Hourly Medical Billing Advocate / Healthcare Consultant (Healthshare & Oncology Cash Pay Expert)

I am a private individual seeking a highly specialized, independent Medical Billing Advocate or Healthcare Consultant on an hourly contractual basis to proactively manage the financial strategy and administrative execution of a high-dollar oncology treatment plan. I am a member of a non-traditional healthcare sharing ministry (Liberty HealthShare Unite), not standard commercial PPO/HMO insurance. I am facing a major urologic oncological surgery (radical nephrectomy) in July 2026, followed by a potential 12-month course of adjuvant immunotherapy (Keytruda/pembrolizumab) infusions starting in the fall. Because healthcare sharing ministries operate under rigid, rule-based sharing guidelines rather than state insurance mandates, I am exposed to significant balance-billing risks and administrative pre-notification hurdles. Scope of Work (Phased Hourly Execution): Phase 1 (Pre-Treatment Negotiation): Review the CPT/billing code blocks provided by my US oncology team (based out of a facility that accepts the broader MultiPlan network trunk but lists the PHCS subsidiary as out-of-network). Proactively negotiate single-case bundled pricing agreements or fixed cash rates using the active MultiPlan framework before treatment starts. Phase 2 (Healthshare Pre-Notification): Format, structure, and submit my oncology treatment plan directly to Liberty’s Oncology Treatment Plan Review system to secure explicit, written sharing eligibility upfront. Phase 3 (Ongoing Auditing & Appeals): If immunotherapy proceeds, perform rolling line-item audits of monthly facility infusion bills, manage electronic or manual submissions to the healthshare, track reimbursement cycles, and handle all coding dispute appeals directly with the hospital billing department and the healthshare. Phase 4 (International Option Contingency): Conduct targeted cost and compliance vetting if a portion of the care transitions to a cash-pay international oncology center, ensuring documentation aligns with healthshare cross-border requirements. Required Qualifications & Expert Criteria: Must have documented, verifiable experience successfully negotiating claims, single-case agreements, or pre-notifications specifically with Healthcare Sharing Ministries (e.g., Liberty HealthShare, Sedera, Medi-Share, CHM). Commercial PPO-only experience is insufficient. Deep expertise in the US healthcare revenue cycle, CPT/HCPCS coding modifiers, and facility vs. professional billing splits for high-cost oncology infusions. Strong preference for individuals holding credentials such as Board Certified Patient Advocate (BCPA), Certified Medical Claims Consultant (CMCC), or senior healthcare contract negotiators. Absolute transparency regarding hourly billing practices, with meticulous tracking of time spent. To Apply: Please reply with a brief summary of your direct experience dealing with healthsharing ministries or navigating complex out-of-network oncology claims. Please confirm your standard hourly rate. General, automated agency pitches will be immediately declined.