BillingNavigator

𝐍𝐨 𝐔𝐩𝐟𝐫𝐨𝐧𝐭 𝐅𝐞𝐞 𝐏𝐚𝐲 𝐎𝐧𝐥𝐲 𝐖𝐡𝐞𝐧 𝐘𝐨𝐮’𝐫𝐞 𝐒𝐚𝐭𝐢𝐬𝐟𝐢𝐞𝐝 Specialized Medical Biller | Coding | Denial Management | Insurance Credentialing & Enrollment | Medical Virtual Assistant | Complete Revenue Cycle Management (RCM)

I specialize in helping physicians, clinics, and healthcare organizations eliminate claim denials, clean up AR backlogs, and maximize reimbursements through accurate billing, proper credentialing, and optimized RCM workflows.
With hands-on expertise in Medical Billing & Coding, Provider Credentialing, and End-to-End RCM, I help practices simplify complex EHR/EMR processes, resolve enrollment issues, and achieve consistent, predictable cash flow
𝐏𝐫𝐨𝐯𝐞𝐧 𝐑𝐞𝐬𝐮𝐥𝐭𝐬
I have helped medical billing and credentialing clients increase revenue by up to 30% by:
Strictly following CMS and commercial payer guidelines
Applying NCCI edits, MUEs, and bundling rules
Using accurate CPT, HCPCS, ICD-10, modifiers, add-on, and drug administration codes
Reducing denials and improving reimbursement accuracy
𝐖𝐡𝐚𝐭 𝐈 𝐃𝐨
Medical Billing & Coding
Insurance Credentialing & Provider Enrollment
Denial Management & AR Recovery
EHR / EMR Setup, Optimization & Automation
Medical Virtual Assistant Support
Payment posting
𝐅𝐮𝐥𝐥 𝐋𝐢𝐬𝐭 𝐨𝐟 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬
Medical Billing & Coding
Appointment scheduling, eligibility & VOB checks
Prior authorizations & PCP referrals
CPT / ICD-10 / HCPCS / modifier accuracy audits
Telehealth billing (POS 02/10, modifiers 95, GT, etc.)
Claim scrubbing and clean-claim submission
Denial management, appeals & recovery
Root-cause analysis to prevent repeat denials
MUE, NCCI, bundling & payer rule corrections
Medical necessity & authorization denial handling
AR prioritization (60–90 / 90+ aging buckets)
𝐂𝐫𝐞𝐝𝐞𝐧𝐭𝐢𝐚𝐥𝐢𝐧𝐠 & 𝐏𝐫𝐨𝐯𝐢𝐝𝐞𝐫 𝐄𝐧𝐫𝐨𝐥𝐥𝐦𝐞𝐧𝐭
Individual & group credentialing (Medicare, Medicaid, Commercial, Tricare, etc.)
CAQH setup, attestation & ongoing maintenance
NPPES / NPI registration & updates
Primary Source Verification (PSV) & recredentialing
License & malpractice tracking and renewals
ERA / EFT / ACH enrollment and PMS linking
𝐂𝐥𝐞𝐚𝐫𝐢𝐧𝐠𝐡𝐨𝐮𝐬𝐞 & 𝐏𝐚𝐲𝐦𝐞𝐧𝐭 𝐏𝐨𝐬𝐭𝐢𝐧𝐠
Clearinghouse setup (Change Healthcare, Waystar, ClaimMD, Trizetto, Availity, etc.) Electronic remittance posting & validation 𝐄𝐇𝐑 / 𝐄𝐌𝐑 𝐒𝐞𝐭𝐮𝐩 & 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐚𝐭𝐢𝐨𝐧 Insurance & payer configuration Fee schedule entry and maintenance Clearinghouse EDI setup & ERA linking CPT / ICD / modifier libraries & encounter templates Workflow automation for claims, posting & AR 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐒𝐨𝐟𝐭𝐰𝐚𝐫𝐞 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 Advanced MD Kareo / Tebra Office Ally Simple Practice Headway Chirotech EClinicals / ECW / Eclinicalworks I-CANotes Athena ECW Simple Practice Therapy Appointments Candid Healthie NextGen Practice Fusion Therapy Notes, and more. Looking forward to discuss how I can help you achieve your practice success