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4.7/5
based on 661 client reviews
  2. Admin & Customer Support Talent
  3. Data Entry Specialists
  4. (Current) Medical Coders, Billers
  • $85 hourly

    • 5.0/5
    • (24 jobs)
    I am a seasoned professor of Health Information Management with a strong background in healthcare revenue cycle management, EHR programming, coding, and auditing. With over twenty years of experience in the field, I possess a deep understanding of various aspects of healthcare operations and compliance. My expertise lies in auditing company claims, identifying compliance weaknesses, and increasing revenue through accurate coding practices. I can assist your organization in optimizing its revenue cycle by ensuring proper coding and adherence to industry regulations. With my proficiency in inpatient, outpatient, and risk adjustment coding, I bring a comprehensive understanding of coding requirements across various healthcare settings. In addition to revenue cycle management, I offer classes on R, Python, and Tableau, empowering individuals and organizations to leverage these powerful tools for data analysis and visualization. Classes I teach: Healthcare statistics and data mining ICD-10-CM Coding Procedure Coding Data Analytics for Healthcare Information Governance Healthcare Informatics EHR development AAPC: CPC AHIMA: RHIA CompTIA: Project+ MBA in Healthcare Management M.S. in Data Analytics Whether you require assistance with data analytics, revenue cycle management, compliance auditing, coding practices, or training on relevant tools and methodologies, I am here to help. With my extensive experience and diverse skill set, I am committed to delivering high-quality solutions tailored to your specific needs.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Informatics
    Medical Billing & Coding
    Education
    Financial Audit
    ICD Coding
    Medical Condition Coding
    Medical Terminology
    Insurance Consulting
    Electronic Health Record
  • $27 hourly

    • 5.0/5
    • (11 jobs)
    I have extensive experience in medical billing (over 10+ years using various different systems) and have an associates degree in health care administration. I am friendly, loyal, and dedicate, individual who has an ambition to succeed in any given environment. I am an avid and quick learner, and am always up to a challenge whatever the situation. I get along well with others, self motivated and work efficiently on my own. I strong believe in good communication between freelancer and client, therefore we are always on the same page. I can a NDA to safeguard your data and also done HIPAA certification. I have my own phone line and fax line, which is HIPAA regulated for patient confidentially. My knowledge of CPT / ICD 10 Codes are up to date. My many years in the filed, i have the opportunity the learn the following, but not limited to: 1. Medical billing for several practice, which included posting charges, payments, ( reading EOB), working denials, F/U, very comfortable interacting with insurances and understanding exactly what needs to be done with denials/ re submissions. 2. Referral Corrdinator/ Medication Authorization: Referral and obatin authorization for patient. Performing authorization for studies ( MRI, MRA, CT, US, HIDA etc.) as well as medication authorizations. 1.Demographics Entry (a) Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. (b) Create appointments on scheduler while receiving patient calls 4.Claim Submission(Primary & Secondary Insurance) 5.Rejection Reports 6.Basic coding 7.Authorization 8.Account Receivable (a)Accounts receivable analysis with corrective and preventive actions and decision making for Collections. (b)- Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Tricare etc...) 9. Patient Calling With work experience on the following PMS and EMR Software 1.Office Ally 2. Theranest 3. Medisoft 4. SRS 5. Acculea Caputre Clearing House: 1. Officeally Office Specialties: Internal Medicine, Family Practice, Pain Management, Chiropractic, Psychiatrist, home health, Labs, Hospital etc. Thank you much for taking the time.. to review my profile.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Customer Service
    Medical Translation
    Accounts Payable Management
    Medical Billing & Coding
    Healthcare Common Procedure Coding System
    Accounts Receivable Management
    Electronic Medical Record
    Data Entry
  • $35 hourly

    • 4.5/5
    • (52 jobs)
    Healthcare Credentialing and Rate Negotiations SERVICES: Medical Office, Data Entry, Credentialing - Health Plans - Private Practice - Hospitals - Start Up Consultations and More -
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Customer Service
    Insurance Consulting
    Administrative Support
    Medical Billing & Coding
    Email Communication
    Communications
  • $39 hourly

    • 5.0/5
    • (63 jobs)
    Hi! My name is Amber Walker, MHA, CPC, CPC-I, and I have over 14 years of experience in the healthcare sector. Mission: My mission is to provide creative solutions for small and mid-sized behavioral healthcare organizations to facilitate strategic growth! Specialty: Mental and Behavioral Health I specialize in the following areas: - virtual assistance (authorization submission and benefits verification) - identifying gaps in workflows and drafting new workflows - resolving claim denials - identifying root causes of claim denials - insurance claim submission and follow-up (In Network, Out of Network, EAP, and Self-pay) - invoice submissions - validating insurance payments underpayments and overpayments according to contractual agreements - drafting claim appeals - accounts receivable management - EHR integrations and set ups - credentialing and contracting Additional Experience - I've worked with commercial and government payers in GA, LA, CA, NJ, MD, IL, NY, TN, TX, FL, CO, OR, and VA. - I've used various EHR and EMR software such as Epic, ShareNote, PIMSY, Change Healthcare, Trizetto, Icanotes, Office Ally, Waystar, Optum, Kareo, Simple Practice, Charm, Athena, Therapy Notes, AdvancedMD, and Availity. I look forward to discussing how we can strategically improve your revenue cycle and build a solid financial infrastructure. Respectfully yours, Amber Walker, MHA, CPC, CPC-I Master of Health Care Administration Bachelor of Biological Sciences Certified Professional Coder (CPC) and Instructor (CPC-I)
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Invoicing
    Healthcare
    Accounts Receivable
    Virtual Assistance
    Insurance Verification
    Insurance Consulting
    Insurance Claim Submission
    Healthcare Software
    Revenue Cycle Management
    Medical Billing
    Medical Procedure Coding
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Revenue Management
    Healthcare Management
  • $20 hourly

