How I Ranked Focused Medical Billing #1 for “Ophthalmology Billing Services”

Client Overview

Client Name: Focused Medical Billing
Industry: Medical Billing
Specialty: Ophthalmology Billing Services

Focused Medical Billing offers specialized billing solutions for ophthalmology practices. When the client approached me, their expertise in the field was strong, but their online visibility was very low for their most important service keyword.

The Challenge

At the start of the project, the website had several major SEO weaknesses:

• The site was ranking #34 for the keyword “Ophthalmology Billing Services”
• Content was not SEO optimized or entity focused
• Homepage structure did not align with search intent
• Headings were poorly organized
• SEO title and meta description were not properly optimized
• Schema markup was missing or not strategically used
• Very limited backlink authority

Because of this, the site was not able to compete with top-ranking competitors in the medical billing niche.

My Strategy

I focused on on-page SEO, entity optimization, and authority building.

1. Competitor Analysis

I analyzed the top-ranking competitors for “Ophthalmology Billing Services” and studied:

• Their content structure
• Keyword usage in headings
• Depth of topic coverage
• Entity relevance
• Internal linking patterns
• Schema usage

This gave me a clear direction on what Google was already rewarding in this niche.

2. Homepage SEO and Structure Optimization

I completely restructured the homepage to make it SEO focused and aligned with user intent.

• Rewrote H1, H2, and H3 headings
• Improved the content flow to match what users are searching for
• Added semantically related terms and entities around ophthalmology billing
• Made the service positioning clearer and more authoritative

I placed the main keyword “Ophthalmology Billing Services” naturally and strategically throughout the page without keyword stuffing.

3. SEO Title and Meta Description Optimization

I rewrote the:

• SEO Title to clearly target the primary keyword
• Meta Description to improve both keyword relevance and click-through rate

This helped search engines better understand the page topic and improved how the listing appeared in search results.

4. Entity-Based Content Optimization

Instead of focusing only on keywords, I optimized the content around entities and topical relevance, including:

• Ophthalmology procedures
• Medical billing and coding for eye care
• Insurance claim processes
• Revenue cycle management for ophthalmology practices

This strengthened the page context and improved how search engines understood the topic.

5. Schema Markup Implementation

One of the most impactful improvements I made was adding optimized schema markup.

I implemented structured data that:

• Reinforced the services offered
• Supported keyword relevance
• Helped search engines clearly understand the business specialization

This contributed to stronger topical signals and improved visibility, including appearances in AI Overviews.

6. Backlink Authority Building

To increase the domain’s authority, I built backlinks from:

• 3 relevant domains
• Each with Domain Authority between 20–30+

These backlinks helped:

• Improve trust signals
• Strengthen ranking power
• Support the movement from page 4 toward page 1

I am continuing to build more backlinks to push rankings even higher.

7. Supporting Content Strategy

I also started publishing blog content related to ophthalmology billing to:

• Expand keyword coverage
• Build topical authority
• Pass internal link equity to the main service page
• Bring in additional organic traffic

The Results

Keyword: Ophthalmology Billing Services
Starting Position: #34
Current Position: #1 on Google

Additional outcomes:

• Stronger topical authority in ophthalmology billing
• Highly optimized homepage structure
• Better search engine understanding through schema
• Visibility in AI-powered search features
• Growing organic traffic through supporting blog content

And this is still an ongoing campaign, with continued link building and content expansion to target top 1–2 positions.

Conclusion

By combining:

• Strategic on-page SEO
• Entity-focused content optimization
• Proper schema implementation
• Targeted authority backlinks

I successfully moved Focused Medical Billing from page 4 to the number 1 in results for a highly valuable industry keyword.

This project shows how the right structure, relevance, and authority signals can drive strong ranking improvements in a competitive medical niche.