Turn every claim into collected revenue. Our billing specialists submit clean claims, post payments within 24 hours, and pursue every dollar in your AR until it is collected, written off by policy, or exhausted at appeal.
From the moment a charge is captured to the final dollar collected, our billing team manages every step of the claim lifecycle with the precision and persistence that protects your revenue.
Every claim passes through our multi-point scrubbing engine before submission, checking for coding accuracy, demographic mismatches, payer-specific formatting rules, and NCCI edits. The result: a 99% first-pass acceptance rate that accelerates your cash flow.
Electronic and manual payment posting within 24 hours of receipt, including ERA/EOB reconciliation, contractual adjustment validation, patient responsibility transfer, and immediate identification of underpayments, zero-pays, and denials for follow-up.
Aggressive, payer-specific AR follow-up on every unpaid claim starting at day 21. Our team contacts payers by phone and portal, tracks claim status, resolves pending issues, and escalates stalled claims through supervisor and provider relations channels.
Systematic comparison of every payment against contracted fee schedules and allowable rates. When payers underpay, we file formal disputes with supporting documentation, recover the variance, and track payer behavior to identify patterns of systematic underpayment.
Professional, compliant patient statements with clear balance explanations, online payment portal integration, and payment plan administration. Our patient-friendly billing approach improves collection rates while maintaining the trust your patients expect from your practice.
Compliant early-out and bad-debt collection programs that recover patient balances while protecting your brand. We use a diplomatic, multi-channel approach including statements, calls, texts, and email, escalating to external agencies only when internal efforts are exhausted.
Every claim is tracked through a rigorous aging-based workflow with escalating actions at each milestone, ensuring nothing falls through the cracks.
Claims are scrubbed, submitted electronically, and monitored for clearinghouse acceptance. Rejected claims are corrected and resubmitted within 24 hours. ERA auto-posting captures early payments and flags exceptions for manual review.
Unpaid claims receive proactive payer outreach via portal and phone. We verify claim receipt, confirm processing status, resolve any pending requests for additional information, and document every interaction for audit trail compliance.
Claims still unpaid are escalated to senior AR specialists who engage payer supervisor lines, file formal grievances, submit corrected claims if needed, and initiate appeal processes for improper denials or underpayments.
Aged balances receive final-stage intervention including state insurance commissioner complaints, provider relations escalations, and secondary/tertiary payer billing. Uncollectible balances are documented with full work history for write-off approval.
Every day a claim sits unpaid, your practice loses money. Industry data shows that the probability of collecting a claim drops by 5% for every 10 days it remains in AR beyond 30 days. At 120 days, collection probability falls below 50%. Our aggressive, systematic approach keeps your AR lean and your cash flow predictable.
Common questions about our medical billing and accounts receivable management services.