01
Denial intake & triage.
Every ERA/EOB denial captured. Triaged by reason code, payer, dollar amount. Prioritized for appeal or write-off per your rules.
Denial management & appeals
Denial management with an 87% first-appeal success rate.
Dedicated denial-management team running root-cause analysis on every denial, filing payer-specific appeals, chasing missing clinical documentation, and reporting patterns back to your ops team so repeat offenders surface.
Recognized by Clutch
Top 2025 awards for Customer Support, Virtual Assistants, and E-commerce Call Centers
Why HelpSquad for denial management
Denials are not random. They have patterns.
Four reasons practices and groups move denial management to a dedicated team.
01
87% first-appeal success.
Payer-specific appeal templates, thorough documentation, and appeals filed within deadlines. 87% of our healthcare denials overturn on the first appeal.
02
Root cause, not just resubmit.
We find out why the claim denied and fix it upstream. Coding issues get fixed in coding. Eligibility issues get caught in verification. The same denial rarely repeats.
03
Payer-pattern reporting.
Which payer denies what, how often, why. Monthly reports so your ops team can push back at contract level or adjust internal workflow.
04
Deadlines, respected.
Every payer has appeal deadlines (usually 90-180 days). Our queue ensures nothing ages out of appealability - a mistake that costs practices thousands.
How we show up
Six lanes of denial management.
Start with one lane; we expand as the engagement earns its keep.
02
Root-cause analysis.
Coding, eligibility, prior-auth, medical-necessity, filing-deadline - identified per denial. Categorized for upstream fix.
03
Payer-specific appeals.
First-level appeals filed with payer-preferred format (portal, fax, mail), supporting documentation, and appeal letter. 87% first-pass success rate.
04
Clinical documentation chasing.
Missing chart notes, imaging, lab results, or peer letters - chased from clinicians or outside records before appeal submission.
05
Aged-AR work.
Denials sitting in A/R get worked by payor and aging bucket. Sustained cadence prevents the quarterly scramble.
06
Reporting & pattern surfacing.
Monthly reports: denial rate by payer, reason code, dollar value. Patterns flagged so contracting / ops teams can push back.
10-Year HelpSquad Client
HelpSquad feels like part of our practice - not an outsourced team.
Dr. Maria Rhode, DMD
Owner · Imagine Advanced Dental Arts
Lawrenceville, NJ
Client since 2016
Lawrenceville, NJ
Client since 2016
Tools we work in
Trained on your billing stack.
We meet you in the tools you already use. Custom tool training built into onboarding.
WaystarChange HealthcareAvailityOffice AllyTrizettoEpicCernerAthenaeClinicalWorksNextGenTebraAdvancedMDSimplePracticeDentrix+ custom tools
Transparent pricing
Simple rates. Nothing to hide.
We publish our rates because we're proud of them. No hidden fees. No surprise minimums. No bait-and-switch. You only pay for hours worked.
$8-$12/hour.
That's it. That's the whole range.
That's it. That's the whole range.
$0
Upfront cost
$0
Implementation fees
$0
Replacement costs
Back Office
$ 8-10
per hour · billing, claims, data entry
- Insurance verification
- Medical billing & AR
- Claims processing & appeals
- Pre-qualified candidates
- HIPAA BAA included
Most popular
Patient Facing
$ 11-12
per hour · scheduling, calls, intake
- Front desk & scheduling
- Clinical / specialty experience
- Candidate interviews included
- EHR-specific recruiting
- Virtual desktop + BAA
Managed Team
Custom
team lead + multiple VAs + QA
- Full managed service
- Workforce management & QA
- Monthly analytics reporting
- Ideal for 3+ seats or 24/7
- US-based operations lead
Ready to get started?
Denials have patterns. We find them and fix them.
Denial management is where practices leak the most money silently. Book a consultation and we'll scope a denial team for your specialty and payer mix.
In their words
What clients say about working with us.
H.E.R. Accessories
Having a real person is what we were looking for. HelpSquad has provided a good business model and support over the past 3 years.
Mason Bottle
The price is excellent for the quality of the service. Agents and coaches learn quickly and give customers an authentic experience with our brand.
VELLO
Within the first 3 months we expanded our hours of active guest communication by about 25% and delivered approximately 33% labor cost savings.
MultiSoft Corporation
They handle all of our live support 24x7x365. Awesome customer service.
Kofile Technologies
Professionals who have always proven themselves trustworthy and beneficial to our support staff.
N.J. Hair Center
It's like having someone there 24/7 to answer questions.
Simple Agency
Agents learn how to answer the top questions prospects ask, custom to YOUR business.
Spark Orthodontics
Good communication between company and customer.
Frequently asked
Answers before you ask.
How do you hit 87% first-appeal success?
Payer-specific appeal templates built over years of engagements, thorough documentation from clinicians, appeals filed within deadlines, and escalation paths for habitual denial patterns.
Do you find root causes?
Yes. Every denial gets a reason code. We categorize (coding, eligibility, prior auth, etc.) and feed patterns back upstream. The same denial should not repeat.
Which clearinghouses and billing systems?
Waystar, Change Healthcare, Availity, Office Ally, Trizetto - plus native EHR billing in Epic, Athena, eClinicalWorks, NextGen, Tebra, AdvancedMD, SimplePractice, Dentrix, and others.
Can you work aged-AR too?
Yes. Aged A/R backlogs get worked by payor and aging bucket with sustained cadence. Most practices see material A/R aging improvement within a quarter.
How much does denial management cost?
$8-10/hour for back-office denial and appeals work. See full pricing →
How quickly will we see results?
Within 60-90 days: higher first-appeal overturn rate, lower A/R aging, clearer denial-pattern visibility. Six-figure recoveries in 60 days are common on practices with aged-AR backlogs.
Where does this fit with medical billing?
Denial management is a lane within our full medical billing service. See our full billing service →
Verified client reviews
What clients say on Clutch.
Unfiltered, third-party-verified reviews pulled live from our Clutch profile.
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Ready to scale denial management?
Let's build the squad your practice needs.
A 30-minute call. We'll scope the work, pre-qualify candidates, and give you a realistic go-live timeline.
877-775-3667 · info@helpsquad.com · Hatboro, PA