    • 4.8/5
    • (13 jobs)
    • I am specialized in all aspects associated with revenue cycle management. Sound background in Medical Billing industry and have been doing this for 11 years. • Distinguished medical billing specialist with great AR collections expertise. I love medical billing & collections because I like to win. Collecting money is a competition with the insurance company & my knowledge bank. I have collected millions of dollars on claims that providers had given up on. • Highly organized, accomplished, detailed oriented and focused professional medical billing manager Dynamic problem solver with proven effectiveness in identifying system inefficiencies and implementing corrective measures to improve cash flow. • Looking forward to helping providers, Labs, companies with their Medical Billing well as, Revenue Cycle Management needs. • Sound knowledge of RCM, Electronic Health Records (EHR) software, Medical Billing for medium to large healthcare clients, Business Analysis, Data Analysis, Reporting. • My top skills are Claims Submission, Claim Management, AR, Credentialing, Reporting.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Phone Communication
    EMR Data Entry
    Virtual Assistance
    Scheduling
    Microsoft Excel
    Medical Report
    ICD Coding
    Practice Fusion
    Electronic Medical Record
    Healthcare Common Procedure Coding System
    Data Entry
    Microsoft Office
    Medical Mastermind Medical Billing Services
    Medical Billing & Coding
    Accounts Receivable
  • $12 hourly

    • 5.0/5
    • (6 jobs)
    I would like to put into practice my skills in Medical Billing, Customer support and also fully utilize my office experience, technical training, strong work ethic and dedication. I also have broad knowledge and experience in computer software and hardware. My background as a Billing specialist for both Medical and Dental Billing and college education made me proficient enough in MS Word, Excel and office essential tools. I have advanced written & verbal English skills that will be able to communicate concerns effectively to Customer, Patients and Insurance companies as I encounter countless task in my work on a daily basis. Listed Below are some of the summary of duties that I have on my experience: • Responsible for collecting, posting and managing account payments. • Responsible for submitting primary, secondary and tertiary claims to various insurance companies either electronically or by paper. • Responsible for checking & acquiring the eligibility & authorization of the patient to the insurance. • Responsible for identifying the primary, secondary & tertiary insurance of the patient. • Responsible for following up with the insurance companies in relates to Aging Report: payments, recoupments & denied claims. • Responsible for resolving denied claims and correcting them if possible on a timely manner. • Identifies and resolves questions from patients, clerical staff and insurance companies. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. KEY SKILLS AND QUALIFICATIONS: • Quick thinker and able to learn quickly any kind of job or task (e.g. customer service, medical biller, technical-support specialist, back-office support) • Computer Literate-proficient in Microsoft Word, Powerpoint and Excel. • Critical-Thinking skills—can determine at a fast pace, any type of customer’s needs. • Compassion—helps people. Able to empathize to a customer’s needs and respond accordingly. • Attention to detail—Stick to proper procedures and apply them as prescribed. • Organizational skills—can face multiple queries, with different needs and knows how to prioritize. • Calm under pressure—face urgent, critical situations almost daily. Being able to function in the heat of emergency. • Communication skills—can respond and adjust appropriately to any type of customer. Able to teach what is required in an understandable and complete manner. • Values teamwork, but can also work with less supervision • Always strive for excellence and for the continued growth of self, the team and the company With my skills, knowledge, and experience, I believe I can be an excellent asset to any growing company.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Billing & Coding
    Accounts Receivable Management
    Electronic Medical Record
    Email Support
  • $10 hourly

    • 4.0/5
    • (1 job)
    I’m a certified medical Coder. I have good experience in Surgery and E/M coding. I have good knowledge and experience in Medical billing and coding system (RCM). Good knowledge of medical anatomy, terminology, ICD, CPT, HCPCS, DRG codes and modifiers, Medical reports etc.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Billing
    Healthcare Common Procedure Coding System
    Medical Condition Coding
    ICD Coding
    Medical Procedure Coding
    Medical Report
    Medical Billing & Coding
  • $40 hourly

    • 4.8/5
    • (5 jobs)
    Amanda Streeter is an experienced Medical Biller and Coder with over 13 years of experience in the healthcare industry with over 5 of that in the coding and auditing field. Amanda is a Certified Professional Coder, as well as a Certified Pediatric Coder. Amanda teaches medical coding through Udemy and prepares her students to sit for the CPC exam. Amanda is a hard worker with a strong attention to detail and accuracy.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Referrals
    Medical Procedure Coding
    Professional Tone
    Medical Condition Coding
    Medical Billing & Coding
    Electronic Medical Record
    Medical Records Software
    EMR Data Entry
    Medical Terminology
  • $24 hourly

