Qurban A

Medical Billing and Credentialing Specialist

Medical

Mar 2019 - Mar 2025 • 6 yrs

Medical Billing & RCM Expertise Experienced in eligibility & benefits verification, claim submission, payment posting, denial/rejection management, claim corrections, appeals, A/R follow-up, aging claims, payer communication, and reporting. I identify issues and follow up on unpaid or denied claims to reduce delays and improve RCM performance, EHR setups and Enrollments. Specialties I Support Mental & Behavioral Health, Psychiatry, Psychology, ABA, Substance Abuse, PT, OT, Speech Therapy, Chiropractic, Acupuncture, Pain Management, DME, Sleep Medicine, Laboratory, Home Health, Hospice, SNF, Urgent Care, Primary Care, Pediatrics, Cardiology, Neurology, Orthopedics, Dermatology, Gastroenterology, Telehealth, NEMT, and Multi-Specialty Practices. Insurance & Payer Expertise Medicare, Medicaid, TRICARE, UHC, BCBS, Aetna, Cigna, Humana, Anthem, Molina, Centene, WellCare, Ambetter, Medicare Advantage, Medicaid Managed Care, Commercial Plans, Workers’ Compensation, and Auto/PIP and many more Credentialing & Enrollment Support with provider credentialing, re-credentialing, payer enrollment, CAQH, PECOS, documentation, applications, and payer follow-up to support enrollment. I do credentialing for all type of providers, payers and for all states. please reach out for any state any specialty and any payer. I am always available What You Can Expect ✔️ Cleaner claims & fewer avoidable denials ✔️ Faster reimbursement & consistent A/R follow-up ✔️ Reduced aging claims and improved cash flow ✔️ Accurate billing, payment posting & reporting ✔️ Reliable communication and reliability ✔️Accurate credentialing and Enrollment in the exact turn around time. Recognized as a Monthly Reward Holder 3 times for outstanding performance, accuracy, and productivity.