Humna Z.

I’m Humna a HIPAA-certified Medical Billing, Credentialing Enrollment & Coding Specialist Healthcare Consultant 13+ years of hands-on experience across the U.S. healthcare revenue cycle. If you are looking for one person who only knows billing, credentialing, coding, or AR separately, you will find many profiles. What I bring is the complete package. Over the last 13 years, I have worked across multiple healthcare specialties and business models from Home Health and Primary Care to Behavioral Health, Mental Health, Nurse Practitioners, Urgent Care, DME, and complex laboratory billing including PCR, Genetics, Toxicology, and CLFS-related reporting. I understand how one part of the revenue cycle affects another. Credentialing impacts billing. Contracting impacts reimbursement. Coding impacts medical necessity. Documentation impacts audits. EDI/ERA setup impacts cash flow. And poor AR management can quietly drain a practice even when claims are being submitted. That is why I work on the complete revenue picture not just one task. 🔹 TECHNICAL RCM & BILLING EXPERTISE ✔ Full-Cycle Medical Billing & Revenue Cycle Management ✔ Accounts Receivable Recovery & Aging Cleanup ✔ Denial Management, Appeals & Root-Cause Analysis ✔ Medicare, Medicaid & Commercial Billing ✔ CPT, ICD-10-CM & HCPCS Coding Review ✔ Modifier, Units & Medical Necessity Review ✔ Payment Posting, Reconciliation & Underpayment Analysis ✔ Clearinghouse Rejections & EDI Troubleshooting ✔ ERA / EFT / EDI Enrollment & Setup ✔ Eligibility, Benefits & Prior Authorization ✔ Provider Credentialing & Recredentialing ✔ CAQH, NPPES, PECOS & Payer Portal Management ✔ Group-to-Individual Provider Linking ✔ Contract Effective-Date Verification ✔ Payer Fee Schedule & Reimbursement Review ✔ Medicare Fee Schedule / CLFS Analysis ✔ Audit Preparation, Documentation Review & Compliance Support 🔹 SPECIALIZED HEALTHCARE EXPERIENCE I have worked with: Home Health Agencies Primary & Family Care Clinics Urgent Care Internal Medicine Behavioral & Mental Health Psychiatrists & PMHNPs Nurse Practitioners Therapists Pain Management Physical Therapy Cardiology Dermatology Pediatrics OB/GYN Telehealth Practices DME PCR Laboratories Toxicology Laboratories Genetics Laboratories Clinical Laboratories My laboratory experience goes beyond basic claim submission. I have worked with complex CPT/HCPCS structures, Medicare reimbursement, CLFS-related reporting, documentation review, medical necessity concerns, payer audits, recoupments, and compliance-sensitive billing environments. I have also supported practices through difficult audit and reimbursement situations where the solution required understanding not only billing, but coding, documentation, payer policy, Medicare rules, and the complete claim history. 🔹 CREDENTIALING & CONTRACTING I manage credentialing from the operational and revenue perspective. That means I do not simply submit an application and wait. I review: ✔ Provider documentation and expiration dates ✔ CAQH accuracy and attestation ✔ Individual and Group NPI setup ✔ Medicare PECOS enrollment ✔ Medicaid enrollment ✔ Commercial payer applications ✔ Group affiliations ✔ Effective dates ✔ Closed-panel issues ✔ Demographic discrepancies ✔ EFT / ERA enrollment ✔ Contract participation status ✔ Reimbursement structure Before adding providers to an existing group, I also look at whether the existing payer contract actually makes financial sense for the practice. A provider being “credentialed” means very little if the effective date is wrong, the group linkage is incomplete, ERA is not connected, or the reimbursement contract is poor. 🔹 SYSTEMS & CLEARINGHOUSE EXPERIENCE eClinicalWorks (eCW) AdvancedMD Kareo / Tebra AthenaOne Practice Fusion Office Ally NextGen DrChrono Medisoft RXNT SimplePractice CollaborateMD CureMD Intergy / Greenway Health Availity Waystar TriZetto Optum EDI Change Healthcare WebTPA and multiple payer-specific portals. I am comfortable troubleshooting claims from the EHR level through clearinghouse acceptance, payer adjudication, ERA posting, denial resolution, and final reconciliation. 🔹 WHAT YOU ARE REALLY HIRING You are not hiring someone to click “submit.” You are hiring 11 years of experience across billing, coding, credentialing, contracting, compliance, audits, AR, payer communication, and practice operations. I have seen successful practices, broken workflows, credentialing delays, payer recoupments, underpayments, aging AR, difficult audits, and revenue leakage and I understand how to identify what is actually causing the problem. Instead of hiring five different people for five connected problems, you can work with someone who understands how the complete revenue cycle fits together. Don’t pay for a task. Pay for the technical knowledge that protects and grows your revenue. If you need someone who can become the RCM backbone of your practice not just another freelancer completing tickets let’s connect.