Appeal Specialist Services
Win Denied Claims • Recover Lost Revenue • Strengthen Cash Flow
Denied claims don’t have to mean lost income.
Our Appeal Specialist Services help healthcare providers identify, correct, and successfully appeal denied claims — turning rejected payments into recovered revenue.
HIPAA-Compliant | 95 % Successful Appeal Rate | Trusted Nationwide
Based in Orlando, FL & Roanoke, VA — Serving Healthcare Providers Across the U.S.
Why Appeals Matter in Medical Billing
Claim denials are inevitable — but losing money to them isn’t.
Whether caused by coding errors, missing documentation, eligibility issues, or payer misinterpretation, each denied claim represents earned revenue left on the table.
At Expert Medical Billing Services, our trained appeal specialists work relentlessly to analyze, correct, and overturn denials with payer-specific expertise.
We manage the entire process — from denial analysis to documentation and re-submission — ensuring your practice gets paid fully and fairly.
Our Denial Appeal Process
1️⃣ Denial Identification
We extract denial data from EOBs, ERAs, and payer portals to determine the cause — whether clinical, technical, or administrative.
2️⃣ Root Cause Analysis
Our certified coders and billing experts review each denial, matching payer rules and medical necessity guidelines to identify what went wrong.
3️⃣ Appeal Documentation Preparation
We compile all required materials — medical records, clinical notes, authorization proofs, and reference letters — for a strong appeal submission.
4️⃣ Appeal Submission & Payer Communication
Appeals are filed through electronic, fax, or payer-specific portals within 24–48 hours.
Our team maintains direct communication with payers to track appeal progress and secure resolution.
5️⃣ Outcome Tracking & Prevention
Once resolved, we record outcomes, identify recurring denial patterns, and provide detailed insights to help prevent future rejections.
Common Denials We Appeal
Our appeal specialists handle every type of denial — from simple clerical errors to complex medical necessity disputes.
Here are the most frequent denial categories we overturn:
Eligibility or coverage errors
Missing or incorrect CPT/ICD-10 codes
Authorization and pre-certification denials
Medical necessity rejections
Timely filing denials
Bundling/unbundling disputes
Duplicate or overlapping claim rejections
Underpayment or payment variance issues
We also manage second-level and third-level appeals, ensuring no claim is left unresolved or written off prematurely.
Why Choose Expert Medical Billing Services?
| Advantage | What It Means for You |
|---|---|
| 95 % Appeal Success Rate | We win back most denied or underpaid claims |
| Certified Appeal Specialists | Experienced with multi-payer and multi-specialty appeals |
| Faster Turnaround | Resubmissions completed within 24–48 hours |
| Root Cause Analytics | Detailed reporting to prevent repeat denials |
| Nationwide Coverage | Offices in Florida & Virginia, serving providers across all 50 states |
| Full HIPAA Compliance | Patient data and payer communication securely managed |
Our appeal team acts as your dedicated revenue recovery partner, ensuring denied claims are handled with strategy, speed, and precision.
Our Appeal Specialist Service Includes
- Detailed denial identification and categorization
Appeal documentation preparation (clinical & administrative)
Payer-specific appeal submissions
First-level, second-level, and third-level appeal handling
Direct follow-ups with insurance representatives
Re-submission of corrected claims
Tracking of appeal status and turnaround time
Underpayment analysis and payer variance recovery
Root cause and trend reporting
Staff feedback and training recommendations
Industries & Specialties We Support
Family Medicine | Internal Medicine | Orthopedics | Cardiology | Dermatology | OB/GYN | Pediatrics | Behavioral Health | Dentistry | Radiology | Multi-Specialty Clinics
Whether you’re a specialist practice in Orlando, a hospital department in Roanoke, or a multi-location healthcare group, our appeal experts ensure no valid claim remains unpaid.
Proven Results for Our Clients
📈 95 % Appeal Success Rate
💰 30 % Increase in Monthly Collections after 90 days
⚡ 40 % Faster Claim Resolution through automation + manual follow-up
💬 “They turned our backlog of denied claims into collected payments within weeks.” — Dr. H. Morgan, Florida
💬 “The appeal process was seamless — our recovery rate has never been higher.” — Dr. J. Nguyen, Virginia
Contact Us
- (321) 594-2213
- info@expertmedicalbillingservices.com
- 915 N Hastings St, Orlando, FL 32808, USA
- 2239 Sherwood Ave SW. Roanoke, VA, 24015
Frequently Ask Questions
Almost all — including eligibility, authorization, coding, medical necessity, and timely filing denials. Each appeal is customized to payer rules.
Most appeals are submitted within 48 hours, and resolutions typically occur within 30–45 days, depending on payer timelines.
Yes. We analyze EOBs, identify payer underpayments, and submit appeals for payment variance recovery.
Absolutely. We provide detailed denial reports, appeal success metrics, and payer-specific insights monthly.
No. While our main offices are located in Orlando, FL and Roanoke, VA, we serve providers nationwide through secure, HIPAA-compliant systems.