Primary Care Billing & Coding
Budget: $8 – $15 USD
I run a small primary-care practice and I’m ready to hand off a large portion of our revenue-cycle workload. The immediate priorities are:
• Preparing and submitting insurance claims accurately the first time
• Managing patient billing end-to-end – statements, payment posting, and account reconciliation
• Coding every encounter and procedure with the correct HCPCS codes, in line with current payer policies
After claims go out, I also need you to stay on top of follow-ups, work every denial, and resubmit or appeal where appropriate until the balance is closed. Strong familiarity with HIPAA rules, payor portals, and clearing-house software will be essential so nothing slips through the cracks.
Please outline the platforms you already use (e.g., OptiMantra, Availity, Office Ally, or similar) and the average first-pass acceptance rate you currently achieve. I’d like to start with a short trial batch of charts; if the numbers look good, we can expand to the full schedule.
• Preparing and submitting insurance claims accurately the first time
• Managing patient billing end-to-end – statements, payment posting, and account reconciliation
• Coding every encounter and procedure with the correct HCPCS codes, in line with current payer policies
After claims go out, I also need you to stay on top of follow-ups, work every denial, and resubmit or appeal where appropriate until the balance is closed. Strong familiarity with HIPAA rules, payor portals, and clearing-house software will be essential so nothing slips through the cracks.
Please outline the platforms you already use (e.g., OptiMantra, Availity, Office Ally, or similar) and the average first-pass acceptance rate you currently achieve. I’d like to start with a short trial batch of charts; if the numbers look good, we can expand to the full schedule.