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$
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I will handle your dme billing, prior authorization and whole rcm
About this Gig
As an experienced DME Medical Billing Specialist, I help Durable Medical Equipment providers, orthotics/prosthetics suppliers, and medical practices streamline their billing workflow and maximize reimbursement.
My DME Billing Services Include:
- Patient Eligibility & Benefits Verification: Medicare, Medicaid, and Commercial Payers.
- Prior Authorization Management: Obtaining CMNs (Certificate of Medical Necessity) and DIFs.
- HCPCS & ICD-10 Coding: Accurate modifier usage (e.g., RR, NU, UE, KX, GA).
- Electronic Claim Submission: Clearinghouse filing via Brightree, Kareo, WebPT, or your EHR.
- Denial & AR Management: Timely appeal filing and unpaid claim follow-up.
DME Software Experience: Brightree, Kareo, AdvancedMD, Availity, Medicare HETW, and Office Ally
Purpose:
Business
Work model:
Monthly retainer
FAQ
Do you comply with HIPAA regulations?
Yes, I strictly adhere to HIPAA standards for data protection and confidentiality. All patient information is handled securely.
What is your process for managing claim denials and rejections?
I analyze denial reason codes, correct coding or documentation errors, gather necessary clinical notes from the physician, and resubmit corrected claims or formal appeals promptly.
Do you offer long-term or ongoing monthly billing services?
Yes. For providers looking for continuous revenue cycle management, I can create a tailored custom offer based on your monthly claim volume or work on a dedicated hourly rate.
What information do you need from me to start working on a project?
I will need access to your billing software or portal, patient demographic/insurance details, physician orders, prescription documents, and relevant clinical documentation.
