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$
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I will do insurance eligibility, verification and prior authorization
US Medical Billing, RCM Specialist and Credentialing Expert
I help US healthcare providers recover revenue, eliminate denials, and get credentialed with insurance payers fast.
I am a US medical billing and RCM specialist with hands on experience in:
✔ Medica...
Level 1
Has met certain performance criteria and shows strong potential in the marketplace.
About this Gig
Are front-end errors costing your practice revenue? Up to 80% of denials happen before the patient is seen.
As a Senior RCM Expert with 8+ years of experience, I specialize in front-end prevention. I help clinics, mental health practices, and imaging centers ensure claims are verified and authorized before service.
️ My Services Include:
- Real Time Insurance Eligibility Verification & Benefit Checks (copay, deductible, coinsurance)
- Prior Authorization (PA) initiation & tracking
- Medical Necessity reviews (LCD/NCD)
- Referral verification to prevent auto-denials
Specialties: Mental Health, ABA, Radiology, Primary Care, DME, & Multi-Specialty.
Why Partner With Me?
- Senior-level payer guideline expertise
- Strict HIPAA compliance (BAA available)
- Proactive communication to secure upfront collections
Every practice is unique. Message me before ordering to discuss your EHR/PM system (Athena, Kareo, NextGen) and volume needs. Lets build a bulletproof front-end process. Click "Contact Me" today!
Purpose:
Personal
My Portfolio
FAQ
Are you HIPAA compliant?
es. I adhere to strict HIPAA guidelines for handling all Protected Health Information (PHI). I am happy to sign a Business Associate Agreement (BAA) prior to starting work to ensure your practice remains fully compliant.
What information do you need from me to start?
To perform accurate verification and authorizations, I need: Patient Name & DOB, Insurance Card (front/back), scheduled CPT/HCPCS codes, corresponding ICD-10 diagnosis codes, and the rendering provider’s NPI.
Do you guarantee that the prior authorization will be approved?
I ensure all submissions are clinically accurate, complete, and aligned with payer medical necessity guidelines to maximize approval chances. However, the final determination always rests with the insurance payer.
Can you work directly in my EHR or Practice Management system?
Yes. I am experienced with major platforms including Athenahealth, Kareo, AdvancedMD, NextGen, ModMed, and eClinicalWorks. Please message me to confirm compatibility with your specific software.
Do you handle denial appeals if a claim is still denied later?
This gig focuses strictly on front-end prevention. However, I do offer back-end denial management and AR follow-up as a separate service. Message me, and we can discuss a comprehensive RCM solution.
