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I will do medical billing rcm for dme cpap and lab in advancedmd kareo tebra
Medical Billing RCM Specialist denial management and AR follow up
Senior Medical Billing & RCM Expert with 5+ years of experience managing complete revenue cycle operations from patient intake to final payment across simple and complex medical specialties.
✦ Front ...
About this Gig
Stop losing revenue to clearinghouse rejections and unworked denials!
Managing RCM for DME, CPAP/Sleep Therapy, and Lab/Toxicology requires specialized expertise. A single missed modifier or Certificate of Medical Necessity (CMN) stops your cash flow instantly.
As a Senior RCM Expert with 5+ years of experience, I manage complete revenue cycles from patient intake to final payment. I eliminate administrative errors to maintain a 98% clean claim rate.
Software Expertise
- AdvancedMD / CollaborateMD
- Kareo / Tebra / SimplePractice
- Brightree (DME specific)
- Availity, Waystar, & Change Healthcare
Full-Cycle RCM Solutions
- Front-End: Eligibility audits, prior authorizations, and strict CMN tracking.
- Mid-Cycle: Accurate CPT/ICD-10/HCPCS coding and expert modifier application (RR rentals, NU new purchases, lab split-billing).
- Back-End: ERA/EOB posting, rapid denial root-cause analysis, formal appeals, and aggressive AR cleanup (30/60/90/120+ days).
I operate as your compliant, HIPAA-aligned healthcare partner. Please message me to discuss your volume and software before ordering!
My Portfolio
FAQ
Can you handle the specific documentation rules required for DME and CPAP billing?
Yes. DME and CPAP billing require strict adherence to medical necessity guidelines. I review face-to-face physician documentation, Sleep Study (PSG) reports, and Certificates of Medical Necessity (CMNs) before submission. I ensure appropriate HCPCS codes and modifiers (such as KX, RR, or NU) are acc
How do you manage high-volume billing for clinical and toxicology laboratories?
Laboratory billing demands precise panel coding and a clear understanding of payer coverage policies. I audit claims for appropriate CPT combinations, prevent unbundling issues, monitor reference lab billing compliance, and manage strict prior authorization requirements for molecular, pathology, or
Which medical billing software platforms are you most proficient with?
I am highly proficient in the industry's leading platforms, including SimplePractice, AdvancedMD, Kareo/Tebra, CollaborateMD, and Brightree. If your practice uses a different specialized system or an integrated EHR/EMR, I can adapt to your software stack immediately.
How do you address outstanding accounts receivable (AR) and legacy denials?
I run a structured aging analysis (30/60/90/120+ days) to identify outstanding claims. Denials are categorized by their root cause—such as eligibility issues, missing authorizations, or coding errors—and addressed through targeted appeals or corrected claims to secure proper underpayment recovery.
Is your medical billing process fully HIPAA compliant?
Yes, data security and compliance are central to my operations. All front-end, mid-cycle, and back-end revenue cycle tasks are executed using secure, encrypted connections within your existing EHR/billing platform, fully adhering to HIPAA privacy and security regulations.
