Gyer Medical Billing, LLC

Medical billing in the palm of your hand

With more than 20 years of experience in the healthcare revenue cycle industry, Karina Gyer is highly skilled OB/GYN Medical Billing & Coding with extensive experience in insurance benefits, claims management, revenue cycle operations, practice start ups, ownership transitions and provider credentialing.  


 In 2014, Karina took a big step in her career by launching Gyer Medical Billing, LLC as a remote-based business specializing in medical billing and coding services. Over the years, Karina has trained front office staff, insurance verifiers, surgery coordinators, billers and clinical office manangers.  Karina has built longterm professional relationships, including a network of small business women and healthcare professionals allowing us to better support providers.

  

Our mission is to provide a unique and reliable set of services at a fair rate through customized billing packages designed to meet the needs of your practice.

About Us

Experienced, Comprehensive Billing

Experienced, Comprehensive Billing

Experienced, Comprehensive Billing

  

Results-driven AHIMA certified in revenue cycle management, including office visits, surgeries, ultrasounds, hospital services, and maternity billing. Expertise in CPT, ICD-10-CM, HCPCS, modifiers, denial resolution, appeals, payment posting, and insurance follow-ups. Medicare, Medicaid, and commercial payers experienced. Specialized in

  

Results-driven AHIMA certified in revenue cycle management, including office visits, surgeries, ultrasounds, hospital services, and maternity billing. Expertise in CPT, ICD-10-CM, HCPCS, modifiers, denial resolution, appeals, payment posting, and insurance follow-ups. Medicare, Medicaid, and commercial payers experienced. Specialized in global and non-global maternity billing, provider credentialing, and reimbursement optimization. PHI, HIPPA, HIM and Coding compliance.


The Highest Standards

Experienced, Comprehensive Billing

Experienced, Comprehensive Billing

 

We pride on offering honesty, integrity, and a willingness to share knowledge and experience with others.

 Team members receives one-on-one training by Karina specifically on their role and responsibilities to ensure quality, consistency, and accountability. Unlike larger billing companies, our clients and their patients have direct acces

 

We pride on offering honesty, integrity, and a willingness to share knowledge and experience with others.

 Team members receives one-on-one training by Karina specifically on their role and responsibilities to ensure quality, consistency, and accountability. Unlike larger billing companies, our clients and their patients have direct access to the team member handling their account eliminating unnecessary middlemen and admin fees. 

Together, we are committed to providing reliable services with a personal approach that sets us apart from larger billing companies.

Services We Offer

Experienced, Comprehensive Billing

Services We Offer

 

  • Office visits EM coding
  • Surgical coding 
  • Coding edits
  • Insurance Benefits Verification
  • Copay/Deductible determintion
  • Pre Authorization
  • Payment posting 
  • Denial management and appeals 
  • Aging Report review 
  • Claims follow-up 
  • Revenue Cycle Management 
  • Provider credentialing 
  • NEW: Live person Virtual Assistant starting at $13.00/hour 


Welcome to Our World

Where you have control


Medical Billing in the palm of your hand


YOUR BILLING COMPANY SHOULD WORK FOR YOU  NOT CONTROL YOUR MONEY 

 

Why should you pay office staff to manage your billing company when your billing company should be managing your billing?

With our white-glove medical billing service, you maintain control of your practice while we handle the billing process.

✅ Your EMR. Your Access. Your Control. We work within your existing EMR using an authorized login, so you retain ownership and control of your system.

✅ Real-Time Transparency. Access billing, coding, claim activity, and payment posting information without depending on a billing company to provide updates.

✅ Less Administrative Burden. Reduce the back-and-forth of having office staff serve as the middleman between your practice and your biller, gathering documents and chasing updates.

✅ Your Money. Your Visibility. Stay informed about claims, payments, denials, and outstanding balances. Your practice should never have to operate in the dark financially.

Patient Registration

The revenue cycle begins with patient demographic registration, where accurate patient information is collected to support eligibility verification, billing accuracy, and successful claims submission. We will communicate directly with your team on registration descrepanies. 

Charge Entry

 Accurate and complete provider documentation is essential, as it forms the basis for clinical coding. Coding, diagnosis mapping and modifiers accuracy is what gets you paid.  

Utilization Review

 Insurance coordination, prior authorizations, referrals, and network verification help ensure patients receive covered services while supporting accurate billing and timely reimbursement. 

Coding

Clinical Documentation Integrity (CDI) focuses on accurate coding and documentation, including the assignment of appropriate CPT and HCPCS codes, principal and supporting diagnoses, modifiers, and the complete capture of services documented by the provider. 

Claim Edits

 Claim edits are EMR-based validation checks that review global periods, age appropriateness, demographic information, coding, and payer requirements to ensure accurate claim submission. 

