Hira Ajmal

Medical Biller

Fiverr • Freiberufler

Jan 2021 - Present • 5 yrs 9 mos

✔️ Why clients choose me: 🔹Clear, client-centric communication and prompt responses. 🔹Proven track record of accurate claim submission and sustained AR resolution. 🔹Detail-driven workflows that reduce rejections and speed reimbursements. 🔹Custom solutions tailored to practice size, specialty, and billing systems. ✨ Core Services I Provide ✅ Revenue Cycle Management & Billing 🔹Full-cycle Medical Billing & Coding (ICD-10, CPT, HCPCS) 🔹Eligibility & Verification of Benefits (VOBs) 🔹Charge Entry and Claim Submission 🔹Denial Management, Appeals & Resubmissions 🔹A/R Follow-Up & Aging Report Analysis 🔹Payment Posting (EOB/ERA) & Reconciliation 🔹Patient Billing Support & Customer Service ✅ Credentialing & Enrollment 🔹New Practice Setup / NPI & CAQH / PECOS Enrollment 🔹Payer Credentialing & Contracting 🔹Demographic Updates & Revalidations 🔹EFT, ERA, and EDI Enrollment 🔹Prior & Retro Authorization Support ✅ Practice & Financial Support 🔹QuickBooks Bookkeeping, Payroll & Reconciliation 🔹Workflow Optimization & Billing Cleanup 🔹Customized Reporting & KPI Dashboards ✅ Software & Systems Expertise 🔹Athena | SimplePractice | AdvancedMD | Kareo/Tebra | TherapyNotes | ECW | NextGen | Office Ally | Practice Fusion | ClaimMD | Availity | Provider Express | Optum | Cigna Portals | BCBS Networks | Many More ✅ Practice Specialties I Support 🔹Mental Health & Substance Abuse 🔹Urgent Care | Primary Care 🔹Physical, Occupational & Speech Therapy 🔹Chiropractic & Acupuncture 🔹Internal Medicine & Labs 🔹DME & Sleep Apnea Services 🔹Surgical & Home Health Services 🔹Non-Emergency Medical Transportation (NEMT) ✅ Insurance Expertise 🔹Medicare & Medicaid | TRICARE | HMO/PPO/IPA Plans | UnitedHealthcare | Optum | BCBS | Aetna | Cigna | Humana | Medicaid MCOs & Medicare Advantage 📩 Let’s connect! My approach is simple: when your practice grows financially, our partnership grows stronger. I am committed to delivering measurable results and long-term value.

Medical Billing Specialist | Credentialing & AR Expert

Upwork • Freiberufler

Jan 2020 - Present • 6 yrs 9 mos

Medical Billing Specialist | 6 Years Experience | US Healthcare | Denial Expert | Credentialing & Enrollment Expert I assist US-based healthcare providers, hospitals, clinics, and group practices in optimizing revenue cycle performance by improving collections, reducing claim denials, and managing end-to-end provider credentialing and enrollment processes. 🔹Medical Billing & Revenue Cycle Management i.Medical Coding & Billing ii.Insurance Eligibility & Verifications of Benefits iii.Claims Submission & Rejection iv.Denial Management & Appeals Submission v.Accounts Receivable (A/R) Follow-up vi.Payment Posting, via EOB/ERA vii.Patient Billing & Patient Statements 🔹Credentialing & Provider Enrollment i.Medicare, Medicaid & Commercial Insurance Enrollment ii.CAQH Maintenance & NPI Registration (NPPES) iii.Provider Credentialing, Re-credentialing & Contracting iv.ERA/EFT/EDI Setup & Enrollment Support v.Practice Onboarding & Compliance Management 🔹EHR / Billing Platforms Expertise Athenahealth • Tebra (Kareo) • AdvancedMD • SimplePractice • TherapyNotes • Charm EHR • eClinicalWorks(ECW) • Practice Fusion • NextGen • Office Ally • WebPT • CareCloud • ICANotes• Therapy Appointments • Therapy Notes 🔹Clearinghouses Experience Availity • Waystar • Change Healthcare • Optum • NaviNet • Claim.MD • PaySpan • Zelis 🔹 Specialties Served i.Mental & Behavioral Health ii.Physical, Occupational & Speech Therapy iii.Chiropractic , Physical Therapy & Acupuncture iv.NEMT Services v.Laboratory & Home Health Billing vi.OBGYN 🔹 Insurance Networks Medicare • Medicaid • Optum Network • Headway • Angeles IPA • TRICARE • UHC • BCBS • Aetna • Cigna • Humana • Anthem • HMO/IPAS/managed care plan 👉 Message me to streamline your billing, reduce denials, and improve revenue performance.