Danial Ahmed H.

Medical Billing & Coding Specialist | Credentialing | RCM | AR | Denials | CAQH | PECOS | Payer Enrollment I am a Medical Billing Specialist, Medical Coding Specialist, Credentialing Specialist, and Revenue Cycle Management Specialist with 7+ years of experience in U.S. healthcare billing and revenue cycle management. I help healthcare providers, medical practices, behavioral health practices, clinics, and healthcare organizations manage their end-to-end medical billing, medical coding, credentialing, payer enrollment, insurance verification, prior authorization, claims processing, denial management, accounts receivable, payment posting, and revenue cycle management. My goal is to help practices submit cleaner claims, reduce denials, recover outstanding AR, improve reimbursement, and maintain accurate payer enrollment. MEDICAL BILLING SERVICES - Medical Billing - Healthcare Billing - Professional Medical Billing - Physician Billing - Medical Claims Processing - CMS-1500 Claims - UB-04 Claims - Electronic Claims Submission - Charge Entry - Claim Submission - Claim Scrubbing - Claim Correction - Rejected Claims - Insurance Billing - Payment Posting - EOB Posting - ERA Posting - Electronic Remittance Advice (ERA) - Explanation of Benefits (EOB) - Electronic Funds Transfer (EFT) - Accounts Receivable Management - Insurance AR Follow-Up - Payer Follow-Up - Patient Billing - Balance Billing - Coordination of Benefits (COB) DENIAL MANAGEMENT & CLAIMS APPEALS - Medical Billing Denial Management - Claim Denial Management - Denial Analysis - Denial Root-Cause Analysis - Claim Reconsideration - Corrected Claims - Claim Resubmission - Insurance Appeals - Payer Appeals - Medical Necessity Appeals - Authorization Denials - Eligibility Denials - Coding Denials - Timely Filing Denials - Bundling Denials - Underpayment Review - Denial Prevention - Payer Escalation - Denial Tracking & Reporting AR FOLLOW-UP & REVENUE RECOVERY - Accounts Receivable (AR) Follow-Up - Medical AR - Insurance AR - Aging AR - A/R Aging Analysis - 30/60/90/120+ Day AR - Outstanding Claims - Unpaid Claims - Insurance Claim Follow-Up - Payer Portal Follow-Up - Insurance Company Follow-Up - Underpayment Recovery - Payment Variance Review - Outstanding Balance Follow-Up - Revenue Recovery - Cash Flow Improvement CREDENTIALING & PAYER ENROLLMENT - Medical Credentialing - Provider Credentialing - Healthcare Credentialing - Insurance Credentialing - Provider Enrollment - Payer Enrollment - Insurance Paneling - Medicare Credentialing - Medicaid Credentialing - Commercial Payer Enrollment - Medicare Revalidation - Medicaid Revalidation - CAQH Registration - CAQH Profile Maintenance - CAQH Attestation - CAQH Provider Enrollment - PECOS Enrollment - PECOS Updates - NPI Registration - NPPES Updates - Individual NPI - Group NPI - Primary Source Verification (PSV) - Recredentialing - License Verification - Malpractice Insurance Tracking - ERA/EFT Enrollment - Payer Application Follow-Up INSURANCE VERIFICATION & PRIOR AUTHORIZATION - Insurance Verification - Eligibility & Benefits Verification - Insurance Eligibility - Benefits Verification - VOB - Verification of Benefits - Medicare Eligibility - Medicaid Eligibility - Commercial Insurance Verification - Copay Verification - Deductible Verification - Coinsurance Verification - Out-of-Pocket Verification - Referral Verification - Prior Authorization - Preauthorization - Authorization Follow-Up - Insurance Benefits Research REVENUE CYCLE MANAGEMENT I provide end-to-end RCMsupport, including: Patient Registration → Eligibility Verification → Credentialing → Authorization → Charge Entry → Medical Coding → Claim Submission → Claim Scrubbing → Denial Management → AR Follow-Up → Payment Posting → ERA/EOB Reconciliation → Appeals → Revenue Recovery I can also review existing billing workflows, identify revenue leakage, establish follow-up processes, and create organized billing and AR workflows. SPECIALTIES Primary Care | Family Practice | Internal Medicine | Mental Health | Behavioral Health | Psychiatry | Psychology | Substance Abuse | Cardiology | Pediatrics | Orthopedics | Pain Management | Physical Therapy | Occupational Therapy | Speech Therapy | Gastroenterology | Pulmonology | Dermatology | OB/GYN | Podiatry | Urgent Care | Telehealth | Chiropractic MAJOR PAYERS Medicare | Medicaid | BCBS | Blue Cross Blue Shield | Aetna | UnitedHealthcare | UHC | Cigna | Humana | Optum | Tricare | Commercial Insurance | Managed Medicaid EMR / EHR / BILLING SYSTEMS eClinicalWorks | eCW | DrChrono | Tebra | Kareo | AdvancedMD | NextGen | Athenahealth | athenaOne | SimplePractice | TherapyNotes | PracticeSuite | CollaborateMD | Office Ally WHY CLIENTS HIRE ME I combine medical billing, medical coding, credentialing, payer enrollment, AR follow-up, denial management, insurance verification, and RCM experience in one workflow. I focus on: Clean and accurate claim submission Let's discuss Danial Ahmed