards, Wajiha Khan.

I have over 13 years of Medical billing and account receivable experience. I played key role in supporting healthcare providers by facilitating their credentialing and contracting processes. Also, I have worked as a virtual assistant for physicians to scheduled their patients appointments and answered patient calls. I have worked for providers with different specialties. Such as: Pain Management Covid-19 Home Healthcare Internal Medicine & Geriatrics Psychiatric Chiropractic Sports Medicine & Rehabilitation Independent Labs Physical Therapy Infectious Disease I have extensive knowledge of medical billing guidelines from commercial as well as government insurances (Medicare & Medicaid). I have a vast knowledge of insurance plans and their specifications. During my job tenure, I have worked on several EHRs (Electronic Health Records) and Practice Management Systems such as: eClinicalworks AdvanceMD Practice Fusion Mydoctorschart Mobilemediclaim CureMD OfficeAlly Powerchart DrChrono.

I have worked as a Medical Biller and Denials Specialist in US Medical Billing healthcare companies. I have worked for 10+ years in a US Healthcare Business. From a Medical billing specialist, Account Receivable, EDI Analyst to Management level had almost performed all the tasks related to Medical billing. 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, Anaesthesiology, 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.

I have experience of more than 13 years in Medical Billing as a Billing Manager/AR/Audit specialist. I was dealing with small & large group practices as well as individual providers. I am very good at auditing the practice and resolve complex issues to get paid the aged claims. I had performed all the tasks related to Medical billing including Telehealth, Getting HRSA ID's, Eligibility verification, Prior authorization, Data entry like creating claims (Office/Hospital/Nursing Home/Diagnostics Claims) and posted payments (ERA/EOBs), Electronic claims submission, EDI rejections, Insurance calls, follow-up on denied claims, worked on AR, prepare appeals etc. I believe in providing quality services and client satisfaction. That is the only reason for my success. Job Responsibilities: 1: Patient Registration/Face sheet/demographics/insurance information. 2: Checking patient eligibility and benefits 3: Creating and submitting clean claims to insurance companies. 4: Obtaining prior and retro authorizations for services 5: Applying payments to accounts from ERA/EOB/websites and also patient payments. 6: Aging report/Followup/Appeals 7:Customer services and administrative assistance. 8: Denial management 9: Handling patient concerns regarding billing 10: Bookkeeping 11: QuickBooks 12: Sending invoices to different offices and clients Core Skills And Competencies • HIPAA Compliance • ICD-10 codes • CPT codes • HCPCS codes • Medical Terminology • Medicare and Medicaid Guidelines • Knowledge of Payer Reimbursement Characteristics and Billing Policies • Medical Documentation review and Auditing • Daily, Weekly, Monthly or Quarterly Reconciliation • Performs well in complex environments with little direction Specialties I have been working for are as follow:- Urgent care TeleMed Laboratory Billing Physical therapy Chiropractic Assisted Living Facility Psychology Mental health Acupuncture Family practice Internal medicine Cardiology Radiology Podiatry In-patient & Out-patient hospital billing Nursing & Skilled Nursing billing Gynecology Courtesy Billing Medical Billing software's:- Simple Practice AdvancedMD Kareo OfficeAlly Lab Daq Daq Billing Jane District Performace Physio Reimbursify PtEverywhere Docutap Athena Therabill ECW EZclaim ClinixPM Ethomas EHR/EMRs:- Kareo EHR Webpt Practice Fusion HelloNote Looking forward to work together. Regards Imran Shahzad Whatsapp # +1 732 359 4062 #linkedin #insurance #medical #management #project #customerservice #audit #qualityassurance #qualityassurance #coding #data #medicalbillingservices #medicalcoding #medicalbillingcompany #revenuecyclemanagement #dataentry #insuranceclaims #insuranceverification #claimsprocessing #claimdenials #claimmanagement #doctors #hospitals #ceo #director #directprimarycare #clients #unitedstates #physicians #physiotherapy #internalmedicine #urgentcare #unitedarabemirates #canada #usastaffing #unitedkingdom #unitedstatesofamerica #inpatient #outpatient #rcmservices #labbilling #laboratorybilling #laboratory #chiropractors #acupuncture #clinic #familyphysician #familypractice #radiologist #cardiology #surgeon