Sagar K.Private profile: Upwork shows its earnings only to signed-in members, so we check it every few weeks, not daily. MRR here is a rough estimate (Upwork's six-month earnings ÷ months active). Last read Nov 5, 2026.

Are Medicaid denials, aging AR, or delayed payments impacting your cash flow? I help healthcare providers improve collections, reduce denials, and get claims paid faster through accurate billing, consistent follow-up, and effective denial resolution. I have 5+ years of hands-on Medicaid billing and Revenue Cycle Management (RCM) experience supporting behavioral health, home health, DME, physician practices, and therapy clinics across Pennsylvania, New York, and Florida. I’ve worked with major Medicaid MCOs and health plans, including Geisinger, AmeriHealth, and Jefferson Health Plans, and understand the challenges that come with Medicaid billing—from eligibility issues and prior authorizations to timely filing limits, MCO-specific requirements, and retroactive eligibility. What I Can Help With: ✔ Claims Creation & Submission – CMS-1500 / UB-04, electronic and paper claims ✔ Eligibility & Benefits Verification ✔ Denial Management – Research, corrections, resubmissions, and appeals ✔ AR Follow-Up & Aging Cleanup – 30/60/90/120+ day accounts ✔ Payment Posting & ERA/EOB Reconciliation ✔ Prior Authorization Tracking & Follow-Up ✔ Medicaid Credentialing & Enrollment Support ✔ Billing Audits & Process Improvement ✔ MCO & Medicaid Portal Management ✔ Claims Status Follow-Up and Payment Recovery Results I have Delivered • Reduced claim denials from 40% to 2% for Home Health Aide, RN, and LPN billing • Recovered $500K in aged AR within 30 days • Maintained a 95%+ clean claim rate • Managed 2,000+ claims per month • Identified billing issues and process gaps to improve collections and reduce recurring denials Systems & Platforms AdvancedMD | eClinicalWorks | athenahealth | Availity | State Medicaid Portals | InMyTeam Why Clients Work With Me • 🔹 Strong Medicaid billing and RCM experience • 🔹 Careful handling of PHI and HIPAA-sensitive information • 🔹 Consistent AR follow-up with a focus on getting claims paid • 🔹 Clear weekly reporting so you know exactly where your AR stands • 🔹 Available during EST business hours • 🔹 Responsive, detail-oriented, and accountable • 🔹 Focused on treating your revenue cycle like it’s my own Have a billing or AR problem that’s been sitting unresolved? Send me a message and tell me what you're dealing with. I’ll review the situation and explain how I would approach it—at no cost. Skills: Medicaid Billing | Medical Billing | Revenue Cycle Management | Denial Management | AR Management | Insurance Verification | Claims Processing | Medical Billing & Coding | CMS-1500 | UB-04 | Prior Authorization | Payment Posting | ERA/EOB Reconciliation | HIPAA Compliance | EHR/EMR Systems