GCMS 

RCM & Billing Services. and We have over 5 years of experience in the US healthcare sector. Our clear objective is to provide assistance for healthcare providers to grow their revenue, get rid of billing headaches, and streamline their RCM.

Specialties We've worked with:

Urgent Care Facilities, General Practices, Family Medicine, Behavioral Health, Psychiatry, Physical Therapy, Plastic Surgery, Gastroenterology, Pulmonary, Primary Care, Podiatry, ENT, Dermatology, and Workers comp.

I've used various EHR and EMR software such as:

DRChrono, Medisoft, NueMD, Practice Fusion, Emdeon (Change Healthcare), Trizetto, Kareo, Docutap, PracticeEHR, PatientNOW, Waystar (formerly Zirmed), Athena Health, Hellonote, My Ability, and eClinicalWorks.

Dealt with a lot of insurance & portals such as:

Medicare NGS, CGS, Availity, Navinet, Optum UHC, Cigna, BCBS, AARP, Medicaid,.etc

Worked with practices in various states such as:

New York, New Jersey, Florida, Virginia, Ohio, California, Alabama, Maryland.

Familiar with:

Microsoft Office 365, Google Suites, and OneDrive.

We specialize in the following areas:

1- Insurance Eligibility Verification

2- Pre-Authorization and Retro-Authorization.

3-charge entry

4- Insurance claim submission

5-Claims Rejection Management 

6- Claims follow-up (In Network, Out of Network)

7-Payment Posting

8-A/R Follow-up and patient collections

9-Denial Resolution, Appeal Submission, and Follow-Up

10-Identifying gaps in workflows and drafting new workflows

Also, I have basic coding experience for urgent care and family medicine.

I'm aware of E&M upcoding and downcoding.

I offer full RCM billing service and remote employees.