Medical Billing

Insurance Billing & Claims Management

• Reviewing and Submitting HCFA 1500 Claims

• Working claim denials and rejections to ensure you get paid

• Investigating claims that are delayed in "Payer Processing" or "Payer Acknowledged" status

• Obtaining EOB/EOP data for non-electronic payers, including paper and electronic formats

• Coordinating with your clearinghouse to streamline electronic payments and remittances+

• Pursue payment of claims from the Responsible Party

Patient Billing & Payment Management

• Confirming that patient balances align with insurance coverage

• Processing patient payments and sending statements/receipts

• Managing payment plans and following up with patients who have outstanding balances

• Answering patient questions about insurance and billing

• Ensuring that patient payment methods are on file and up-to-date

• Manage pro bono clients, practice discounts, and other relevant special circumstances related to patient payments, insurances, and billing.