Account Receivables Management

Our Provider Enrollment & Credentialing Services:

Insurance Claims Management

Patient Billing and Collections

Denial and Appeals Management

Revenue Recovery and Reconciliation

Reporting and Analytics

Insurance Claims Management:

We specialize in managing insurance claims on behalf of healthcare providers. Our experienced team ensures accurate and timely submission of claims to insurance payers, following the specific billing guidelines and requirements of each payer. We proactively track claim status, address claim denials and rejections, and expedite claim resolution, leading to faster reimbursements and reduced outstanding balances.

Patient Billing and Collections:

We understand the importance of effectively managing patient billing and collections. Our team handles the entire patient billing process, including generating accurate and detailed statements, sending reminders, and managing payment plans. We approach collections with empathy and professionalism, working closely with patients to resolve outstanding balances while maintaining positive relationships.

Denial and Appeals Management:

We have extensive experience in denial and appeals management, navigating the complex landscape of insurance denials and payer disputes. Our team analyzes denial trends, identifies root causes, and takes strategic actions to minimize future denials. We also handle the appeals process, ensuring all necessary documentation and supporting evidence are submitted to insurance payers within the specified timelines.

Revenue Recovery and Reconciliation:

We focus on maximizing revenue recovery by identifying and resolving underpayments, overpayments, and billing discrepancies. Our team conducts comprehensive audits and reconciliation processes, ensuring accurate payment posting and identifying any potential revenue leakage. By optimizing revenue recovery, we help you capture missed revenue opportunities and improve your overall financial performance.

Reporting and Analytics:

We provide in-depth reporting and analytics on your accounts receivable, giving you valuable insights into your financial performance and revenue cycle metrics. Our customized reports highlight key performance indicators, such as aging of receivables, collection rates, and reimbursement trends. These insights empower you to make informed decisions, implement process improvements, and drive financial success.