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Ken R.
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Ken R.

Top-Rated Medical Biller | HIPAA Certified | Registered Nurse

🌟 𝗧𝗼𝗽 𝟭% 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗲𝗿 | 𝗘𝗻𝗱-𝘁𝗼-𝗘𝗻𝗱 𝗥𝗖𝗠 𝗘𝘅𝗽𝗲𝗿𝘁 | 𝟭𝟭+ 𝗬𝗲𝗮𝗿𝘀 𝗼𝗳 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲 | 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐚𝐧𝐝 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞 𝐐𝐀 Are you losing revenue to denials, underpayments, or inefficient billing workflows? I help healthcare providers recover lost revenue, improve cash flow, and build a clean, scalable billing process—so you can focus on patient care, not chasing claims. With 11+ years of hands-on experience in Medical Billing and Revenue Cycle Management, I’ve worked across multiple specialties and payer systems, consistently improving collections and reducing AR days. 💡 𝐖𝐡𝐚𝐭 𝐘𝐨𝐮’𝐫𝐞 𝐀𝐜𝐭𝐮𝐚𝐥𝐥𝐲 𝐇𝐢𝐫𝐢𝐧𝐠 𝐌𝐞 𝐅𝐨𝐫 You’re not hiring a data entry biller. You’re hiring someone who: ✔ Identifies why claims are getting denied (and fixes it at the root) ✔ Knows payer behavior, not just CPT/ICD codes ✔ Handles AR follow-ups that lead to actual payments ✔ Understands compliance, documentation, and audit risk ✔ Performs Compliance QA to ensure claims meet payer guidelines before submission ✔ Can work independently without constant supervision 🔧 𝐂𝐨𝐫𝐞 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 (𝐄𝐧𝐝-𝐭𝐨-𝐄𝐧𝐝 𝐑𝐂𝐌) • Insurance Verification & Prior Authorizations • Charge Entry & Clean Claim Submission • Denial Management & Appeals (strategic, not guesswork) • AR Follow-Ups (calls, portals, escalations) • Payment Posting (accurate ERA/EOB reconciliation) • Patient Billing & Collections • Workflow Optimization & Revenue Recovery 🏥 𝐌𝐮𝐥𝐭𝐢-𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐭𝐲 𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 Internal Medicine • Physical Therapy • Chiropractic • Mental Health Pain Management • DME • Telemedicine • Diagnostic Lab Radiology • Family Medicine • Dental • Gastro • Occupational Therapy 🧰 𝐒𝐲𝐬𝐭𝐞𝐦𝐬 & 𝐓𝐨𝐨𝐥𝐬 Athena • Office Ally • Inovalon/Ability • DrChrono • Practice Fusion • Platinum • Trizetto NextGen • eClinicalWorks • Brightree • ChiroTouch • KIPU • PtEverywhere • ChiroHD 🤝 𝐖𝐡𝐲 𝐂𝐥𝐢𝐞𝐧𝐭𝐬 𝐂𝐡𝐨𝐨𝐬𝐞 𝐌𝐞 ✔ 10+ Years Real-World RCM Experience ✔ Proven Track Record with US-Based Providers ✔ Strong Communication (Fluent English, proactive updates) ✔ Detail-Oriented + Results-Driven ✔ HIPAA-Compliant & Highly Confidential 📈 𝐋𝐞𝐭’𝐬 𝐅𝐢𝐱 𝐘𝐨𝐮𝐫 𝐑𝐞𝐯𝐞𝐧𝐮𝐞 𝐂𝐲𝐜𝐥𝐞 If you’re looking for someone who doesn’t just “do tasks” but takes ownership of your billing and revenue performance, let’s connect. Send me a message and let’s discuss how I can help improve your collections, reduce your AR, and improve billing compliance. #MedicalBilling #MedicalBiller #RevenueCycleManagement #RCM #MedicalBillingSpecialist #HealthcareBilling #MedicalClaims #ClaimsProcessing #MedicalCoding #ICD10 #CPTCoding #HIPAACompliant #AccountsReceivable #ARFollowUp #DenialManagement #ClaimsFollowUp #PaymentPosting #EOB #ERA #RevenueRecovery #DenialResolution #CleanClaims #MedicalAR #InsuranceFollowUp #ComplianceQA #MedicalAudit #BillingAudit #HIPAA #AuditReady #CodingCompliance #DocumentationReview #PayerGuidelines #ClaimAccuracy #Medicare #Medicaid #UHC #UnitedHealthcare #Aetna #Cigna #Humana #BCBS #BlueCrossBlueShield #Anthem #Kaiser #Molina #HealthNet #InsuranceVerification #EligibilityVerification #PriorAuthorization #PatientRegistration #Scheduling #MedicalVirtualAssistant #HealthcareVA #AthenaHealth #OfficeAlly #PracticeFusion #DrChrono #NextGen #eClinicalWorks #ChiroTouch #Brightree #Inovalon #Availity #MentalHealthBilling #PhysicalTherapyBilling #ChiropracticBilling #DMEBilling #TelemedicineBilling #PainManagementBilling #FamilyMedicineBilling #RadiologyBilling #DentalBilling #LabBilling #EndToEndRCM #RevenueOptimization #DenialPrevention #WorkflowOptimization #CashFlowImprovement #PracticeManagement #HealthcareOperations #MedicalBilling #MedicalBiller #RevenueCycleManagement #RCM #MedicalBillingSpecialist #HealthcareBilling #MedicalClaims #ClaimsProcessing #MedicalCoding #ICD10 #CPTCoding #HIPAACompliant #AccountsReceivable #ARFollowUp #DenialManagement #ClaimsFollowUp #PaymentPosting #EOB #ERA #RevenueRecovery #DenialResolution #CleanClaims #MedicalAR #InsuranceFollowUp #ComplianceQA #MedicalAudit #BillingAudit #HIPAA #AuditReady #CodingCompliance #DocumentationReview #PayerGuidelines #ClaimAccuracy #Medicare #Medicaid #UHC #UnitedHealthcare #Aetna #Cigna #Humana #BCBS #BlueCrossBlueShield #Anthem #Kaiser #Molina #HealthNet #InsuranceVerification #EligibilityVerification #PriorAuthorization #PatientRegistration #Scheduling #MedicalVirtualAssistant #HealthcareVA #AthenaHealth #OfficeAlly #PracticeFusion #DrChrono #NextGen #eClinicalWorks #ChiroTouch #Brightree #Inovalon #Availity #MentalHealthBilling #PhysicalTherapyBilling #ChiropracticBilling #DMEBilling #TelemedicineBilling #PainManagementBilling #FamilyMedicineBilling #RadiologyBilling #DentalBilling #LabBilling #EndToEndRCM #RevenueOptimization #DenialPrevention #WorkflowOptimization #CashFlowImprovement #PracticeManagement #HealthcareOperations

