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Hello Jake, my name is Jeff, and I'm a certified Google Adwords partner, who is also experienced in Bing Ads. There are other aspects of online marketing I can help with, such as SEO etc, but I do consider PPC (Adwords & Bing Ads) to be my specialization.
Currently, I'm working full time for a medical service company, and they are extremely satisfied with the performance of my ads. I helped them getting new clients at $25-40 per conversion, and we are still working on even more improvements and refinement. For some example, I have a negative keyword list of 70k keywords, which is the most powerful filter I have seen. To be more specific, for a cleaning company who wants target search term "cleaning service", I can filter out unwanted traffics like "free cleaning services", "Mary's Cleaning Service", "how to open a cleaning service business", "get a cleaning service job" etc. This robust filtration system keeps the ads to run at extremely efficient cost, and almost every client I have worked with so far are happy with it.
Usually, I spend 5-10 hours to setup a new campaign, and 1-1.5 hours / day to monitor the performance of the ads for the first 90 - 180 days. Afterward, I'd still prefer spending 2-3 hours each month to review and make improvements. However, this schedule is not written in stone, and it's flexible to the clients' needs.
Please feel free to contact me if you have any questions.
Thanks