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Fiverr Pro
Português
$
USD
I will resolve your denied medical claims and file insurance appeals
US Medical Billing and RCM Specialist
I help U.S. healthcare providers streamline medical billing and improve revenue cycle performance. My expertise includes claims submission, eligibility verification, payment posting, denial management...
Sobre este Serviço
Denied claims are revenue you already earned and haven't collected.
I specialize in identifying why claims are denied, correcting the root
cause, and either resubmitting clean claims or filing formal appeals
with payers.
What I handle:
- Denial code analysis (CO, PR, OA reason codes)
- Root-cause correction (coding, eligibility, authorization, documentation)
- Claim resubmission
- Formal appeal letter writing and submission
- Tracking through to resolution
Works across general medical, behavioral health, and lab/toxicology
claims. Send me your denial report and I'll tell you what's recoverable
before you order.
Tipo de estratégia:
Estratégia de crescimento
•
Redução de custos
Estágio do ciclo de vida de negócio:
Startup
•
Crescimento
•
Maturar
Setor:
Serviços financeiros
•
Bem-estar
País de Destino:
Estados Unidos
Perguntas frequentes
What types of denials do you handle?
I handle all major denial categories including: medical necessity denials, coding errors (CPT/ICD-10 mismatches), timely filing, duplicate claims, eligibility issues, prior authorization denials, and coordination of benefits. I work with CO, PR, and OA denial codes across all major payers.
Which insurance payers do you work with?
I work with all major commercial and government payers including Medicare, Medicaid, Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Humana, and most regional and private insurers
Do you guarantee that my claims will be paid after the appeal?
I cannot guarantee payment, as the final decision rests with the payer. However, I build the strongest possible case for each appeal with accurate coding, supporting documentation guidance, and payer-specific language maximizing your chances of a successful outcome
Is my patient data safe with you?
Absolutely. I follow strict HIPAA-compliant practices. All shared data is handled confidentially, used only for the purpose of processing your order, and never stored or shared with third parties.
What billing software do you support?
I can work with information from any billing platform including Kareo, AdvancedMD, athenahealth, Practice Fusion, DrChrono, eClinicalWorks, and more. I don't need direct access to your software — just the relevant claim data.
What do I need to provide to get started?
You'll need to share the EOB or ERA for the denied claim, the original claim details (DOS, CPT codes, ICD-10 codes), and the patient's insurance information. I'll walk you through everything after you place your order.
