Credentialing and Enrollment
We manage the full credentialing process, from CAQH and NPI registration to PECOS enrollment and payer-specific applications. We follow up proactively until your providers are fully billable.
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More Than Billing
We Build Revenue Infrastructure
ClearClaim RCM helps healthcare practices eliminate revenue delays by managing credentialing, contracting, and billing correctly from day one. We fix billing problems, reduce denials, and improve cash flow for specialty practices, surgery centers, and multi-entity groups.
1Get Credentialed2Get Contracted3Get Paid
20+ Years ExperienceAAPC Certified CodingHIPAA CompliantFree Billing Audit20+ Years ExperienceAAPC Certified CodingHIPAA CompliantFree Billing Audit20+ Years ExperienceAAPC Certified CodingHIPAA CompliantFree Billing Audit
Core Services
Medical Billing and Revenue Cycle Management
From credentialing and provider enrollment through claim submission, denial management, and accounts receivable recovery, we manage the full revenue cycle so your practice gets paid what it has earned.
Payer Contracting and Network Activation
We help your practice secure contracts with insurance payers, review fee schedules, and activate network participation so you can begin seeing patients and billing for services from day one.
Learn MoreNew Practice and Provider Setup
From credentialing and payer contracting to billing system configuration and workflow design, we build the full revenue infrastructure for new practices, multi-entity groups, and specialty offices.
Learn MoreMedical Billing Services
Full-cycle medical billing including claim coding, charge entry, claim submission, payment posting, patient billing, and accounts receivable follow-up. AAPC-certified and HIPAA-compliant.
Learn MoreDenial and Appeals Management
Every denied claim gets a root cause review, a correction, and a resubmission or formal appeal. We track each denial through to resolution. Nothing gets written off.
Learn MoreRevenue Cycle Consulting
We review existing billing agreements, consult on new practice contracts, and structure revenue cycle consulting engagements customized to your practice goals and needs.
Learn MoreA Full-Service Medical Billing Company Built for Complex Practices
ClearClaim RCM is a medical billing company that provides credentialing services, revenue cycle management, denial management, and provider enrollment for healthcare practices across the United States. We work with specialty practices, surgery centers, multi-entity groups, and new practices that need a reliable partner to build and manage their revenue infrastructure.
Our medical billing services go beyond claim submission. We handle insurance credentialing, payer contracting, billing system setup, and ongoing revenue cycle consulting so your practice can focus on patient care. Whether you need help with CAQH enrollment, network activation, or cleaning up years of billing problems, our team manages the full process from start to finish.
Many practices lose revenue because credentialing is incomplete, payer enrollment is delayed, or their billing workflows were never built correctly. ClearClaim RCM solves these problems by providing hands-on revenue cycle management that includes denial management, accounts receivable recovery, compliance auditing, and transparent monthly reporting. We specialize in complex, multi-entity, and specialty practice environments where generic billing solutions fall short.
Free Audit
No obligation review of your billing.
Why Choose ClearClaim RCM
Your Revenue Cycle Partner, Not Just a Billing Service
Many practices lose revenue because credentialing is incomplete, payer enrollment is mishandled, or billing systems are built without real-world workflows. The result is delayed payments, denials, and ongoing payer confusion that drains time and cash flow. We fix that.
We manage the full process, not just billing
We proactively follow up with payers until you are fully billable
We specialize in complex, multi-entity and specialty practices
We build billing systems that work for real offices
HIPAA-aware processes and secure communication throughout
Experienced with CAQH, NPI, PECOS, and payer contracting
Free revenue cycle review with no obligation to switch
Results That Matter
What Our Clients Gain
- Faster time to first payment
- Fewer denials and less rework
- Clean, compliant payer setup
- Predictable and sustainable cash flow
Who We Serve
Practices and Specialties We Support
- Independent Healthcare Providers
- Small to Mid-Sized Clinics
- Group Practices
- Office Managers and Practice Administrators
- Surgery Centers
- Imaging Centers
- Pain Management
- Orthopedic and Spine
- Endoscopy and Gastroenterology
- Behavioral Health and Recovery Centers
- Private Practices
- Specialty Clinics
- Labs
- Concierge Medicine
- Multi-Entity Medical Groups
How It Works
Five Steps. No Shortcuts.
1
Step 1
Free Billing Audit
Michelle reviews your denial rate, AR aging, and coding accuracy at no cost. Honest feedback either way.
2
Step 2
Practice Setup
We connect to your practice management system, set up the workflows, and get everything running before your first claim goes out.
3
Step 3
Clean Claim Submission
Every claim is coded to AAPC standards and scrubbed before it goes out. Timely filing windows are tracked. Nothing ages out.
4
Step 4
Denial Management
Every denied or underpaid claim gets a root cause review, a fix, and a resubmission or formal appeal. Nothing gets written off.
5
Step 5
Reporting and Review
A full financial report lands in your inbox every month. Collections, denials, AR aging, and practice performance in one place.
What Providers Say
Trusted by Independent Practices
“ClearClaim RCM has transformed our billing process, maximizing our reimbursements with clean, efficient claims every time.”
“Their team diligently reviews and follows up on denials, ensuring we get every dollar we've earned.”
Compliance and Security
Built on Secure, Compliant Workflows
HIPAA-Aware Processes
All workflows follow HIPAA guidelines to protect patient information and maintain confidentiality across every step of the revenue cycle.
Secure Communication
We use secure channels for all data exchange and maintain strict access controls to safeguard your practice and patient data.
CAQH, NPI, and PECOS
Our team is experienced with CAQH credentialing, NPI management, PECOS enrollment, and payer contracting requirements.
Meet Our Founder
Michelle Recek
Founder and Director of Revenue Cycle Operations
“I offer more than billing services. I help you understand your revenue cycle. I’ll show you where every dollar is going and make sure you’re getting the maximum reimbursement for the hard work you put in every day.
Michelle spent two decades in healthcare operations. Before founding ClearClaim RCM, she served as VP of an insurance company, which means she knows how payers process claims, what triggers a denial, and how to push back effectively. That background does not come standard with a billing service.
20+
Years Experience
AAPC
Certified Coding
HIPAA
Compliant
Your Next Step
Let’s Fix Your Revenue Before It Leaks
Whether you are opening a new practice, onboarding providers, fixing credentialing or billing issues, or tired of revenue delays and payer confusion, we can help. Start with a free review, no pitch, no pressure.
100% Free Audit
No cost, no commitment
Quick Turnaround
Results within days
Honest Assessment
Straightforward feedback