Medicare Claims Submission & Appeals Support
Budget: $2 – $8 USD
I need an experienced medical biller who can take complete ownership of my Medicare / Medicaid insurance claims. Your role will focus solely on the insurance side—no patient statements or front-desk billing—so you should already be comfortable navigating CMS regulations and the full life-cycle of a claim.
Day-to-day you will:
• Prepare and submit Medicare/Medicaid claims accurately (CMS-1500 or UB-04 as required)
• Track each submission through remittance, posting, and denial review
• Pursue timely follow-ups and lodge well-documented appeals when needed
• Perform a coding and compliance check before every submission, verifying ICD-10, CPT, and HCPCS selections against NCCI edits and payer guidelines
Acceptance criteria:
• Clean claim rate consistently above 95 %
• All denials addressed or appealed within 5 business days of receipt
• Detailed activity log available in my billing software (or secure spreadsheet) for every claim touched
If you work comfortably with popular EHR/billing platforms such as Kareo, AdvancedMD, or Office Ally, that’s a plus, but I’m open as long as you can deliver the metrics above. Let me know your turnaround time per claim batch and the main tools you prefer to use.
Day-to-day you will:
• Prepare and submit Medicare/Medicaid claims accurately (CMS-1500 or UB-04 as required)
• Track each submission through remittance, posting, and denial review
• Pursue timely follow-ups and lodge well-documented appeals when needed
• Perform a coding and compliance check before every submission, verifying ICD-10, CPT, and HCPCS selections against NCCI edits and payer guidelines
Acceptance criteria:
• Clean claim rate consistently above 95 %
• All denials addressed or appealed within 5 business days of receipt
• Detailed activity log available in my billing software (or secure spreadsheet) for every claim touched
If you work comfortably with popular EHR/billing platforms such as Kareo, AdvancedMD, or Office Ally, that’s a plus, but I’m open as long as you can deliver the metrics above. Let me know your turnaround time per claim batch and the main tools you prefer to use.