Revenue cycle services, end to end.

Medical Billing

We take ownership of the billing workflow from the moment a visit is documented. Charges are reviewed for completeness, claims are built to payer-specific rules and submitted electronically, and every claim is tracked until it reaches a final outcome.

• Charge entry and charge review
• Payer-specific claim scrubbing before submission
• Electronic claim submission and acknowledgment tracking
• Patient statement preparation

Insurance Claims Management

Claims are monitored from submission through adjudication. Rejections are corrected and resubmitted quickly, and claim status is checked proactively rather than waiting on a remittance that may never arrive.

• Clearinghouse rejection correction
• Proactive claim status follow-up
• Secondary and tertiary claim filing
• Corrected claims and resubmissions

Eligibility Verification

Front-end accuracy prevents back-end denials. We verify active coverage, plan details, patient responsibility and prior authorization requirements ahead of scheduled visits, and flag issues to your front desk in time to act.

• Insurance eligibility and benefits checks
• Copay, coinsurance and deductible confirmation
• Prior authorization requirement review
• Demographic and policy data correction

Denial Management

Denials are worked individually and analyzed collectively. We correct, resubmit or appeal each denied claim, then categorize denial reasons so recurring issues can be fixed at the source instead of worked again next month.

• Denial categorization and prioritization
• Written appeals and reconsiderations
• Root-cause analysis by payer and reason code
• Prevention recommendations for your team

Accounts Receivable Follow-Up

Aging receivables are worked on a defined schedule. We prioritize by balance, payer and filing deadline, contact payers directly, and document every action so you always know where each account stands.

• Aging report review and prioritization
• Payer follow-up by phone and portal
• Timely-filing deadline monitoring
• Legacy A/R cleanup projects

Payment Reconciliation

ERA and EOB payments are posted and reconciled against what you should have been paid. Underpayments, incorrect adjustments and unapplied funds are identified and pursued instead of quietly written off.

• ERA and manual EOB payment posting
• Deposit-to-posting reconciliation
• Underpayment identification
• Credit balance and refund review

Revenue Cycle Reporting

You receive consistent reporting on charges, collections, A/R aging, denials and payer performance — with commentary on what changed and what we are doing about it. No guesswork about the financial health of your practice.

• Monthly performance reporting
• A/R aging and payer mix analysis
• Denial trend reporting
• Scheduled review calls with your account lead