CareFirst Billing Solutions LLC

Hello healthcare professionals,

Stop losing revenue to denials and delayed claims, We help healthcare providers get paid faster with accurate, HIPAA-compliant Medical Billing, RCM, and Credentialing services.

With over 6+ years of hands-on experience supporting clinics, facilities, and individual providers, especially in mental health, allied specialties, and physical therapy. We streamline billing workflows, reduce claim denials, recover unpaid claims, and maximize revenue.

🔹 Services we Offer

🔹 Medical Billing & RCM:
Medical Billing & Coding (ICD-10, CPT, HCPCS)
Verification of Benefits (VOBs)
Claims Submission & Rejection Resolution
Accounts Receivable (AR) Follow-Up & Unpaid Claims Recovery
Denial Management & Appeals
Aging Report Analysis
Prior & Retro Authorizations
Patient Billing & Customer Service
QuickBooks Bookkeeping, Payroll, and Reconciliation

🔹 Credentialing Services:
New Practice Setup / Enrollment / EIN Linkage
CAQH, NPPES/NPI Profile Creation & Maintenance
Credentialing, Contracting & Payer Enrollment
Demographic Updates & Address Changes
ERA, EDI & EFT Enrollment

🔹 Software & Portal Expertise
SimplePractice, Athenahealth, eClinicalWorks, NextGen, AdvancedMD, Kareo/Tebra, Practice Fusion, Office Ally, TherapyNotes, and Prompt EMR, RXNT, WebPT, ChiroHD, RapidPM, ModMed (Modernizing Medicine – EMA), CareCloud, TheraNest, ICANotes, ChARM EHR
Clearinghouse, and payment portals such as Availity, Change Healthcare, Waystar, Optum/Provider Express, Navinet, Passport (Experian Health), Claim.MD, UnitedHealthcare, Aetna, Cigna, Humana, Blue Cross Blue Shield portals, Medicare and Medicaid MAC portals, PaySpan, ECHO Health, and Zelis.

🔹 Provider Specialties we Support
Mental Health & Substance Abuse
Psychological & Neuropsych Testing
Physical, Occupational & Speech Therapy
Chiropractic & Acupuncture
Surgical Services
DME & Dental / Sleep Apnea Treatment
Non-Emergency Medical Transportation (NEMT)
Allergy Testing & Immunotherapy
Housing Coordinators
Laboratory services
Home Health Personal Care and Medical services
Inpatient and Outpatient Hospital Services

🔹 Insurance & Payer Expertise Government: Medicare, Medicaid, TRICARE Private: HMO, PPO, IPA Plans Major Payers: UnitedHealthcare (UHC), Optum, BCBS, Aetna, Cigna, Humana, Anthem, Regence, Providence, Medicare Advantage, Medicaid MCOs, Empire, and more