You will get Medical Billing and Revenue Cycle Management Services
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Top Rated
Project details
As a Medical Billing Specialist, I help improve your practice’s workflow and optimize your revenue cycle. I handle patient registration, insurance verification, pre-authorization, charge posting, and review of valid HCPCS, ICD-9/10, and modifiers. I manage claim denials, clearinghouse reports, payment posting, and accounts receivable follow-up to keep your payments flowing smoothly. I also manage appeals, collections, refunds, and overpayments, as well as scheduling new patients. In addition, I offer credentialing and enrollment services, including CAQH profile management, payer enrollment (Medicare, Medicaid, BCBS, and commercial payers), provider participation verification, and contract review. My goal is to help your practice run efficiently while ensuring compliance and maximizing revenue. Let’s work together to streamline your billing and achieve financial success.
Purpose
BusinessIndustry
Financial Services, Medical & PharmaceuticalLanguage
EnglishWhat's included
| Service Tiers |
Starter
$600
|
Standard
$1,200
|
Advanced
$2,400
|
|---|---|---|---|
| Delivery Time | 5 days | 10 days | 30 days |
Number of Revisions | 1 | 2 | 2 |
Number of Hours of Work | 40 | 80 | 160 |
Basic Photo Editing | - | - | - |
Organize & Classify/Tag Files | - | - | - |
Formatting & Clean Up | - | - | - |
Project Management Support | |||
Travel Planning | - | - | - |
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About Raamish
Medical Billing & Credentialing Expert | RCM, Insurance Verification
100%
Job Success
Chicago, United States - 12:07 pm local time
Medical Billing Services:
Patient registration and demographics entry
Insurance eligibility and benefits verification
Pre-authorization request and follow-up
Charge entry and superbill review
ICD-10, CPT, HCPCS code validation and modifier usage
Scrubbing and submission of electronic and paper claims
Rejected claims correction and resubmission
Clearinghouse reports review and reconciliation
EOB and ERA research via insurance websites and batch systems
Insurance and patient payment posting
Denial management and AR follow-up (calls, portals, and appeals)
Refunds, collections, and overpayment resolution
Patient billing and follow-up communication
Appointment scheduling and calendar updates
Customized and standard financial reporting
Accounts Receivable (AR) Follow-Up:
• Prioritize and resolve unpaid claims based on aging and payer response
• Contact insurance companies via calls and portals to determine claim status
• Coordinate reprocessing and appeals for denied or underpaid claims
• Evaluate patient insurance details and update records accordingly
• Transfer balances when coverage is insufficient
• Track and request missing Explanation of Benefits (EOBs)
• Implement corrections based on feedback from insurance representatives
Credentialing and Provider Enrollment:
• Primary source verification
• CAQH profile setup and maintenance
• PECOS and NPPES enrollments and updates
• Filing and submitting applications to Medicare, Medicaid, and commercial payers
• Re-credentialing and revalidation for existing providers
• License verification through state authority portals
• Contract evaluations and payer negotiations
• Payer grid maintenance and login management
• Status follow-ups and credentialing record-keeping
• Form submission and tracking for Aetna, Cigna, Humana, UHC, BCBS, Anthem, and others
Medical Specialties Supported:
• Internal Medicine
• Family Practice
• Pediatrics
• Psychiatry & Mental Health
• Chiropractic
• Urology
• Pain Management
• Physical Therapy
• DME
• General Surgery
• Behavioral Health
• Gynecology & Obstetrics
• Orthopedics
• Radiology
• Cardiology
• Emergency Medicine
• Telehealth and Virtual Care
• Pathology
• Endocrinology
• Anesthesiology
• Dermatology
• Gastroenterology
• Neurology
• ENT
• Ophthalmology
• Rheumatology
• And more
EHR, PMS & Clearinghouse Experience:
• Tebra (Kareo), AdvancedMD, AthenaHealth
• ECW, CareCloud, SimplePractice
• Practice Fusion, DrChrono, Office Ally
• IntakeQ, MDVision
• CollaborateMD, Medisoft, e-MED, RXNT
• Allscripts, NextGen, Centricity, Synamed
• Trizetto, ClaimMD, Waystar, Availity
• Change Healthcare, GatewayEDI, Apex, Zirmed, Optum EDI
I work with providers across multiple U.S. states and ensure that each project receives full dedication, accuracy, and timely delivery. My commitment is to offer reliable solutions that improve operational efficiency and increase your revenue.
Best regards,
Raamish
Steps for completing your project
After purchasing the project, send requirements so Raamish can start the project.
Delivery time starts when Raamish receives requirements from you.
Raamish works on your project following the steps below.
Revisions may occur after the delivery date.
Project Kickoff & Requirements Review
I review all client-provided materials, including provider information, practice details, and insurance participation requirements. I ensure that all necessary information is collected for an efficient billing setup and credentialing process.