I can help you streamline claims, reduce denials, and improve cash flow while protecting patient satisfaction.
My core services include:
- End-to-end claims management – charge entry, claim creation, scrub, and submission through clearinghouses (Novalon, Availity, Change Healthcare).
- Insurance verification & eligibility checks – confirming coverage details, benefits, and prior authorization requirements before services.
- Payment posting & reconciliation – posting ERAs/EOBs accurately, balancing patient and insurance payments, and identifying underpayments.
- A/R and denial management – tracking unpaid claims, investigating rejections/denials, preparing appeals, and following up with payers and patients.
- Patient coordination & support – handling inbound/outbound calls, assisting with billing questions, and ensuring a clear, respectful experience.
I am proficient with major EMR/billing platforms including HelloNote, eClinicalWorks, Tebra, NextGen,Nethealth and Prompt as well as advanced Excel for reporting and tracking. I work independently, meet deadlines, and maintain strict HIPAA/HITECH compliance at all times.
You can expect:
- Clear communication and timely status updates
- Meticulous attention to detail on every claim
- Flexibility to adapt to your workflows and specialty-specific rules
- A collaborative approach focused on long-term revenue health