Comprehensive Medical Billing Support
Budget: $2 – $8 USD
I need a seasoned medical biller and A/R specialist who can step in and run our revenue cycle from start to finish. The immediate priority is flawless claim submissions—every inpatient, outpatient and specialty-service encounter has to leave our system clean, compliant and on schedule. From there, you will also keep insurance verification, denial management, claim follow-up, patient credentialing and payment posting moving smoothly so cash comes in without avoidable delays.
We already work with a specific billing platform; once we begin, I’ll give you full access and orientation, so prior experience adapting to established software is essential. Clearinghouses, payer portals and standard coding sets (ICD-10, CPT, HCPCS) should feel second nature to you.
Deliverables
• Timely, error-free electronic and paper claim submissions for all service lines
• Daily insurance eligibility checks with documentation of coverage nuances (copays, deductibles, auth requirements)
• Detailed denial tracking, root-cause analysis and corrected resubmissions within payer filing limits
• Proactive follow-up on outstanding A/R, documenting every touchpoint until payment posts
• Accurate payment posting and balancing against EOBs/ERAs, with discrepancies escalated the same day
• Up-to-date provider and facility credentialing files to avoid enrollment-related denials
Acceptance criteria
• Initial backlog cleared and current-day claims transmitted within the first two weeks
• Denial rate trending below 3 % by the end of month one
• Monthly A/R days reduced in line with targets we set together
If you have a track record of improving first-pass acceptance rates and shortening days in A/R—especially when the main focus is claim submissions—let’s talk.
We already work with a specific billing platform; once we begin, I’ll give you full access and orientation, so prior experience adapting to established software is essential. Clearinghouses, payer portals and standard coding sets (ICD-10, CPT, HCPCS) should feel second nature to you.
Deliverables
• Timely, error-free electronic and paper claim submissions for all service lines
• Daily insurance eligibility checks with documentation of coverage nuances (copays, deductibles, auth requirements)
• Detailed denial tracking, root-cause analysis and corrected resubmissions within payer filing limits
• Proactive follow-up on outstanding A/R, documenting every touchpoint until payment posts
• Accurate payment posting and balancing against EOBs/ERAs, with discrepancies escalated the same day
• Up-to-date provider and facility credentialing files to avoid enrollment-related denials
Acceptance criteria
• Initial backlog cleared and current-day claims transmitted within the first two weeks
• Denial rate trending below 3 % by the end of month one
• Monthly A/R days reduced in line with targets we set together
If you have a track record of improving first-pass acceptance rates and shortening days in A/R—especially when the main focus is claim submissions—let’s talk.