Claim Submission

 Claims are submitted electronically via a clearinghouse (EDI) or by mail. The clearinghouse identifies and reports rejected claims so they can be corrected and resubmitted promptly. 


Remittance Process

The remittance process involves importing Electronic Remittance Advices (ERAs) from the clearinghouse and accurately posting payer payments to claims at the individual service-line level. This process ensures proper payment allocation, identifies adjustments and denials, and supports accurate account reconciliation. 

Claims Status

 Aging reports provide visibility into the age and value of outstanding claims. Follow-up activities include reviewing claim status through payer portals and contacting payers by phone to address delays and resolve outstanding issues. 

Patient Payments

Apply available patient payment credits to outstanding balances before statement submission to ensure accurate billing and account reconciliation. 


Our Process

Our Mission

Our Mission

Our Mission

 

At Gyer Medical Billing LLC, we are committed to providing accurate, efficient, and dependable medical billing services to healthcare providers. Our goal is to reduce the hassle and stress associated with the billing process so our clients can focus on what matters most — delivering quality patient care.

We take pride in offering personal

 

At Gyer Medical Billing LLC, we are committed to providing accurate, efficient, and dependable medical billing services to healthcare providers. Our goal is to reduce the hassle and stress associated with the billing process so our clients can focus on what matters most — delivering quality patient care.

We take pride in offering personalized support, strong communication, and reliable revenue cycle management solutions tailored to the unique needs of each practice we serve.

Our Team

Our Mission

Our Mission

 

Our team of experienced and knowledgeable professionals is dedicated to delivering the highest level of service to every client we serve. We understand the complexities of medical billing, coding, and credentialing, and we work diligently to stay current with the latest industry regulations, insurance requirements, and healthcare guideli

 

Our team of experienced and knowledgeable professionals is dedicated to delivering the highest level of service to every client we serve. We understand the complexities of medical billing, coding, and credentialing, and we work diligently to stay current with the latest industry regulations, insurance requirements, and healthcare guidelines.

By combining expertise, accuracy, and personalized support, we strive to help healthcare providers maintain an efficient revenue cycle while minimizing billing challenges and administrative burdens.

Our Process

Our Mission

Our Process

 

Discuss services needed, come to an agreement and start the next day.

All we need is remote access to your EMR to begin our services. 

 Providers and Managers will have 100% control of their billing with direct contact to Karina the Coder.  We use your EMR.


Services

Medical Billing and Coding

Medical Coding

Our expertise includes coding office visits, office procedures, in-house ultrasounds, hospital surgeries, deliveries, outpatient procedures with accuracy and attention to detail. Assign appropriate modifiers and ensure proper coding practices based on CMS guidelines, Medicaid regulations, and commercial insurance requirements

By staying current with coding updates and payer-specific policies, we help providers maintain compliance, reduce claim denials, and maximize reimbursement.

Medical Billing

We manage the full electronic claims submission process, includingcoordination with clearinghouses to ensure timely and accurate claim transmission and acceptance. Our team closely monitors claim status and reconciles submissions to confirm successful processing.

We oversee accounts receivable cycle by investigating delinquent claims, coding modification and following up with payers to ensure resolution. In addition, we handle referrals process and tracking, supply PCP with consultation reports

Payment Posting

Import electronic remittance advice (ERA) payments and accurately post accordingly to fee schedule. In addition, we process and manually post hardcopy explanations of payments (EOPs), ensuring all payments, adjustments, and patient responsibilities are correctly applied. Allocate patient payments to balances

Our attention to detail in payment posting helps maintain accurate account balances, supports clean reconciliation, and ensures a smooth and efficient revenue cycle process for our clients.

Insurance Verification

Verify insurance benefits for all services to ensure accurate coverage details prior to patient treatment. Our team obtains prior authorizations and predeterminations for specific procedures as required, based on individual payer guidelines and patient benefits.

We also calculate reimbursement expectations based on each insurance carrier’s fee schedule, including both office and hospital-based procedures, to support accurate financial planning and clean claim submission. 

Credentialing

 Strong knowledge of NPPES, PECOS, CAQH, and TMHP systems for credentialing enrollments.  

We offer percentage rates, flat service rates with month to month contracts and a la carte rates.

Contact Us

 

We strive to maintain clear, consistent communication with all of our clients. If you have questions about our billing services or would like to determine whether our practice is the right fit for your needs, we welcome you to reach out at any time.

Please feel free to send us a message or give us a call — we are always happy to connect and discuss how we can support your practice.

www.linkedin.com/in/gyermedicalbilling

kgyer@gyermedicalbilling.com

Brookshire, Texas

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