    • 5.0/5
    • (20 jobs)
    As a Coding Specialist with a solid academic background—holding a Bachelor's in Pharmacy (Pharm-D) and a Master's in Pharmacy—I've honed my skills through extensive experience with reputable multinational companies like Rialtic.io, MTBC Inc. (Care Cloud), and BellMedex Inc. In roles ranging from medical policies reviewer to medical coder and biller executive, and mapping specialist, I've become well-versed in medical revenue cycle management. My expertise spans a wide array of areas, including ICD-10 and CPT mapping, medical policy mapping, and meticulous medical record reviewing and auditing. I specialize in optimizing coding and billing processes for medical practices, covering in-patient and outpatient facility coding, physician coding, CPT/HCPCS coding, and ICD-10-CM coding, among others. In addition to my technical proficiency, I excel in handling administrative tasks such as patient demographic entry, charge entry in EHR/EMR systems, eligibility verification with payers, and managing the entire medical claim lifecycle—from scrubbing to submission to denial management and account receivable follow-up. Moreover, my experience extends to patient billing for patient responsibilities, medical scribing, patient scheduling, calendar management, and expertise in COVID testing, vaccination, and administration coding and billing—ensuring compliance with the latest regulations and policies. If you're seeking a skilled and knowledgeable medical billing and coding professional to optimize your revenue cycle management and ensure the financial success of your practice, let's connect and discuss how I can add value to your team. Keywords: medical billing, medical coding, revenue cycle management, ICD-10, CPT mapping, medical policy mapping, medical record reviewing, in-patient coding, outpatient coding, physician coding, CPT/HCPCS coding, ICD-10-CM coding, eligibility verification, medical claim scrubbing, claim submission, denial management, account receivable follow-up, payment posting, patient billing, medical scribing, patient scheduling, COVID testing, vaccination coding, billing and administration.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Patient Care
    Insurance Policy Analysis
    Insurance Claim Submission
    Insurance Verification
    Medical Records Software
    Medical Equipment & Supplies
    Medical Procedure Coding
    Medical Translation
    Medical Transcription
    Medical Billing & Coding
    Data Mining
    Healthcare Common Procedure Coding System
    Electronic Medical Record
    COVID-19
    ICD Coding
  • $10 hourly

    • 4.6/5
    • (2 jobs)
    - Certified professional coder from AAPC with a score of 90%. - Three years of experience working as a medical coder. - Also a doctor of physical therapy with a strong medical background. - Skilled in  Medical Claims Coding and Billing  Denial Management  ICD-10 CM Coding  Surgical Coding  Infusions  Outpatient/Inpatient E/M Coding  Anaesthesia, Pain Management and Podiatry Coding I can work diligently to fullfill my task in given time frame. I've also completed projects in Upwork and looking forward to have further projects.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Fact-Checking
    Medical Condition Coding
    Writing
    Copywriting
    Article
    Data Entry
    Article Writing
    Education
  • $22 hourly

    • 5.0/5
    • (6 jobs)
    Hi, This is Nida Nazir and I am CPC, CCS & HIM-1 Certified Medical Coder, Medical Biller and Credentialing Specialist with direct experience in many specialties in inpatient and outpatient settings of 8 years. I specialize in working with small, medium and large sized medical practices and hospitals. Not only do I provide day-to-day help and support, I can also provide unique insights into various ways to improve the running of your business. I offer a high level of reliability, accountability, and knowledge backed by over 13 years of experience in healthcare industry at different managerial positions. I have excellent communication, computer, interpersonal skills, and knowledge of HIPPA laws and regulations. Track record of achieving exceptional results in quick paced work environment and contributing to a successful workplace. I have excellent communication, computer, interpersonal skills, and knowledge of HIPPA laws and regulations. Track record of achieving exceptional results in quick paced work environment and contributing to a successful workplace. I performing various duties as Medical Biller and Virtual assistant in the RCM cycle, from patient scheduling and reminders to financial reports, including followings; • Patients Appointments Handling (Phone, Online Zocdoc etc.) • Patients Demographic Entry • Eligibility and Benefits Verifications • Preauthorization/Precertification with Tracking • Charges/Claims Creation • Electronic, Online & Paper Claims Submission • Payment Posting (Insurances & Patients) • AR Follow Up on Claims • Denials Management • Appealing on all Denied or Low Paid Claims • Patients Billing/Statements • Secondary Insurance Billing • Providers & Patients Communication • General & On demand Reports • Providers, Staff and Patients Queries Handling • Credentialing and Tracking • EDI, ERA & EFT Enrollment • HEDIS & QARR Incentives • Providers & Staff Trainings Medical Billing : I have Medical Billing experience for almost eight years. During these eight years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receivables, #Collection management, #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM (A) Medical Billing Services includes the following: - - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals (B). Specialties Anesthesiology Cardiology Chiropractic Dermatology Emergency Medicine Endocrinology Family Practice Gastroenterology General surgery Geriatrics Gynecology and obstetrics Internal Medicine Pneumology Orthopedic Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Physical Therapist Psychiatry Neurology Radiology Radiotherapy Rheumatology Urology TECHNICAL SKILLS: MS Office, MS Office Suite, Rational Rose, MS Visio, Agile/Scrum, UAT, Sales Management, MS Project, Rational Requisite Pro, Test Director, WinRunner, Excel, ERP, SOAP, Restful, LoadRunner, SDLC, Quick Test Pro, MS-Word, MS PowerPoint
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Coding Art
    Organizational Structure
    Licensing Agreement
    Startup Consulting
    Compensation & Benefits
    Scheduling
    Finance & Accounting
    Insurance
    Revenue Management
    Medical Billing & Coding
    Management Skills
    EMR Data Entry
    Business Management
  • $20 hourly

    • 5.0/5
    • (5 jobs)
    A registered nurse in the Philippines with 5 years work experience as a medical transcriptionist and a certified coder both by AAPC and AHIMA, with 8 years experience in medical coding (ICD-9, ICD-10, CPT, PCS, HCPCS) specializing in various medical specialties such as Cardiothoracic, OB and Gynecology, ENT, Gastroenterology and Evaluation and Management. EMR/EHR software used: - eClinicalWorks - Epic - Citrix - Medgen - Practice Fusion Coding Tools used: - Optum CAC - 3M
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    HIPAA
    Data Labeling
    Data Annotation
    Data Entry
    ICD Coding
    Error Detection
    Medical Procedure Coding
    Medical Records Software
    Medical Transcription
    Batch Proof Reports
    Data Migration
    Healthcare Common Procedure Coding System
    Accuracy Verification
    Medical Translation
    Medical Billing & Coding
  • $15 hourly

