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I will analyse denial trends and provide an action plan
Medical Billing, Credentialing and Revenue Cycle Management Specialist
I am a healthcare revenue cycle management professional with over 22 years of experience supporting medical practices, physicians, behavioral health providers, and healthcare organizations across the ...
About this Gig
I will analyze denied claims, identify root causes, prepare appeals, and provide actionable recommendations to improve collections, reduce denials, and optimize revenue cycle performance. My services include denial trend analysis, AR reporting, KPI reviews, and healthcare project management support.
Additional experience includes provider credentialing, recredentialing, EFT/ERA enrollment, charge entry, payment posting, and revenue cycle operations management.
Domain:
Business
Industry:
Business services & consulting
Language:
English
•
Tamil
FAQ
What information do you need to start?
I will need denial reports, AR reports, claim details, payer information, and any supporting documentation relevant to the project.
Do you work with all medical specialties?
Yes, I have experience supporting multiple specialties and payer types across the US healthcare system.
Can you prepare appeal letters?
Yes. I can review denied claims, identify the root cause, and prepare appeal recommendations and appeal letters.
Will you work directly in our billing software?
Yes, if secure access is provided. I can also work from exported reports and spreadsheets.
Do you sign HIPAA and NDA agreements?
Yes. I understand the importance of confidentiality and can work under HIPAA-compliant and NDA requirements.
Can you create KPI and performance reports?
Yes. I can create customized reports, dashboards, and trend analyses for revenue cycle management performance.
Is the listed price for a one-time project or ongoing support?
The listed package prices are for one-time projects. Ongoing support and monthly engagements are priced separately based on workload and scope.
Do you provide credentialing and recredentialing services?
Yes. I assist with provider credentialing, recredentialing, Medicare enrollment, Medicaid enrollment, commercial payer enrollment, CAQH maintenance, and EFT/ERA enrollment.
Do you offer charge entry services?
Yes. I can support charge entry, claim review, claim corrections, and billing workflow optimization.
Do you provide payment posting services?
Yes. I can assist with ERA posting, manual EOB posting, reconciliation, and payment analysis.
