Shahab U.

🏆 Top Rated Plus Freelancer 💯 100% Job Success Score ⭐ 5-Star Client Satisfaction 📊 Proven Results in Medical Billing & Revenue Cycle Management 🩺 HIPAA-Certified Medical Billing & RCM Specialist 💼 Experienced in End-to-End Medical Billing Operations 💰 Focused on Improving Revenue & Reducing Claim Denials 📑 Expertise in Claims Submission, Payment Posting & AR Follow-Up 🔎 Denial Management & Insurance Verification Specialist Hello and welcome to my profile! 👋 🏥 Medical Billing & Revenue Cycle Management (RCM) Specialist | HIPAA Certified | AR & Denial Management Expert I am a HIPAA Certified Medical Billing & Revenue Cycle Management (RCM) Specialist with Seven Plus years of experience supporting US healthcare providers, medical billing companies, and healthcare organizations. I have extensive experience managing the complete Healthcare Revenue Cycle Process, including patient registration, insurance verification, charge entry, claim submission, payment posting, accounts receivable management, denial resolution, appeals, and insurance follow-up. Throughout my career, I have progressed from Medical Billing Specialist → AR Specialist → EDI Analyst → Team Lead/Management, gaining strong knowledge of healthcare billing operations, payer guidelines, claim processing, and reimbursement improvement. My focus is to help healthcare providers and organizations: ✅ Reduce claim denials ✅ Improve clean claim submission rates ✅ Recover outstanding AR balances ✅ Increase revenue collection ✅ Maintain HIPAA-compliant billing processes ━━━━━━━━━━━━━━━━━━ 💼 MEDICAL BILLING & RCM SERVICES I PROVIDE 🔹 Eligibility & Benefits Verification (E&B / VOB) ✔ Insurance verification ✔ Benefit investigation ✔ Deductible, copay, coinsurance verification ✔ Medicare, Medicaid, Commercial insurance verification 🔹 Patient Registration & Demographics ✔ Patient information management ✔ Insurance updates ✔ Data accuracy review to prevent claim errors 🔹 Charge Entry & Claim Submission ✔ CPT, ICD-10, HCPCS review ✔ CMS-1500 claim preparation ✔ Electronic claim submission (EDI) ✔ Paper claim submission ✔ Claim scrubbing and correction 🔹 Payment Posting & Reconciliation ✔ ERA/EOB payment posting ✔ Insurance payment reconciliation ✔ Patient balance posting ✔ Account review and correction 🔹 Accounts Receivable (AR) Management ✔ Insurance follow-up ✔ Aging report analysis ✔ Outstanding claim tracking ✔ Underpayment investigation ✔ Payment recovery 🔹 Denial Management & Appeals ✔ Denial investigation ✔ Root cause analysis ✔ Appeal preparation ✔ Medical documentation review ✔ Insurance communication Experience handling: ❌ Authorization denials ❌ Timely filing denials ❌ Medical necessity denials ❌ Bundled service denials ❌ Missing information denials ❌ Coding-related denials 🔹 Authorization Services ✔ Prior Authorization ✔ Retro Authorization ✔ Referral verification ✔ Authorization tracking ━━━━━━━━━━━━━━━━━━ 🏥 SPECIALTIES EXPERIENCE 🚀 Neurology Billing 🚀 Nephrology & Dialysis Billing 🚀 Internal Medicine 🚀 Psychiatry & Behavioral Health 🚀 Mental Health Services 🚀 Pediatrics 🚀 Cardiology 🚀 Emergency Services 🚀 Physical Therapy (PT) 🚀 Occupational Therapy (OT) 🚀 Family Medicine 🚀 Urgent Care 🚀 Pain Management 🚀 Acupuncture 🚀 Laboratory Billing 🚀 Geriatrics 🚀 CCM / RPM / Home Health Billing ━━━━━━━━━━━━━━━━━━ 💻 PMS / EHR SOFTWARE EXPERIENCE ⭐ AdvancedMD ⭐ eClinicalWorks (ECW) ⭐ Kareo / Tebra ⭐ Practice Fusion ⭐ PracticeSuite ⭐ DrChrono ⭐ ChiroTouch ⭐ TheraNest ⭐ Greenway Intergy ⭐ Aprima ⭐ CureMD ⭐ EZClaim ⭐ Office Ally ⭐ SimplePractice ━━━━━━━━━━━━━━━━━━ 🌐 CLEARINGHOUSES & INSURANCE PORTALS 💻 Waystar 💻 Change Healthcare 💻 TriZetto 💻 Availity 💻 Office Ally 💻 Emdeon 💻 ZirMed Insurance Portals: 🏥 Medicare (NGS / Noridian / WPS) 🏥 Medicaid 🏥 UnitedHealthcare (UHC) 🏥 Aetna 🏥 BCBS 🏥 Cigna 🏥 Humana 🏥 Molina 🏥 Tricare 🏥 NaviNet 🏥 Payspan 🏥 Zelis ━━━━━━━━━━━━━━━━━━ 📚 CODING & BILLING KNOWLEDGE ✅ ICD-10-CM Coding Review ✅ CPT Code Review ✅ HCPCS Coding ✅ Modifier Review ✅ Medical Terminology ✅ Documentation Review ✅ Medicare & Medicaid Guidelines ✅ Payer Policy Knowledge ━━━━━━━━━━━━━━━━━━ 🛠️ TOOLS & TECHNICAL SKILLS 💻 Microsoft Excel 💻 Microsoft Office 💻 Google Sheets 💻 Google Docs 💻 Dropbox 💻 Microsoft Teams 💻 Google Meet 💻 Zoom ⌨️ Typing Speed: 50–100 WPM ━━━━━━━━━━━━━━━━━━ ⭐ WHY HIRE ME? ✅ HIPAA Certified Professional ✅ 7+ Years of US Healthcare Billing Experience ✅ Strong Knowledge of Insurance Follow-Up & Denials ✅ Accurate and Detail-Oriented Work ✅ Fast Communication & Reliable Support ✅ Patient Data Confidentiality Focus ✅ Quality Assurance Before Delivery ✅ Long-Term Partnership Approach I am always open to working with healthcare providers, medical practices, RCM companies, and billing organizations looking for reliable long-term support. Thank you for visiting my profile. 🙏 Regards, Shahab Uddin 🏥 HIPAA Certified Medical Billing & RCM Professional