    • 4.0/5
    • (25 jobs)
    I am an experienced CPC Certified, and Certified Risk Adjustment Coder (CRC) with excellent knowledge of ICD-10 CM/PCS, HCPCS, MIPS, and CPT. Skilled in all types of Radiology Coding (Interventional and diagnostic) and Anesthesia coding and has a good understanding of E/M, Pathology and Laboratory, Medicines and Surgery coding required skills with the highest accuracy. Strong Research skills with a Master of Philosophy in Bioinformatics. Software's and Applications Expertise -Encoder Pro -Meditech -Kareo -ECW -EPIC -TalkEHR -Medics Premier -Cerner -AthenaOne -Vertex -Power Chart -EMR/EHR Billing software's -Remote Desktop Work -Office Suit -Slack -Asana
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Records Software
    Medical Condition Coding
    Medical Billing & Coding
    ICD Coding
    Medical Transcription
    Medical Procedure Coding
    Blog Content
    Data Extraction
    Medical Report
    Electronic Medical Record
    Virtual Assistance
    Healthcare Common Procedure Coding System
    Medical Informatics
  • $25 hourly

    • 3.5/5
    • (13 jobs)
    8 years working as a US Certified Professional Coder and Biller 🏨🤖 Medical Coder- Annotator for Natural Language Processing (NLP) Project - Artificial Intelligence (AI) - New York, USA 🏨 US Medical Coder- Auditor 🏨 US Medical Biller / Claims Specialist / Account Receivable Specialist ✓ Charge Entry ✓ Claims Submission ✓ Account Receivable Management ✓ Payment Posting ✓ Patient demographics Entry 🏨 US Medical Virtual Assistant (Insurance Tasks) ✓ Account Retrieval ✓ Patient Intake Process ✓ Patient Scheduling ✓ Patient Check-ins ✓ Next Day Appointment Reminder ✓ Insurance Verification ✓ Insurance Benefits and Eligibility ✓ Insurance Prior Authorization * Prescription Prior Authorization * Medical Prior Authorization ✓ Medication Refills ✓ Understanding of ERA and EOB ✓ Knowledge about Copay, Coinsurance, Deductibles, Out-of-pocket maximum, and in-network and out-of-network. 🏨 Contractor for US Healthcare Services ✓📍Risk Adjustment Coding/ Hierarchical Condition Category (HCC) Coding ✓📍 Inpatient Coding ✓📍 Outpatient Coding ⦿ Chronic Pain Management ⦿ Same-Day Surgery ⦿ Emergency Department ⦿ Ancillary ⦿ Interventional Radiology ⦿ Behavioral Health ⦿ Anesthesia ⦿ Home Health ⦿ Claim and Denial Edits ⚡Fast⌛ medical coding and charging with 100% Accuracy, Qualifications/Skills: ✓ Audits records to ensure proper submission of services before billing. ✓ Supplies correct ICD 10 diagnosis codes on all diagnoses provided. ✓ Supplies correct CPT codes for all procedures and services performed. ✓ Expert in Infusion, Intravenous and Hydration Computation, and Charging ✓ A strong understanding of physiology, medical terms, and anatomy ✓ Proficiency in computer skills including typing speed and accuracy ✓ Mathematics skills ✓ Excellent written and verbal communication skills ✓ Organizational skills ✓ Ability to maintain a high level of integrity and confidentiality of medical information ✓ Maintains confidentiality and safeguards the privacy of protected health information (PHI). ✓ Strict attention to details ✓ Knowledge of data entry and transcription SOFTWARE TOOLS ► Office Ally ► drchrono ► SimplePractice ► Optimantra ► EPIC ► Cerner ► OPTUM LYNX ► AlertMD ► Inception ► 3M ► SelectCoder ► Aprima ► eMedicalPractice ► intakeQ ► SRFAX ► Availity ► Evernorth ► MS Office (Word, PowerPoint, Exel) ► Microsoft Teams ► Google Suite ► Outlook ► Dropbox ► Quickbooks ► Slack In addition, I am eager to take on jobs that allow me to expand my horizons and learn new talents. Thank you very much for your time and consideration. 📩 Think I could be a fit for you? Let's connect for an introductory call! 💃🏻🕺🏻
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Natural Language Processing
    Artificial Intelligence
    Epic Systems Medical Software
    Electronic Medical Record
    Medical Report
    EMR Data Entry
    Medical Records Software
    Medical Records Research
    Medical Referrals
    Insurance Claim Submission
    ICD Coding
    Medical Procedure Coding
    Medical Billing & Coding
    Medical Records
    Insurance Verification
  • $14 hourly

    • 5.0/5
    • (15 jobs)
    Professional Clinical Data Coding specialist ICD9 | ICD10 | CPT | HCPCS |Medical Billing, with +5 years of experience in the healthcare field. Responsibilities: • Analyze aspects of clinical-trial protocols and investigator contracts, extract and codify key protocol design and study financial information (therapeutic area, indication, phase, study drug, trial duration; treatment periods; etc.). • Make informed decisions based on an in-depth understanding of data coding and data management rules and conventions. • Perform online research to identify sources of clinical-trial protocol design characteristics in support of customer-facing products • Work with the quality review teams to address data queries and perform data cleaning activities. • Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases: ICD9, ICD10)and CPT (Current Procedural Terminology) and HCPCS codes. • Familiarity with ICD-9 codes and procedures.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Microsoft Excel
    Medical Editing
    Healthcare Common Procedure Coding System
    English
    Medical Billing & Coding
    Article Writing
    Medical Condition Coding
    ICD Coding
    Medical Procedure Coding
    Content Writing
    Medical Writing
    Microsoft Word
    Typing
    Translation
    Medical Mastermind Medical Billing Services
  • $15 hourly

