Usama K.

Medical Billing Specialist | Revenue Cycle Management for Medical Practices | ABA Billing Specialist With 4+ years of hands-on experience in medical billing and revenue cycle management (RCM), I help healthcare practices across a wide range of specialties increase collections, reduce denials, and get paid faster. My work covers the full billing cycle — eligibility verification, claims submission, denial management, appeals, and payment posting — for practices ranging from primary care and orthopedics to workers' comp and durable medical equipment. One area I specialize in that most billers don't touch is ABA (Applied Behavior Analysis) and behavioral health billing — a niche with its own CPT/HCPCS codes, authorization rules, and payer quirks that require dedicated experience to get right. If you run an ABA clinic, that specialized background means fewer denials and faster reimbursement than a generalist biller can typically deliver. Full-Cycle Medical Billing Services (All Specialties): Eligibility & benefits verification Patient demographics & charge entry Claims submission (EDI & paper) and clearinghouse management Accounts receivable and denial management Payment posting and patient billing (PR-1, PR-2, PR-3, PR-96, PR-119) Appeals for denied claims; ICD-10, CPT, and HCPCS coding review Claims follow-up across Workers' Comp (DOL, Sedgwick, ESIS, State Fund), Medicare, Medicaid, BCBS, Managed Care, and Commercial payers (Aetna, Cigna, UHC, Oxford) Credentialing with payers Specialties: Workers' Comp, APG, DME, Optometry & Ophthalmology, Physical Therapy, Chiropractic, Acupuncture, Ambulatory Surgery, Home Health, Anesthesiology, Cardiology, Skilled Nursing, Dermatology, Emergency Medicine, Endocrinology, Family Practice, Gastroenterology, General Surgery, Internal Medicine, Orthopedic, Otolaryngology, Pathology, Pediatrics, PM&R, Psychiatry, Radiology, Podiatry, Radiotherapy, Rheumatology, Urology, and ABA/Behavioral Health ABA Billing — Specialized Expertise: ABA CPT/HCPCS coding: 97151, 97153, 97154, 97155, 97156, 97158, H0032, H2019 Authorization and re-authorization tracking for BCBA, RBT, and BT sessions Insurance verification & benefits checks for ABA/behavioral health payers Denial management and claims follow-up (Medicaid, BCBS, Commercial, Managed Care) Parent/caregiver billing communication and patient balance (PR) resolution ABA-specific EMR/practice management: CentralReach, Rethink, TheraNest, WebPT Marketing and intake support for ABA clinics: lead generation, referral outreach to pediatricians and schools, Google Business Profile/local SEO, social media, and ROI tracking tied to billing data PMS/EMR Software: Athenahealth, eClinicalWorks, AdvancedMD, Kareo, Practice Fusion, DrChrono, NextGen, Greenway Health, CareCloud, Cerner, Epic, Allscripts, NueMD, Azalea Health, SimplePractice, RXNT, Prognocis, Healthie, PracticeQ, ICANotes, Jane App, Compulink, Medisoft, PracticeSuite, Therabill, CollaborateMD, AdvancedBilling, plus ABA-specific: CentralReach, Rethink, TheraNest, TherapyNotes, WebPT, ClinicSource, Valant, Luminello Clearinghouses: Office Ally, Availity, Claim.MD, Change Healthcare, Trizetto, Waystar, Optum360, Navicure, Gateway EDI, Apex EDI, Capario, Experian Health, SSI Group, Quadax I'm committed to accurate, transparent work and long-term client relationships — whether you need billing support for a general practice or the specialized expertise ABA Agency require.