v
vipulmaghudiya2

Vipul

@vipulmaghudiya2

Medical Billing, Credentialing, Enrollment, AR, Clinic Setup

India
Hindi, Gujarati, Inglés
Parte de la información aparece en idioma inglés.
Sobre mí
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!... Lee más

Habilidades

v
vipulmaghudiya2
Vipul
desconectado • 
Tiempo medio de respuesta: 1 hora

Revisa mis servicios

Datos
I will be your expert medical biller and credentialing specialist
DeUSD 100 / proyectoMás información
Investigación web
I will be your rcm or credentialing specialist
DeUSD 30 / proyectoMás información

Porfolio

Experiencia laboral

Account Manager

Clinibooth Inc • Freelance

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 • Tiempo completo

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) • Tiempo completo

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.