    • 4.9/5
    • (24 jobs)
    Experienced in both Medical Billing and Dental Billing with over 8 years of in-depth experience in the health care industry. I am a High level biller that is able to manage accounts and provide support to my clients and owns Billing PROtect. Promoted twice as a Lead Medical Biller handling 2 practices by myself and a Dental biller for 2 Departments (Billing & Financial Department) for 2 locations. I also have a background in Customer service and worked at the same time as a technical-support representative. Open for an interview if needed! Medical & Dental Billing Services: • Submitting Prior-Authorization/Pre-determination including the use of NEA FastAttach, Continuation of Care, creating narratives, and request for credentialing. • Check Eligibility and verification of patient’s health benefits from insurance carrier’s website or through phone call verification. • Patient scheduling • Full patient demographics and charge entry. Processing of Recurring payments for different mode of payments including credit cards and etc. • Insurance claims submission (primary, secondary or tertiary) • Payment Posting for EFT/ERA, cheque, or other forms of payment including Recoupment from insurance companies • Accounts receivable analysis with corrective and preventive actions and decision making for Collections • Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) • Patient billing inquiries as per received information from provider office, front desk, treatment coordinators, MA's, and from the doctor • To check claim status from insurance, websites, auto response unit and via live calls. • To make on call appeals for reprocessing of incorrectly processed claims based on billing knowledge • ICD9, ICD10, CPT and HCPCS Coding and/or review • Daily, Monthly and annual AR Financial reports preparation • Custom reports if required • Patient billing as per instructions • Credentialing guidelines • Consulting/Training • Super bill review • Appeals Medical & Dental Coding: • To identify and research the right DX and CPT code according to medical records and treatment selected by patients for dental billing. • Provide right DX pointers for the first time to avoid payment delays • Suggest appropriate modifier for maximizing the revenue via Encoder pro Expert licensed version and supercoder
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    ICD Coding
    Administrative Support
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Customer Service
    Data Entry
    Medical Translation
    Customer Support
    Medical Billing & Coding
    Electronic Medical Record
    Ecommerce Website Development
    Technical Support
  • $50 hourly

    • 5.0/5
    • (5 jobs)
    With almost 15 years of direct billing and coding experience. Shalonda Holmes of Holmes Billing Solutions is able to assist with the revenue cycle needs of any physician office and/or hospital. As a coding educator, Shalonda is able to provide adequate training as well as auditing opportunities.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Healthcare Management
    Epic Systems Medical Software
    Project Management
    Medical Billing & Coding
    ICD Coding
    Electronic Medical Record
  • $10 hourly

    • 4.3/5
    • (4 jobs)
    I am an experienced healthcare professional with a strong background in customer handling and back-office support. Skilled in claims management, eligibility verification, provider credentialing, and insurance billing. Proven track record of providing exceptional service to clients in the US healthcare industry. Skills: Healthcare Customer Service Claims Management Provider Credentialing Insurance Eligibility Verification Back Office Support Insurance Billing Admin tasks Patient Management
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Virtual Assistance
    Insurance Verification
    Appointment Scheduling
    Records Management
    EMR Data Entry
    Revenue Cycle Management
    Insurance Claim Submission
    Office Management
    Email Communication
    Data Entry
    Accounts Receivable
    Administrative Support
    Customer Service
    Accounts Payable
    Medical Billing & Coding
  • $10 hourly

    • 5.0/5
    • (2 jobs)
    My name is Zain Umer. I am a medical billing and follow-up specialist from Islamabad, Pakistan. I have served various specialty clients in this field for 5+ years. During my tenure, I have handled the following tasks: Medical Billing & AR Specialist: • Eligibility and Coverage verification • Prior Authorization approval before services rendered • Create appointments on scheduler while receiving patient calls • Full patient demographics and charge • Insurance claims submission (primary, secondary or tertiary) • Payment postings from EOBs/ERA • Revenue Cycle Management • Accounts receivable analysis • Collections, DAR and FTPR • Denial Management by strong follow-up • Handling patient/insurance/attorney calls • Appeals on denials via call, written, or fax for reprocessing • Monthly and annual reports preparation • Custom reports where required • Making of Super Bills, HIPAA Disclosure Forms, and other forms • Responsible for processing payments, adjustments, and denials according to established guidelines (Payment Poster) • Knowledge of HCFA 1500 and UB4 1450 form. • Responsible for submitting electronic claims and paper claims to primary, secondary, and third-party insurance companies. • Knowledge of prior authorizations and cash posting. Able to read and interpret EOBs. • Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed. • Ensure accurate entry of work into designated billing systems. • Assist with training materials and training staff members. • Communicates with the Clinics to provide or obtain corrected or additional data. • Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information. • Responsible for working EDI claim rejections in a timely manner. • Prepare and submit billing data and medical claims to insurance companies. • Collect and review referrals and pre-authorizations. • Follow up on missed payments and resolve financial discrepancies. • Investigate and appeal denied claims. • Register patients in the EHR system • Work with insurance companies to handle any "problem" claims that have trouble getting paid. • Send inpatient and outpatient claims to insurance companies for our clients with an emphasis on accuracy in coding. • Many various activities that included data entry, verifying insurances, follow-up, authorizations, and many more. Medical Billing EMR/EHR software I worked on are • ECW • Claim MD • Advance MD • Office Ally The Clearinghouse I worked with are: • Emdeon • Relayhealth • GatewayEDI Trizetto • Availity • Navinet I am persistent when conducting A/R management and am able to advocate for provider reimbursement. Thank you
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Virtual Assistance
    Medical Billing & Coding
    Electronic Medical Record
    Medical Transcription
    HIPAA
    Account Management
    Medical Records Research
    Account Reconciliation
    Email Communication
    Data Entry
  • $30 hourly

