I need Medical Biller and (RCM) Specialist, bringing both clinical insight and billing expertise to the table. With a deep understanding of medical documentation, coding accuracy, and insurance processes, I need expert medical biller maximize collections, minimize denials, and maintain 100% compliance. I need complete end-to-end RCM solutions from eligibility verification to payment posting, ensuring seamless revenue flow for practice. Core Expertise Includes: Eligibility & Benefits Verification Prior Authorization & Patient Scheduling Medical Coding (ICD-10, CPT, HCPCS) Claim Creation & Submission (CMS-1500 / UB-04) Denial Management & Rejection Resolution A/R Follow-Up (Primary & Secondary) Payment Posting & EOB Reconciliation Patient Billing, Statements & Invoicing ERA/EFT Setup & EDI Enrollments Practice Management System (PMS) Data Entry Administrative & Clerical Billing Support EMR / Practice Management Software Expertise: Kareo | Athenahealth | DrChrono | eClinicalWorks | AdvancedMD | OfficeAlly | Medisoft | Allscripts | Practice Fusion | TherapyNotes Clearinghouses: Availity | Change Healthcare | Trizetto | RelayHealth | ZirMED | Emdeon | Navicure | OfficeAlly who will: ☑️ Clinical background ensures coding accuracy and documentation clarity. ☑️ HIPAA & ERISA Compliant ensuring patient data security and legal compliance. ☑️ Proven Results: Boosted collections and reduced denials for multiple providers. ☑️ Strong Communication: Clear, prompt, and professional with insurance reps and patients. ☑️ Reliable & Detail-Oriented: Committed to delivering measurable results from Day 1. I need you to optimise billing cycle, enhance cash flow, and reduce administrative burden so I can focus on patient care.