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Vipul
@vipulmaghudiya2
Medical Billing, Credentialing, Enrollment, AR, Clinic Setup
Indien
Hindi, Gujarati, Englisch
Über mich
HI, My name is Vipul Maghudiya, CPES, CPCS certified. I have extensive experience in medical billing and coding, Credentialing, RCM(Revenue Cycle Management), and all other healthcare and practice management services. I have also used various healthcare software, websites, EMRs, and portals. I'm skilled at obtaining information about members and their claims through calls. I'm dedicated to providing high-quality work that meets each client's unique needs. Let me use my skills to help bring your vision to life. Feel free to contact me!
Kompetenzen
Vipul
offline •
Durchschnittliche Antwortzeit: 1 Stunde
Meine Dienstleistungen
Daten
I will be your expert medical biller and credentialing specialist
Web-Recherche
I will be your rcm or credentialing specialist
Portfolio
Arbeitserfahrung
Account Manager
Clinibooth Inc • Freiberufler
Jul 2024 - Present • 1 yr 10 mos
Providing credentialing and RCM support for telehealth and outpatient clinics. • Managing provider enrollment, re-credentialing, and ERA/EFT setup with payers. • Handling Patient Scheduling • Handling eligibility verification, claims submission, AR follow-up, and denial management. • Supporting end-to-end RCM operations to improve collections and cash flow.
Sr. Credentialing Specialist
ACE Healthcare Solutions – Tampa, FL • Vollzeit
Oct 2022 - Aug 2024 • 1 yr 10 mos
Conducted eligibility and benefits verification using payer portals, TriZetto, and direct payer communication. • Submitted clean claims and managed full AR follow-up to reduce outstanding balances. • Posted insurance payments and reconciled accounts accurately. • Resolved billing discrepancies and payer denials through effective follow-up and appeals. • Served as subject matter expert for credentialing, AR, and billing workflows.
Sr. Medical Biller/ Credentialing Specialist
Axial Health Consultant Pvt Ltd (Salerno Medical Associates – NJ) • Vollzeit
Jul 2020 - Sep 2022 • 2 yrs 2 mos
Conducted eligibility and benefits verification using payer portals, TriZetto, and direct payer communication. • Submitted clean claims and managed full AR follow-up to reduce outstanding balances. • Posted insurance payments and reconciled accounts accurately. • Resolved billing discrepancies and payer denials through effective follow-up and appeals. • Served as subject matter expert for credentialing, AR, and billing workflows.