    • 5.0/5
    • (8 jobs)
    I have 10+ years of experience in the credentialing, licensing, and medical billing fields. I have worked remotely for 3 years and have worked with government agencies and commercial insurance payers throughout the United States. Areas of Expertise: CREDENTIALING & LICENSING • Specializing in behavioral health and primary care providers. • Enrolling and contracting groups, physicians, and non-physician practitioners. • Fee schedule review. • Quarterly demographic attestations. • Tracking and notifying providers of expiring credentials. • Direct source verification. • Licensing MDs, DOs, and PsyDs in various states. Areas of Expertise: MEDICAL BILLING • Medical billing knowledge includes family practice and urgent care. • Posting insurance and patient payments – EFT and paper. • Recovery of rejected and unresolved claims. • Collections of past due patient accounts and/or establishing payment plans. • Patient and payer refunds/overpayment notifications. • Submitting primary, secondary, and tertiary electronic and paper claims. • Downloading ERA’s / pulling EOB’s from payer sites. • Enrolling in EFT for rapid payer payments. • Preparing reports for patient population data, refunds, & collections activity. • Eligibility and benefit verification. • Coordination of benefits corrections. Areas of Expertise: PAYER & ENTITY KNOWLEDGE • Commerical plans (a vast array of plans) • Medicare and Medicare Advantage plans (multiple jurisdictions) • Medicaid and Medicaid managed care plans (FL, MI, NJ, NY, VA) • Workman’s Comp • CAQH • Availity • ProviderSource Areas of Expertise: OTHER I have an extensive background in general office support. I am highly capable and willing to take on responsibilities and new challenges. - Drafting letters, creating mail mergers, and producing mass mailings & email campaigns - Designing & creating letterhead, envelopes, logos, and internal documents - Data entry - Performing accounts payable & accounts receivable tasks
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    Accounts Receivable
    Accounts Payable
    Microsoft Office
    Data Entry
    eClinicalWorks
    Draft Documentation
    Electronic Medical Record
    Medical Billing & Coding
  • $15 hourly

    • 4.8/5
    • (98 jobs)
    Hi, I am Mueed Abdullah, (CPC) (CPMA) (R.ph), a Certified Medical coder, biller and credentialing spcialist, with 9+ years of experience in the US healthcare system, handling complete RCM of verious medical specialties all over the US. Who I am? -Certified Medical Biller -Certified Medical Coder -Medical Auditor holding CPC and CPMA from AAPC, -RCM manager and Account Receivable specialist --credentialing specialist -Medical research writer, QA, and Regulatory pharmacist, What I can do--- • Patient demographic entry • Charge Entry in billing software • Eligibility verification with payers • Medical claim scrubbing. • Claim submission to payers • Primary, Secondary and tertiary payers claim to process. • Denial Management, Emails, and calls handling * Insurance and eligibility verification • Account Receivable follow up • Payment posting and adjustment management • Patient billing for patient’s responsibility • Customized financial reports. • Scheduling calendar Benefitted from Pharm-D, I have profound knowledge of medical terminology, human anatomy and physiology, diagnostics, and pharmacology across a broad range of medical practice areas. I have a working knowledge of compliance regulations HIPAA and PHI requirements, as well as have a complete understanding of Managed care contracts, MCO, Medicare, Medicaid, and other commercial insurances. Furthermore, I have complete knowledge and expertise in Electronic Medical Record (EMR) software, Optum 360 Encoder, Citrix & RDP’s, NextGen, Cerner, Practice Fusion, Ms. Office, Ms. Excel. Medical Billing : I have Medical Billing experience for almost eight years. During these 8 years, i have worked on many specialties. I do know the complete RCM flow, i have been doing charge entry, payments posting, and AR follow-up. Have worked as Team Leader in different organizations. I have a working knowledge of Charge entry, claims submission, working on rejections, Benefits verification, ERAs/EOBs posting, Insurance Call for doing a follow-up on unpaid claims/denial management, and getting referral information using different resources. In addition to these, i can also handle patient calls; by this provider, the office can focus more on their patients' care. Expertise: #Account receiveables, #Collection management , #Outpatient and inpatient Billing, #ICD-10-PCS, #ICD-10-CM, #HCPCS, #CDT, #CPT, #ICD-10-AM a) Medical Billing Services includes the following:- - To check Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Create appointments on scheduler while receiving patient calls - Full patient demographics and charge entry - Insurance claims submission (primary, secondary or tertiary) - Accounts receivable analysis with corrective and preventive actions and decision making for Collections - Strong claims follow up on denials from insurances like Workers Comp, Medicare, Medicaid, BCBS Semi-Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...) - Patient billing inquiries as per received information from provider office - To check claim status from insurance, websites, auto-response unit, and via live calls. - To make on-call appeals for reprocessing of incorrectly processed claims based on billing knowledge - ICD9, CPT and HCPCS Coding and/or review, Encoder pro Expert licensed version guided for correct coding - Daily, Monthly, and annual AR Financial reports preparation - Custom reports where required - Patient billing as per instructions - Credentialing guidelines - Consulting/Training - Superbill review - Appeals
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    EMR Data Entry
    Medical Billing
    Medical Records Software
    Electronic Health Record
    Revenue Management
    Accounts Receivable
    Insurance Claim Submission
    Insurance Verification
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Administrative Support
    Healthcare Common Procedure Coding System
    Medical Billing & Coding
    Data Entry
    ICD Coding
  • $25 hourly

