Our services

• Demographic information – Entering accurate demographic information at the first place is the right step to get a clean claim and to avoid any delay in getting payments. Our staffs will ensure that the right information is getting entered in to the billing system within the small turnaround time.

• Charge entry – Our skilled and experienced team members will enter the charges from an encounter form or coded charts in to the billing system. We can ensure that received charge entry is getting entered into the billing system on the same day and maximum with the turnaround time of 24 to 48 hours. 

• Charge validation – In the current world, technology allows the providers to automate and to populate the charge data in to billing system. However, we need to ensure that the populated data is valid and need to ensure the accuracy of data before submitting the claim to insurance. We will help the providers by validating the charges before submitting it to insurance.

• Payment posting – It’s important that we post all the payments, denials and correspondence received from insurances and patients into the billing applications. We provide payment posting services with high accuracy. Our team is experienced in posting manual payments- Insurance and patients, validate ERA Posting, posting denials and tacking tracking correspondence. etc.

• Account receivable/Denial management – We believe that addressing the denials and correspondence from insurances on a timely manner and addressing 30+ days aged AR claims more efficiently will allow us to maintain decreased AR, reduce the days in AR and most importantly can improve the collections/payments. Our team is experienced in working on AR process for different specialties and billing applications, they are also well qualified and has good communications skills to manage the role most efficiently. We work on all types of AR-Medicare, Medicaid, Commercial insurances, workers compensation and no-fault AR.

• Insurance eligibility verification – Our team can verify the eligibility of insurances provided by the patient at the time of registration and verifying the eligibility before the claim submission will help us to proactively identify any insurance coverage related errors. We verify the eligibility through insurance online portals, automated voice response systems or by making phone calls to carriers. 

• Patient statements/invoices – We verify the patient responsibilities posted in billing application and send the patient statement/invoices to patent/guarantor on a regular basis to collect the patient responsibility portion and to increase collections. 

• Credentialing services – We work with insurance carriers to get the credentialing completed for our clients/providers so that the claims are getting processed as per the contract and correct fee schedule. 

• Value added services – In addition to the regular services that we provide, our support team will look in to all the areas in detail and provide ideas to improve the efficiency in any areas. We look in to efficiency improvement areas like converting manual posting to electronic posting, identifying global issues in AR and addressing it from our end or by escalating it to the right department.etc.