Based in Queens, NY
Guardian Health RCM specializes in insurance billing follow-up and provider credentialing for solo providers and small group practices. We chase the claims so you can focus on your patients.
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What We Do
We work with solo providers and small group practices who are leaving money on the table through unpaid, denied, or aging claims.
We proactively track every submitted claim, identify unpaid or stalled claims, and follow up directly with insurance carriers to accelerate payment.
From CAQH setup to panel applications and re-attestations, we manage credentialing and re-credentialing end to end — following up with payers until you’re in-network and billing.
Denied claims don't have to mean lost revenue. We analyze denial reasons, correct errors, and resubmit claims to recover what your practice is owed.
We audit your accounts receivable to identify claims at risk of timely filing limits and prioritize recovery before your window closes.
We handle all communication with Aetna, BCBS, Cigna, UHC, Oxford, and other major payers — so you never have to sit on hold again.
Accurate payment posting keeps your books clean. We reconcile remittances and flag underpayments so nothing slips through the cracks.
No large-practice minimums, no generic solutions — focused, personal billing support designed for solo providers and small group practices.
Add-On Services
We verify patient insurance eligibility and benefits before appointments — reducing claim surprises and ensuring your sessions are billable from day one.
We handle patient and insurance billing inquiries on your behalf — answering questions about claims, balances, and explanations of benefits so you can stay focused on care.
A one-time project to recover the backlog that existed before we started — claims aged 90+ days sitting in your AR. Scoped after your free AR review, and you only pay on what we actually recover.
Why Guardian Health RCM
Based in Queens, NY, we work with practices of every specialty. We learn your payers, your codes, and your common denial reasons — then we go get your money.
Solo providers don't have billing departments. We fill that gap — acting as your dedicated billing follow-up team without the overhead of a full-time hire.
You'll always know where your claims stand. Clear communication, regular updates, and a partner who is genuinely invested in your practice's success.
Get In Touch
Start with a free accounts receivable review. We'll identify what's unpaid, what's at risk, and what we can recover — at no cost and no obligation.