You will get Remote Medical Claims & Appeals Review
Project details
Need help sorting through complex medical claims, appeal or provider credentialing issues? I'm a DoD-cleared healthcare operations professional with 10+ years of experience in TRICARE, Medicare, Medicaid, and commercial health plan compliance. I've lead daily appeals operations for Humana, supported system implementation at Vanderbilt and Mayo Clinic, and now support Humana Military as a Provider Operations Liaison under the Department of Defense. I specialize in:
Claims review and documentation for Medicare, Medicaid and TRICARE
Expedited or Standard Appeals Documentation and Case Resolution
Denial Management and Compliance Checks
Provider Support and Portal Troubleshooting
Credentialing Verification and On boarding
EHR/EMR Documentation and System audit Prep
I provide fast, secure and detail-oriented service. Whether you're a health system, startup, or payer-I'll help you get things right the first time. Let's streamline your process and protect your bottom line.
Claims review and documentation for Medicare, Medicaid and TRICARE
Expedited or Standard Appeals Documentation and Case Resolution
Denial Management and Compliance Checks
Provider Support and Portal Troubleshooting
Credentialing Verification and On boarding
EHR/EMR Documentation and System audit Prep
I provide fast, secure and detail-oriented service. Whether you're a health system, startup, or payer-I'll help you get things right the first time. Let's streamline your process and protect your bottom line.
Data Entry Type
Error Detection, Online ResearchData Entry Tool
Google Docs, Google Sheets, Microsoft Excel, Microsoft WordWhat's included
| Service Tiers |
Starter
$150
|
Standard
$300
|
Advanced
$500
|
|---|---|---|---|
| Delivery Time | 3 days | 5 days | 7 days |
Number of Revisions | 1 | 2 | 50 |
Formatting & Clean Up | - | ||
Graph & Table Creation |
Optional add-ons
You can add these on the next page.
Fast Delivery
+$50 - $100
Additional Revision
+$10
Credentialing Services
+$75
Additional Claim/Medical Records Review
+$10
Certification Services
+$75About Chequieta
Healthcare Operations | Medical Compliance & Appeals Consultant
Goldsboro, United States - 4:31 pm local time
Here’s how I can support your organization:
• Medical Claims Review & Appeals Support
• TRICARE, CMS, and Medicare Compliance Consulting
• Credentialing & Provider Onboarding Assistance
• EHR / EMR Workflow Optimization (EPIC, CGX, MEDHOK)
• Medical Writing, Training Materials & SOP Development
I’ve led teams handling over 500 expedited appeals per day and am highly proficient in platforms like SQL, Power BI, Macess, Provider360, SharePoint, and more.
If you’re a healthcare organization, startup, or provider network in need of reliable, mission-ready support—I’m here to help. Let’s connect and get to work.
Steps for completing your project
After purchasing the project, send requirements so Chequieta can start the project.
Delivery time starts when Chequieta receives requirements from you.
Chequieta works on your project following the steps below.
Revisions may occur after the delivery date.
Submitting Correspondence for Review Request
Ensure the Subject States: "Claim/Appeal Review Requested//NPI No.//Tin No."
Details Required for Service(s) Requested
Body of Email: Please Provide Provider Identifying Information, Claim(s) Data, Locations, Private Insurance Information, Medicare/Medicaid Information, NPI No., TIN No., and Claim(s)/Authorization Number(s) Listed in Excel-if over ten