Abid M.

Are you searching for a professional who can handle both medical billing and credentialing with precision and efficiency? I offer a comprehensive range of services tailored to meet the unique needs of healthcare providers and organizations. From ensuring accurate provider credentialing to optimizing revenue cycles, I am your trusted partner in simplifying healthcare administration while ensuring compliance and maximizing earnings. My Core Expertise Includes: • insurance Verification • Patient Eligibility Checks • Confirming patient coverage, benefits, copayments, and deductibles • Obtaining prior authorizations and referrals for procedures • Coordinating with payers to prevent eligibility-related denials • Submitting claims to insurance companies • Reviewing and correcting claim errors to reduce denials • Managing claim resubmissions and appeals for rejected or underpaid claims • Posting patient and insurance payments accurately • Reconciling Explanation of Benefits (EOBs) and Remittance Advice (ERA) • Managing provider enrollments with insurance payers • Updating and maintaining credentialing documentation • Ensuring providers remain active and in-network with insurance companies • Compliance & HIPAA Regulations • Maintaining patient confidentiality and data security • Ensuring compliance with HIPAA, Medicare, and Medicaid regulations • EHR & EMR Software Proficiency • Managing patient records, claims, and billing data efficiently • Familiarity with billing software like Tebra, AdvancedMD, SimplePractice , and more • Communication & Customer Service • Administrative & Organizational Skills Contact me today to discuss how I can support your practice’s success!