    • 5.0/5
    • (19 jobs)
    I have 12+ years of experience in US medical billing. I have assisted GE Healthcare as Senior Medical billing specialist for 3 years and several other doctors and clinics as Medical Biller for 6 years. I specialize in delivering good quality work with respect to strict deadlines and high expectations. I help out clients with - Aggressive claims follow up on denials from all insurances like Workers Comp, Medicare, Medicaid, BCBS Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc) - checking Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone. - Creating claims - Full patient demographics and charge entry - Daily, Monthly reports to doctors - Patient billing as per instructions - Sending medical records and appeals - Super bill review - Insurance claims submission (primary, secondary or tertiary) - matching the right DX and CPT code according to medical records - Providing right DX pointers to avoid payment delays - Adding correct modifiers & send corrected claims with timely filing. - calling insurance to reprocess of incorrectly processed claims - Obtaining authorizations and referrals. - Appealing on denied claims and see if we can get the claim paid. Medical Billing softwares that I am familiar with are Kareo, OfficeAlly, Simple Practice, WRS, ECW, Practice admin etc.,
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    ICD Coding
    Medical Records Research
    Medical Billing & Coding
    Data Entry
  • $10 hourly

    • 4.8/5
    • (17 jobs)
    As a skilled medical billing individual with extensive experience. Proud my-self on contributing to the provision of quality healthcare by working to obtain payments and reimbursements in a timely manner. Having a strategic and a broader understanding of the areas outside of billing and collections is important. Getting the bill out and collecting it are critical, but so are having the analytics in place to ensure you are collecting what you're supposed to collect, making sure contracts are paid at the level they're supposed to be paid, and ensuring that coding is accurate so it won't be denied later. In addition to being highly organized, work well with others. Duties have included communicating with insurance company representatives about potentially problematic claims and working out solutions with providers, insurers, and patients. Also worked with patients to create payment plans for the portions of their bills that are not covered by insurance. ICD-10, CPT-10, & Medical Terminology Specialty in Eligibility and Benefits Verification PRE-AUTHORIZATION Medical Insurance Credentialing of Clients Various Practice Management Software Claim Entry & Payment Posting Denial Management Records Organization& Management Insurance & Patient Aging HIPAA Compliance Online Claim Submission
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Transcription
    Administrative Support
    Project Scheduling
    Medical Condition Coding
    Medical Billing & Coding
    ESL Teaching
    Insurance Policy Analysis
    Medical Records Research
    Electronic Medical Record
    Account Reconciliation
    Customer Service
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Microsoft Office
    Data Entry
  • $18 hourly

    • 4.8/5
    • (19 jobs)
    🌟 Top-Rated Freelancer on Upwork: Exceptional Medical Billing Manager 🌟 Hello! I am a top-rated medical biller with over a decade of hands-on experience in the healthcare industry. My expertise spans across medical billing, insurance claims, patient billing, and revenue cycle management. Why Hire Me: HIPAA Compliant: Your data's safety is my priority. I adhere strictly to HIPAA guidelines to ensure all patient information is secure. Revenue Cycle Management: Proficient in end-to-end revenue cycle management, from patient check-in to the final payment. High Accuracy: Detail-oriented and committed to accuracy, reducing denials and speeding up the payment process. Time-Saver: Skilled in using leading medical billing software like Officeally, Dr. Chrono, and Chirotouch, I optimize the billing cycle and save you time and money. Excellent Communication: Fluent in English and proficient in maintaining clear and open communication with healthcare providers and insurance companies. Services Offered: Medical Billing Management Insurance Claim Submission Accounts Receivable Management Patient Billing Payment Posting Revenue Cycle Consultation Denial Management Tools I Use: Officeally/Practicemate Chirotouch Dr. Chrono Platinum KIPU PtEverywhere Eclinical Brightree I'm committed to offering the highest quality medical billing services that help you focus on patient care while optimizing revenue. Let's talk about how I can make your practice more efficient and profitable!
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Medical Informatics
    Medical Records Software
    Medical Terminology
    Medical Records
    Medical Report
    Healthcare Common Procedure Coding System
    Healthcare
    Medical Transcription
    Electronic Medical Record
    Medical Billing & Coding
    Medical Mastermind Medical Billing Services
    Medical Records Research
    Management Skills
    Medical Billing
    HIPAA
  • $13 hourly

    • 4.5/5
    • (9 jobs)
    I have more than 10 years' experience working as a virtual medical scribe/assistant. My main role is handling all electronic medical records and clinical charting off-site, allowing physicians to focus on in-person patient care. I also do other tasks including setting patient appointments, answering voicemails, helping with medication refills through the EHR, and calling pharmacies and insurances. I also have experience working as a Medical Biller and Medical Transcriptionist. The key strengths that I possess include having a great command of the English language, having great attention to detail, being a fast typist, being tech-savvy, and having the ability to work under pressure and think critically. Specialization: ✅ Gaps in Care for BCBS, UHC, Medicare ✅ Chart/Notes Reviewing in EHR ✅ Medical Billing ✅ MU/MIPS Report/Submission ✅ Quality/PQRS Submission ✅ Medical Billing ✅ HEDIS Measures Submission ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Data Entry ✅ Medical Transcription Tools: ✅ Excellent Typing skill (35-50wpm). ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. ✅ Dropbox. ✅ Basecamp. Job Responsibilities:  Patient Registration/demographics/insurance information  Checking patient eligibility and benefits verifications  Creating and submitting clean claims to insurance companies.  Obtaining prior and retro authorizations for services  Payments posting from ERA/EOB/websites and also patient payments.  Denials management  Aging report/Follow-up/Appeals  Customer services and administrative assistance.  Handling patient calls regarding payments and billing records  Sending invoices to different offices and clients.  EDI 835/837 enrollment Specialties I have been working for are as follow:  Urgent care  General Pediatric  Chiropractic  Physical Therapy  Psychiatric  Mental Health  Home healthcare  Family practice  Internal medicine  Cardiology  Radiology  Oncology  Pain Care  Pain Management EHR/EMRs  Practice Fusion  Kareo EHR  AdvanceMD EHR  WebPT  eCW  Carecloud  talkEHR  SequelMed EHR  PracticeEHR Insurance web portals that I have used:  CGS(Medicare)  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  Health First Core Skills and Competencies  ICD-10 codes  CPT codes  HCPCS codes  Medical Terminology  Medicare and Medicaid Guidelines  Knowledge of Payer Reimbursement Characteristics and Billing Policies  Medical Documentation review and Auditing  Daily/Weekly/Monthly/Quarterly Reconciliation
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    File Maintenance
    Customer Service
    Virtual Assistance
    Document Review
    Medical Billing & Coding
    Electronic Medical Record
    Medical Condition Coding
    Revenue Management
    Medical Procedure Coding
    Medical Mastermind Medical Billing Services
    Administrative Support
    Medical Report
    Microsoft Excel
    Data Entry
  • $30 hourly

