You will get Streamlining Medical Billing Processes for Enhanced Efficiency
Top Rated
Top Rated
Project details
Experience a streamlined medical billing process designed to boost your practice’s efficiency and financial health. I offer comprehensive billing and credentialing services that simplify administrative tasks, reduce claim denials, and optimize revenue. From patient registration, insurance verification, and pre-authorizations to accurate coding (HCPCS, ICD-9/10, and modifiers) and charge posting, I ensure clean claims and timely reimbursements. I handle payment posting, manage accounts receivable, tackle denials, and process appeals to keep your cash flow steady. Additionally, I oversee patient balances, refunds, and overpayments. I also provide credentialing services, including CAQH management, payer enrollments (Medicare, Medicaid, BCBS, and commercial payers), provider participation verification, and contract reviews. Let me help you achieve a smoother billing process, compliance, and maximized revenue—so you can focus on patient care with confidence.
Purpose
BusinessIndustry
Financial Services, Medical & PharmaceuticalLanguage
EnglishWhat's included
| Service Tiers |
Starter
$360
|
Standard
$600
|
Advanced
$1,200
|
|---|---|---|---|
| Delivery Time | 3 days | 5 days | 10 days |
Number of Revisions | 1 | 1 | 1 |
Number of Hours of Work | 24 | 40 | 80 |
Basic Photo Editing | - | - | - |
Organize & Classify/Tag Files | - | - | - |
Formatting & Clean Up | - | - | - |
Project Management Support | |||
Travel Planning | - | - | - |
5 reviews
(4)
(1)
(0)
(0)
(0)
This project doesn't have any reviews.
JC
Jack C.
Oct 9, 2025
837 Claims Formatting Specialist Needed
BC
Bernardo C.
Aug 31, 2025
Experienced Medical Coder for Consultation Calls
SS
Shayaan S.
Jul 8, 2025
Experienced Medical Billing Specialist for Psychiatry & Mental Health Practice
CC
Charles Jan C.
Jul 2, 2025
Solace Health Users - $7 paid survey
WH
William H.
Feb 7, 2025
Blog Website Editing and Logo Design Needed
About Raamish
Medical Billing & Credentialing Expert | RCM, Insurance Verification
100%
Job Success
Chicago, United States - 11:02 am 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.
Gather Practice Information and Credentials
Client provides practice details, insurance portal access, EMR/EHR credentials, superbills, payer info, and credentialing documents (CAQH login, licenses, and certificates) to begin the medical billing and credentialing process.