Megha R.
.Net | Healthcare | EDI | Eligibility Verification | RCM | Billing
Full-stack developer with 3+ years of experience designing, developing and deploying scalable web applications, with a strong focus on healthcare technology. I specialize in transforming complex clinical, revenue cycle and medical billing workflows into secure, interoperable, and HIPAA-conscious software solutions. I have hands-on experience building healthcare applications that electronically process medical claims using ANSI X12, EDIFACT, HL7 and FHIR standards. I have integrated solutions with leading clearinghouses including Claim.MD, Availity, Office Ally, and MN-ITS, enabling automated claims submission, eligibility verification, payment processing, and reimbursement workflows. Healthcare Expertise - Developed healthcare RCM and medical billing platforms covering patient registration, insurance eligibility, claims processing, denial management, ERA/EOB reconciliation, payment posting, and patient billing. - Implemented ANSI X12 transaction sets including 270, 271, 276, 277, 278, 834, 835, 837, and 999. - Integrated HL7, FHIR, and CCDA standards with leading EHR/EMR systems including Epic, Cerner, and eClinicalWorks for seamless clinical data exchange. - Designed enterprise SaaS applications with multi-tenant architecture, workflow automation, analytics dashboards, and role-based access control. - Built secure healthcare applications following HIPAA technical safeguards, including encryption, audit logging, access controls, and secure data exchange. Core expertise: - Healthcare Standards: ANSI X12, HL7 v2, FHIR, CCDA, EDIFACT - Medical Coding: ICD-9, ICD-10, ICD-11, CPT, HCPCS, SNOMED CT, LOINC, RxNorm - Healthcare Domains: Revenue Cycle Management (RCM), Medical Billing, Practice Management Systems (PMS), Health Information Exchange (HIE), Telehealth, Telemedicine, mHealth, IoMT - Enterprise Development: Multi-tenant SaaS platforms, workflow automation, reporting dashboards, analytics, API integrations, EMR/EHR interoperability In addition to my technical expertise, I represent a multidisciplinary healthcare technology team supported by senior solution architects, healthcare system analysts, and a Critical Care Specialist. This combination of engineering and clinical expertise enables us to build software that aligns with real-world healthcare operations, regulatory requirements, and interoperability standards.
Earnings and projects
Last 6 months ÷ 5.6 months active (since May 2026)
Last 6 months: $21k
Billed in all: $22,784$23k
$21k in the last 6 months
Earnings, last 30 days
Skill rankings: Top 1% in Insurance Claim Submission
Ranked by MRR among everyone on Upwork with the skill.
- #6Healthcare Interoperability99 freelancers · 🇮🇳 #2Top 6%🇮🇳#2 of 36
- #9Insurance Claim Submission710 freelancers · 🇮🇳 #1Top 1%🇮🇳#1 of 33
- #9Healthcare IT359 freelancers · 🇮🇳 #2Top 3%🇮🇳#2 of 87
- #10SOAP213 freelancers · 🇮🇳 #5Top 5%🇮🇳#5 of 77
- #14Medical Billing970 freelancers · 🇮🇳 #1Top 1%🇮🇳#1 of 32
- #15Insurance Verification1,134 freelancers · 🇮🇳 #1Top 1%🇮🇳#1 of 30
- #18Revenue Cycle Management455 freelancers · 🇮🇳 #2Top 4%🇮🇳#2 of 39
- #63HIPAA1,315 freelancers · 🇮🇳 #9Top 5%🇮🇳#9 of 164