🇵🇭Cagayan de Oro City, Philippines$25/hr100% JSS4.91 (13)Since May 2017

Earnings and projects

MRR
$3.7k

Last 6 months ÷ 6

World#9,336 / 412k
🇵🇭Country#457 / 56.3k
Revenue, last 30 days
$4.8k

Last 6 months: $22k

World#6,049 / 412k
🇵🇭Country#199 / 56.3k
Total earnings
$360k

Billed in all: $371k

World#5,457 / 412k
🇵🇭Country#199 / 56.3k
Per project
$12k

$2.4k in the last 6 months

World#12,039 / 412k
🇵🇭Country#2,673 / 56.3k
Projects, last 6 months
9
0% fixed100% hourly
World#21,105 / 412k
🇵🇭Country#1,039 / 56.3k
Projects in all
29

Across 41 contracts

12% fixed88% hourly
World#100,215 / 412k
🇵🇭Country#7,392 / 56.3k

Earnings, last 30 days

$371k+$4.8k earned in the last 30 daysBilled in all, before Upwork's fee · drag across the chart to see what was earned in any stretch
$365.0k$367.5k$370.0k$372.5kOct 8Oct 23Nov 7

Skill rankings: Top 0.54% in Accuracy Verification

Top 1% in 5 of 16 skills, ranked by MRR among everyone on Upwork with the skill.

  1. 2Healthcare Common Procedure Coding System205 freelancers · 🇵🇭 #1Top 0.98%
  2. #6Medical Records Research605 freelancers · 🇵🇭 #2Top 0.99%
  3. #7Medical Records Software354 freelancers · 🇵🇭 #2Top 2%
  4. #10Medical Records807 freelancers · 🇵🇭 #1Top 1%
  5. #11Medical Transcription1,213 freelancers · 🇵🇭 #2Top 0.91%
  6. #12Medical Terminology920 freelancers · 🇵🇭 #2Top 1%
  7. #14Insurance Claim Submission710 freelancers · 🇵🇭 #3Top 2%
  8. #15Accuracy Verification2,777 freelancers · 🇵🇭 #5Top 0.54%