Danish A.

Certified Professional Medical Biller | 8+ Years of Specialized Experience in U.S. Healthcare With eight years of experience as a Medical Biller, AR Specialist, Denial Management Expert, and Credentialing Specialist, I consistently improve revenue cycle performance and ensure faster, cleaner reimbursements for healthcare practices. 🏆 Proven Practice Growth :Built efficient billing workflows for new practices, ensuring clean claims and strong early financial performance. 🤖 Process Optimization & Automation :Implemented EDI/EFT, automated eligibility checks, and streamlined billing processes to reduce errors and speed reimbursements. 🚀 Revenue Enhancement Boosted monthly revenue through accurate coding, modifier usage, aggressive AR follow-up, and timely appeals. 📞 Transparent Communication :Clear, timely updates on claims, payments, AR status, and follow-up actions. 💳 Payment Posting Excellence :Accurate payment posting, adjustments, denial posting, and underpayment identification. ✨ High Clean-Claim Rate :Improved clean-claim rate through detailed verification, coding accuracy, and payer-specific compliance. 🛡️ HIPAA Compliant :Full adherence to HIPAA standards and secure data handling. ➤Medical Billing Services Eligibility & benefits verification (portal + phone) Patient demographics, insurance setup, charge entry & payment posting Claim submissions (primary, secondary, tertiary) Status checks via payer portals, IVR, and live agents On-call appeals and reprocessing requests ICD-10, CPT, HCPCS review using EncoderPro Expert Superbill review & corrections Filing payer appeals with supporting documents Daily, monthly & annual AR/financial reporting Patient billing support ➤ AR & Denial Follow-Up Expertise Proactive claim status follow-up with all major payers Skilled denial review and appeal preparation AR aging reduction and reimbursement optimization Corrected claims for DX/modifier/billing issues Underpayment identification and dispute resolution Expert communication via phone, portals, and payer systems Detailed documentation and AR reporting 100% HIPAA-compliant workflow ➤Credentialing Services Start-to-end provider credentialing CAQH setup, updates & attestation PECOS & EPACES enrollment NPPES updates (NPI creation/modification) Filing payer applications & re-credentialing License & affiliation verification Pre-checks & onboarding support Contract review & negotiation ➤ Specialties Physical Therapy | Chiropractic | Acupuncture | Behavioral Health | Podiatry | Cardiology | Skilled Nursing Facility | Dermatology | Emergency Medicine | Endocrinology | Family Practice. ➤ Billing Software (PM/EHR) eClinicalWorks (ECW) | AdvancedMD | Raintree | Practice Fusion | IntakeQ | SimplePractice | ClaimMD | CareCloud | WebSoft | TherapyNotes | Office Ally | Waystar ➤Additional Experience Strong knowledge of ICD-10 updates, LCD rules, CPT/modifier accuracy, and insurance benefit structures Credentialing experience across TX, NY, NJ, CA, NV, AZ, MA, PA, WA, FL, MI, OH, and more Skilled with EMR/EHR platforms: Epic, ShareNote, PIMSY, Emdeon/Change Healthcare, TriZetto, Waystar, Optum, Kareo, Availity, etc. Proficient with: Google Workspace, Outlook, SharePoint, Excel, PowerPoint, Word, OneDrive My work hours are flexible, and I am committed to strengthening your revenue cycle with accuracy, consistency, and dedication. Thank You Danish Azad