    • 5.0/5
    • (4 jobs)
    Need assistance with you’re A/R? I have extensive experience in all aspects of medical billing. In addition, I provide outstanding customer service and professional telephone advice to patients, physician clients, and insurance company representatives. I also have experience with insurance credentialing. I have experience billing the following specialties; family practice, internal medicine, obstetrics, gynecology, behavioral health and DMEPOS (prosthetics and orthotics). Please feel free to contact me so we can discuss how I may be of assistance to you.
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Phone Communication
    Accounts Receivable
    Email Communication
    Medical Procedure Coding
    Data Entry
    Medical Records Software
    Accounts Receivable Management
    Virtual Assistance
    Electronic Medical Record
    Microsoft Word
    Medical Billing & Coding
    Google Docs
    Administrative Support
    Microsoft Excel
    Payment Processing
  • $12 hourly

    • 4.9/5
    • (8 jobs)
    Hello and welcome to my profile! I am a HIPAA-certified medical biller with 6 years of experience in the healthcare industry. I have a deep understanding of medical billing codes, insurance regulations, and reimbursement procedures, which allows me to ensure that medical claims are accurately and efficiently processed. Experience with the following: ✅ Medical Billing ✅ Verification of Benefits ✅ Insurance Verification ✅ Posting insurance and patient payments/EFT's ✅ Insurance claims follow up ✅ Appointment Setter/Scheduler ✅ Chat/Email Support ✅ Aging report/Follow-up/Appeals ✅ Handling patient calls regarding payments and billing records ✅ Denials management ✅ Patient statements and collection procedures ✅ Data Entry Tools: ✅ Excellent Typing skill ✅ MS Office. ✅ Microsoft Excel. ✅ Google Docs. ✅ Google Spreadsheet. Specialties I have experience in:  Mental health  Internal Medicine  Chiropractic  Psychiatry  Home healthcare (CCM, RPM, and HHC)  Family practice  Internal medicine  Cardiology  Radiology  Pain care  Pain management Medical billing software I am proficient in:  TherapyNotes  SimplePractice  TherapyMate  Doctor.com  Officeally  QuickPractice  ECW  Collaborate  MobileMediclaim Clearing houses I have experience using:  Trizetto  Availity  ClaimMD  Zermid EHR/EMRs I am familiar with:  Practice Fusion  Kareo EHR  AdvanceMD EHR Insurance web portals I have used:  CGS (Medicare)  WPS (Medicare)  Palmetto GBA (Medicare)  Noridian (Medicare)  Novitas (Medicare)  Navinet  Availity  UHC  Cigna  Optum  Payspan  Humana  Molina Healthcare & many more. Please message me to see how I can help reduce your patient and insurance AR and better your billing practices! Thank You!
    vsuc_fltilesrefresh_TrophyIcon Medical Billing and Coding
    Administrative Support
    HIPAA
    Mental Health
    Revenue Cycle Management
    ICD Coding
    Typing
    Electronic Medical Record
    Medical Mastermind Medical Billing Services
    Medical Procedure Coding
    Customer Support
    Payment Processing
    Medical Records Software
    Scheduling
    Data Entry
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At A Glance: Medical Billing & Coding

The healthcare industry is one of the largest and fastest-growing in the world. Healthcare services are being provided to an ever increasing number of people through social programs and health insurance providers. These programs interact with doctors, clinics, and other healthcare providers to help pay for or subsidize the costs of patient procedures. Such procedures can involve dozens of people, from insurance agents to hospital administrators, and can intersect with many different local and national laws.To help manage and organize all this information, a system of codes has been developed to organize and abstract all the procedures a patient can receive so insurance agents and patients know what they’re being charged for, and other medical professionals can proceed with billing and collections on those services. A medical billing and coding specialist is a vital part of the healthcare business if you’re performing any complex health services.

A medical coding specialist is a healthcare professional with experience and knowledge regarding the different medical code standards, such as CPT, ICD-9, and HCPCS, which help categorize and price medical procedures. Procedures that range from eye examinations to heart surgery are pulled from transcribed medical records, coded, and sent to a medical billing expert. Although medical coding and medical billing are different tasks, they can often be carried out by the same person, especially in smaller healthcare environments. A medical billing specialist is responsible for organizing the coded procedures and billing the various parties correctly. Together, a medical billing and coding pro is primarily responsible for making sure your business and operation can smoothly handle all financial accounts.

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