Saqib C.

HIPAA Certified Medical Biller| Credentialing | AR/Denial Management

Welcome to my Upwork profile! I have a team of HIPAA-certified medical billing specialists with over 10+ years of experience in the revenue cycle, medical billing, and claims management for US-based healthcare providers. My extensive background includes working across multiple specialties and states, using a wide range of billing software and systems to streamline operations and ensure efficient reimbursement processes. My work in refining claim submission processes and improving denial management has led to more consistent revenue streams and better financial stability for healthcare practices. What I Offer: • End-to-End Medical Billing & Claims Management: I handle everything from patient registration, insurance verification, and clean claim submissions to follow-ups, denials management, and appeals. • Denial & Rejection Management: I specialize in analyzing and resolving denied claims, identifying root causes, preparing appeals, and improving overall claim acceptance rates. Medical Billing & Credentialing Services: • Patient Registration & Eligibility Verification • Claims Submission (Primary, Secondary, Tertiary) • Clearinghouse Rejections & Denials Management • Payment Posting (ERA/EOB/Web) • Aging Reports, AR Follow-up, Appeals • Prior & Retro Authorizations • Credentialing & Re-credentialing (Medicare, Medicaid, Commercial) • Group & Individual NPI Setup • Invoice Generation, Scheduling, and Patient Support Specialties: I’ve worked with healthcare providers across various specialties, including: • Behavioral Health, Mental Health, Home Healthcare • Pediatrics, Family Practice, Internal Medicine, Radiology, Podiatry. • Orthopedic Surgery, Cardiologist, Neurologist, Physical Therapy • Psychiatry, Speech Therapy, Dietitians, Chiropractic, Podiatry • DME for Wound Care, Urgent Care, and more. Billing Tools & Software I Use: I am proficient in a variety of medical billing tools and EHR/EMR systems, including: Officially, AdvancedMD, Kareo, EclinialWorks, AthenaHealth, DrChrono, TheraNest, PracticeFusion, Chiorotouch, OpenPM, CS, and many more. Insurance Portals: I have hands-on experience with insurance portals such as Availity, UHC, Cigna, Optum, Humana, Medicare (CGS, Palmetto GBA, Noridian), Medicaid, and others. Core Competencies: • ICD-10, CPT, HCPCS coding • Medicare & Medicaid billing guidelines • Payer reimbursement policies & audits • Medical documentation review and analysis Tools & Technical Skills: • Exceptional typing speed (50-100 WPM) • Proficient in Microsoft Office Suite (Excel, Word, PowerPoint) • Expertise in Google Docs and Google Sheets • Experienced with Dropbox for file management and sharing • Skilled in communication and collaboration using Slack and Microsoft Teams • Comfortable using Google Meet and Skype for virtual meetings Why Choose Me: • Fast & Accurate Service: I deliver results with 100% accuracy, ensuring timely claim resolutions and increased reimbursements. • Client Satisfaction: My goal is always to provide high-quality, results-driven services that align with your practice's needs. • Proactive Approach: I identify potential issues before they become problems, ensuring smooth billing processes and reduced denials. If you have any questions or would like to discuss your specific needs, feel free to reach out. I look forward to the opportunity to work with you!