Basir U.
Appointment setter, VOB & Medical Billing for Medical Practices
Appointment Setter | VOB & Medical Billing Specialist with proven experience increasing patient appointments, verifying 100% accurate insurance benefits, and reducing claim denials. Skilled in scheduling, Insurance verification, prior authorizations, claims submission, AR follow-up, and revenue cycle optimization to improve collections and practice growth. I help healthcare providers increase reimbursements by getting exact insurance verification of benefits that reduce denials and improve cash flow. From accurate claim submission to efficient denial management, I ensure that your billing process runs smoothly and profitably, shifting you to focus on patient care. 🔽𝗠𝘆 𝗖𝗼𝗿𝗲 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲 𝗜𝗻𝗰𝗹𝘂𝗱𝗲𝘀 🔽Patient Appointment and Scheduling 🔽Insurance Verification 𝐕𝐎𝐁 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 🔽𝑴𝒆𝒅𝒊𝒄𝒂𝒍 𝑩𝒊𝒍𝒍𝒊𝒏𝒈 (Medical/Dental Professional and Institutional) 🔽Denial Management Follow-Up On Pending Claims 🔽Payment posting and compliance 🔽Patient Appointment and Scheduling ✔New Patient Appointment Scheduling ✔Patient Reminder Management ✔Telehealth Appointment Scheduling ✔Patient Intake & Registration Support ✔Multi-Provider Schedule Coordination ✔EMR/EHR Appointment Management 🔽𝐕𝐎𝐁 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 ✔Verify patient eligibility (Insurance Policy analysis) ✔Identify plan type (HMO, PPO, etc.) ✔Network Status (Checking in-network / out-of-network status with Selected Provider) ✔Confirm covered services (Procedure Codes ) ✔Checking Patient Responsibility (Deductible, Copay, and Coinsurance) ✔Check out-of-pocket maximum (If Any) ✔Verify prior authorization requirement (For required Procedures, CPT and HCPS codes) ✔Check referral requirement (Provider status with Insurance Policies) Medical Billing 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬🔽 ✔ Creating, Scrubbing, Insurance Claim Submission (Manual and Auto) ✔Claim Submission Through EHR, EMR, and Insurance Portals ✔Analyze Superbill with Attention to Detail ✔Assign CPT, DX Codes, and Supportive Modifiers Correctly ✔Provider Selection ✔Add Authorization and Referral Numbers ✔Resolve Clearinghouse Rejections ✔Post ERAs and EOBs In EHR/ EMR Data Entry ✔Post Patient Payment and Responsibility Accordingly ✔Analyze CARC and RARC Codes ✔Generate Charge, Payment Processing, and Denial Reports Denial Management (𝐀𝐑 Follow-up):🔽 ✔Identify Denied Claims (with EOBS and ERA) ✔Analyze Denial Reasons (CARC RARC) ✔Gather Information (Medical Records, Authorization, and referral if needed) ✔Correct Errors (CPT CODE, DX Code, Modifiers) ✔Resubmit Claims (Resubmit claim to Insurance with the correct submission code ) ✔Track Status Complete (Follow-up Weekly bi-weekly) ✔Communicate with Payers (Insurance Portal and phone call) ✔Appeal On Claims (with all required documents) ✔Review for Improvement (Making Denial reports and working accordingly) 🔽Payment posting and compliance ✔Posting ERA,s and EOBS ✔Reconcile Payment from Bank ✔Compliance with industry rules 📌 HIPAA Compliance & Data Security🔽 I strictly follow (HIPAA 1996 rules) guidelines, ensuring patient data security and full compliance with industry regulations. 📌 Software & Portals Expertise🔽 Billing Software: Kareo/ Tebra, eClinicalWorks (eCW), AthenaHealth, DrChrono, Practice Fusion, AdvancedMD, Allscripts, CureMD, Medisoft, ChiroTouch, NextGen, Simple Practice, and more. 📌 Insurance Web Portals🔽 Availity, Navinet, Nordian, UHC, Cigna, Aetna, Humana, BCBS, Medicare (CGS, WPS, Palmetto GBA), Tricare, Medicaid, Molina Healthcare, HealthFirst, OPTUM, and others. 📌 Specialties I Have Worked With: ✔ Primary Care ✔ Internal Medicine ✔ OB/GYN ✔ Cardiology ✔ Neurology ✔ Oncology ✔ Pain Management ✔ Pediatrics ✔ Occupational Therapy ✔ Chiropractic Care ✔ Psychiatry & Behavioral Health ✔ Physical Therapy ✔ Urology ✔ Allergy & Immunology ✔ Gastroenterology ✔ Dermatology ✔ Orthopedics ✔ Home Healthcare & More 📌Why Work With Me? ✔ Certified HIPAA Compliance Medical Biller with deep knowledge of end-to-end RCM processes. ✔ Proven Track Record in Denial Management – reducing denials and increasing reimbursements. ✔ 100% Accuracy Guarantee – every claim is reviewed for compliance and correctness before submission. ✔ Free Performance Audits – offering insights into revenue opportunities and improvements. ✔Earliest Support Availability – responsive and reliable assistance whenever needed. ✔ Attention to Detail Customized Billing Strategies – tailored solutions based on your practice’s specific needs. Let’s Optimize Your Practice Appointment Scheduling, VOB, Billing & Boost Your Revenue! Portfolio and Expertise: My Personal Website 𝐝𝐫𝐛𝐢𝐥𝐥𝐞𝐫𝐬 Looking forward to connecting on secure Upwork! Warm Regards, 𝗕𝗮𝘀𝗶𝗿 𝘂𝗿 𝗥𝗲𝗵𝗺𝗮𝗻 Appointment setter and Medical Biller
Earnings and projects
An estimate from an earlier read
Across 4 contracts
Earnings, last 30 days
No data since Nov 5, 2026.