Services We Offer

Insurance Verification

Verify patient eligibility and determine patient financial responsibility via various payer portals

Medical Coding

Review of provider notes by certified coder to ensure claims are coded out to the highest level of specificity to increase clean claim submission and reduce denied claims

Charge Entry

Accurately record and enter charges for medical services rendered to patients

Claims Submission

Ensure timely and accurate submission of claims via clearing house, payer portal or paper claim.

Payment Posting

Entering payments from both patients and Insurance companies on a daily basis and reconciling against banks deposits

Denial Management

Analyze claims for trends in denials and develope processes to correct the errors and prevent future denials

Accounts Recievable

Effectivly manage Accounts Receivable by tracking and collecting outstanding payments for healthcare services from both patients and insurance companies

Monthly Reporting

Month-end reporting to include reconciling and reporting on charges, payments, and adjustments for the month, ensuring that all transactions are accounted for and financial data is well-organized.

Credentialing

Provide credentialing for new providers and recredentialing for established providers. Expierenced in commercial and government payers.

EDI/ERA/EFT Enrollment

End-to-End management of the provider enrollment process with EDI, ERA and EFT setup through clearinghouse and payer portal.

Patient Billing & Collections

Invoice patients and managing patient account follow-up