Ashraf H.

"If you're looking to stop worrying about your collections, patients, and insurance billing issues, you're at the right place" RCM & Billing Services. My name is Ashraf Hesham and I have over 9 years of experience in the US healthcare system. My clear objective is to assist healthcare providers in growing their revenue, get rid of billing headaches, and streamline their RCM. Specialties I've worked with: Urgent Care Facilities, General Practices, Family Medicine, Behavioral Health, Psychiatry, Physical Therapy, Plastic Surgery, Gastroenterology, Pain Management, Primary Care, Podiatry, ENT, Dermatology, and Workers comp. I'm experienced in using various EHR and EMR software such as: DrChrono, Medisoft, NueMD, Practice Fusion, Emdeon (Change Healthcare), Trizetto, Kareo, Docutap, Avea, PracticeEHR, PatientNOW, Waystar (formerly Zirmed), Athena Health, Hellonote, My Ability, and eClinicalWorks. I've also Dealt with a lot of Insurance & portals such as: Medicare NGS, CGS, Availity, Navinet, Optum UHC, Cigna, BCBS, AARP, Medicaid,.etc Worked with Practices in various states such as: New York, New Jersey, Florida, Virginia, Ohio, California, Alabama, Maryland, and Pennsylvania. Experienced with: Microsoft Office 365 Word, Excel, and PowerPoint, Google Workspace. I specialize in the following areas: 1- Insurance Eligibility Verification 2- Pre-Authorization and Retro-Authorization. 3-charge entry 4- Insurance claim submission 5-Claims Rejection Management 6- Claims follow-up (In Network, Out of Network) 7-Payment Posting 8-A/R Follow-up and patient collections 9-Denial Resolution, Appeal Submission and Follow-Up 10-Identifying issues within your billing practice and help establish a more efficient workflow. Also, I have basic coding experience for Urgent care and Family Medicine. I'm aware of E&M upcoding and downcoding. For practices with out of network billing, I have worked full RCM cycle for out of network providers doing negotiations of unpaid claims and requests for renegotiations and reopening of claims. I have 4 years of experience with out of network billing. I offer full RCM billing service or assistance with certain tasks within the billing cycle I am available for all types of projects With Flexible working hours. I am excited to work with you to help streamline your whole Billing cycle and maximize your cashflow. Cordially, Ashraf Hesham