I will handle medical billing, coding, insurance claims, and ar management
Medical Billing and Denials Follow up
About this Gig
Stop losing revenue to claim denials! I'm HIPAA-Certified Medical Billing & Credentialing Expert with 7+ years of experience in Revenue Cycle Management (RCM). I help clinics and solo providers maximize collections and get paid faster.
Comprehensive RCM & Billing Services:
- Eligibility & VOBs: Real-time verification to stop front-end denials.
- Claims Management: Accurate CMS-1500 & UB-04 submissions.
- Denial Management: Expert analysis & aggressive appeals for rejected claims.
- A/R Follow-up: Strategic recovery of aging insurance balances.
- Payment Posting: Meticulous entry of ERAs & EOBs.
Credentialing & Enrollment:
- NPI, CAQH, & NPPES setup and maintenance.
- Payer Enrollment: Contracting with Medicare, Medicaid, BCBS, Optum, etc.
- EFT/ERA setup & demographic updates.
Software Expertise:
- Expert in Kareo, AdvancedMD, Athenahealth, SimplePractice, eClinicalWorks, CollaborateMD, DrChrono, & NextGen.
Specialties:
- Mental Health, Behavioral Health, PT/OT/ST, Chiropractic, Cardiology, Podiatry, & Primary Care.
Lets streamline your practice! Message me for a custom RCM audit today.
Purpose:
Business
Work model:
Project-based
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Daily
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Monthly retainer
FAQ
Is your service HIPAA compliant?
Yes. As a HIPAA-certified expert, I access your EHR via secure VPNs and encrypted connections. I never store PHI on local devices, ensuring your practice remains 100% secure and audit-ready.
How do you handle claim denials?
I perform a Root Cause Analysis on every rejection. I correct coding, eligibility, or documentation errors and file formal appeals or re-submissions within 24–48 hours to ensure you get paid.
Can you recover my old Aging AR?
Absolutely. I specialize in "cleaning up" 30/60/90+ day buckets. I systematically track down unpaid claims, resolve payer issues, and turn outstanding insurance balances into actual collections.
Which billing software do you use?
I am proficient in Kareo, AdvancedMD, Athenahealth, SimplePractice, eClinicalWorks, and Epic. I can work directly within your existing system using your provided credentials.
Do you offer Credentialing & Enrollment?
Absolutely. I am an expert in Telehealth RCM, ensuring the correct Place of Service (POS 02 or 10) and modifiers (95, GT, FQ) are used. I stay updated on the latest post-PHE (Public Health Emergency) regulations to prevent denials.
How do I send my billing data to you securely?
I typically work directly within your EHR/EMR system using a secure sub-account you create for me. For external documents, we can use HIPAA-compliant platforms like Citrix ShareFile, Google Workspace (BAA), or Microsoft 365 to ensure total data security.
