You will get Medical Insurance Eligibility and Verification for Healthcare Practices
Project details
**ACCURATE INSURANCE VERIFICATION**
I'm a Certified Revenue Cycle Professional (CRCP) with 23 years of experience in medical billing and revenue cycle management, specializing in insurance eligibility verification to prevent claim denials before submission.
**WHAT I OFFER:**
✓ Complete eligibility verification (active/inactive status)
✓ Detailed benefits breakdown (deductible, copay, coinsurance, OOP max)
✓ Prior authorization & referral requirements
✓ Coverage limitations and exclusions
✓ Clear documentation for immediate use
**TURNAROUND TIME:** Standard within 24 hours, with same-day options available.
**WHY WORK WITH ME:**
→ Expert in Medicare, Medicaid, & commercial payers
→ Documentation designed for real-world staff use
**IDEAL FOR:**
• Medical practices and clinics
• Billing departments
• Front-office & scheduling teams
• Practices with high-deductible plans
**COMMON SCENARIOS:**
→ Pre-appointment eligibility checks
→ Surgery/procedure benefit verification
→ High-dollar service coverage confirmation
I’m new to Upwork and offering competitive pricing!
**QUESTIONS?**
Message me so we can discuss your needs and payer verification.
I'm a Certified Revenue Cycle Professional (CRCP) with 23 years of experience in medical billing and revenue cycle management, specializing in insurance eligibility verification to prevent claim denials before submission.
**WHAT I OFFER:**
✓ Complete eligibility verification (active/inactive status)
✓ Detailed benefits breakdown (deductible, copay, coinsurance, OOP max)
✓ Prior authorization & referral requirements
✓ Coverage limitations and exclusions
✓ Clear documentation for immediate use
**TURNAROUND TIME:** Standard within 24 hours, with same-day options available.
**WHY WORK WITH ME:**
→ Expert in Medicare, Medicaid, & commercial payers
→ Documentation designed for real-world staff use
**IDEAL FOR:**
• Medical practices and clinics
• Billing departments
• Front-office & scheduling teams
• Practices with high-deductible plans
**COMMON SCENARIOS:**
→ Pre-appointment eligibility checks
→ Surgery/procedure benefit verification
→ High-dollar service coverage confirmation
I’m new to Upwork and offering competitive pricing!
**QUESTIONS?**
Message me so we can discuss your needs and payer verification.
Purpose
BusinessIndustry
Business Services & Consulting, Medical & PharmaceuticalLanguage
EnglishWhat's included
| Service Tiers |
Starter
$15
|
Standard
$50
|
Advanced
$99
|
|---|---|---|---|
| Delivery Time | 1 day | 2 days | 2 days |
Optional add-ons
You can add these on the next page.
Same-Day Turnaround
+$15
Detailed Benefits Breakdown
+$20
Prior Authorization Status Check
+$25Frequently asked questions
About Marketta
U.S.-Based Revenue Cycle & Medical Billing Specialist | Denials Mgmt
Smithfield, United States - 4:51 pm local time
With 15+ years in medical billing and revenue cycle management — including experience as a Business Office Manager — I specialize in identifying underpayments, downcoding triggers, documentation gaps, and workflow issues that impact cash flow.
Expertise includes:
✓ Medical claim appeal letter writing (all denial types)
✓ Denial analysis and appeal preparation
✓ A/R cleanup and 90+ day recovery
✓ CPT/ICD-10 accuracy and documentation alignment
✓ EOB and remittance review for compliance
✓ Revenue cycle optimization and workflow improvements
✓ Payer policy review across Medicare, Medicaid, and commercial plans
Who I help:
• Individuals facing denied medical claims
• Families managing complex bills
• Healthcare practices are overwhelmed with aged A/R
• Providers needing expert insight into payer behavior
Results I've delivered for clients:
- Recovered $85K+ in denied claims through successful appeals
- Reduced A/R over 90 days by 70% through systematic denial resolution
- Identified $50K+ in underpayments through coding and billing audits
- Improved clean claim rates from 75% to 95% through process optimization
What you can expect:
Clear, professional communication
Accurate, compliant, well-structured documents
Appeals written specifically for your situation (no templates)
A factual, evidence-based approach grounded in RCM expertise
I provide detailed analysis, clear findings, and actionable recommendations that help practices fix root-cause issues and increase clean claims.
Available for:
- Appeal letter writing (single or bulk, 24-48 hour turnaround)
- Denial backlog analysis and recovery projects
- Billing accuracy reviews and A/R cleanup
- Ongoing revenue cycle consulting
Fast response time. Most projects started within 24 hours.
Steps for completing your project
After purchasing the project, send requirements so Marketta can start the project.
Delivery time starts when Marketta receives requirements from you.
Marketta works on your project following the steps below.
Revisions may occur after the delivery date.
Review provided information
I review patient, insurance, and service details for accuracy before verification.
Verify eligibility and benefits
I confirm active coverage and applicable eligibility details with the payer.