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I will do US medical billing, prior authorization, and cpt icd10 coding
Medical Billing Specialist and Prior Authorization
Are claim denials and delayed prior authorizations hurting your practice cash flow?
As a Clinical Pharmacist (PharmD) specializing in US Medical Billing, Prior Authorization, and RCM, I bring clinica...
About this Gig
Are rejected claims, stuck prior authorizations, and delayed insurance payouts affecting your practice revenue?
As a Clinical Pharmacist (PharmD) specializing in US Medical Billing, Prior Authorization, and Revenue Cycle Management (RCM), I deliver clinical accuracy to your practice administration. Speaking the language of medicine ensures proper coding, eliminates errors, and accelerates reimbursements.
Services I Provide:
- Medical Prior Authorization (Prescriptions, Specialty Drugs & DME)
- Accurate Claims Submission (CMS-1500) & Verification
- Claim Denial Management & Accounts Receivable (AR) Follow-up
- Comprehensive Medical Coding Review (ICD-10-CM, CPT, HCPCS)
- Payment Posting & EOB / ERA Reconciliation
Software Expertise:
Kareo (Tebra), Practice Fusion, AdvancedMD, Availity, CoverMyMeds, and major payer portals (Optum, UHC, BCBS).
Why Choose My Service?
Unlike general virtual assistants, my clinical background gives me an in-depth understanding of medical necessity criteria and specialty drug guidelines, yielding a 95%+ first-pass clean claim rate.
Contact me today to streamline your revenue cycle!
Purpose:
Business
Work model:
Project-based
•
Daily
•
Weekly assistance
FAQ
How do you ensure HIPAA compliance and data security?
I strictly follow HIPAA regulations. All patient data, PHI, and credentials are processed using encrypted tools, secure VPNs, and direct EHR portal access provided by your practice without storing local files.
Which EHR and billing software do you work with?
I am experienced with Kareo (Tebra), Practice Fusion, AdvancedMD, eClinicalWorks, Availity, CoverMyMeds, and major insurance payer portals (Optum, UHC, BCBS).
How does your PharmD background help my practice?
Clinical knowledge allows me to handle complex drug prior authorizations, understand medical necessity guidelines, and correct CPT/ICD-10 coding mismatches that cause claims denials.
