Streamline your medical billing process with customized cost-effective solution

Remote Medical Billing

Our main goal is to establish the most efficient work protocol that will significantly improve your revenue cycle. This includes zero mistakes in demographic and claim entry, accurate and timely Account Receivables follow up and knowledgeable denial management. We use the strictest auditing methods to provide accurate follow up and timely reimbursements to all our clients according to all state laws.

Improve Revenue Cycle With Our Efficient Process

Insurance verification / Demographics and claim entry

First step in creating the claim is obtaining demographics, insurance information and icd/cpt codes. After collecting, we verify insurance information, such as claim number and correct mailing address for billing submission, necessary to correctly complete data entry process and claim creation.

Accounts Receivable Follow-Up

Once Health Insurance Claims are submitted to various insurance companies and enough time has passed allowing insurance companies to properly process claims, we are able to start obtaining information about bill status. We can use four methods:

Online Bill Status Follow-Up. Various insurance companies are giving the opportunity to review claim status and obtain Explanation of Benefits through their web sites and internet payer portals.
Automated Bill Status Follow-Up. Some companies have an Interactive Voice Response system (IVR) that provides status of processed bills.
Bill Review Department (Insurance Company Representative). When in need of detailed explanation, we are, however, able to reach bill review department, or in some cases, claims adjuster.
Written requests. Most insurance companies have email addresses allowing us to request any kind of denial to be emailed to us directly.

Denials Management

Once denials are obtained, extra effort is needed to overturn decision from "denied" to "reprocessed and paid". Depending on denial reason there are multiple options:

Claim Correction. If claim has been denied due to a technical error, it has to be modified and resubmitted as a corrected claim to insurance company.
Documentation missing. If claim has been denied due to a documentation missing, it has to be resubmitted as a corrected claim with missing documents added.
Reimbursement guidelines, state fee schedules and similar. If claim has been denied or underpaid, appeal has to be sent with appropriate objections.
Patient's responsibility. If claim has been denied due to In-Network deductibles or non-covered benefits per the insurance plan or policy and all efforts have been exhausted, the final bill has to be sent to the patient for payment collection.

Customized Solutions

Every company is different and our managers will work closely with you to create a customized workflow solution to meet the needs of your business. We have the experience, knowledge and most importantly manpower necessary to set-up and take over the most demanding medical billing operations with ease of implementation.

Our Services

Demographic entry
Electronic claim submission
Tracking, facilitating and resolving open claims
Insurance eligibility verification
Account Receivables follow up
Denials management
Corrections and appeals
Payment posting
Obtaining any missing information
Accurate and proper record keeping
Daily, weekly and monthly reports
Maintaining strictest confidentiality according to all HIPAA regulations

Why Go Remote?

Major companies across the globe are moving to remote work. Take your billing workflow to the next level by embracing new technologies and outsourcing billing operations.

Outsourcing is not just a cost cutting tool, but a new operational model that increases productivity and adds value to your business. This new operational model means that you are paying for work performed and not employees and it is readily available due to cloud technologies. Our job is to streamline your billing processes and create more flexible and competent back office. Once we take over theese tasks you will be able to focus on core business objectives.

Operate more efficiently by increasing productivity and decreasing operating costs.

Free your staff from tasks that can be performed by our team for a lesser fee along with better results on both ends.

Reduce operating costs

Speed up claims processing

Focus on core functions

Increase revenue

Reducing Operating Costs

In-house employee

Your costs include:

Staffing/Recruitment fees
Training
Leave pay
Insurance
Gratuity
Operating expenses
Temp. staff while employee is on leave
Social welfare and pension

Outsourced employee