What Is Medical Billing?
Medical Billing is the process of submitting health insurance claims on behalf of the patient to various health insurance payors for the purpose of acquiring payment for services rendered in a medical facility.
Comprehensive Medical Billing Solutions
Medical Billing is the backbone of healthcare financial management, ensuring accurate reimbursement for services provided. Our tailored solutions streamline administrative processes, optimize revenue cycles, and ensure compliance with healthcare regulations.
Revenue Cycle Management
In addition to gathering data and submitting the insurance claim form to payors, it is the responsibility of the Medical Biller to ensure that the data is accurate and that the claim is adjudicated properly. Payments coming from either the patient or the insurance payor are posted to the claim by the Medical Biller. Any remaining balances are then either written off, adjusted or pursued in collections.

What We Offer:
Pre-Certification & Insurance Verification:
- Pre-Certification: Obtaining authorization from insurance companies for certain medical procedures or treatments before they are performed.
- Insurance Verification: Confirming patient insurance coverage, policy details, and eligibility for services.
Patient Demographic Entry:
- Entering and verifying patient information such as name, address, insurance details, and contact information into the billing system.
Charge Entry:
- Recording medical services, procedures, and treatments provided to patients using standardized medical codes (e.g., CPT codes for procedures, ICD-10 codes for diagnoses).
Claims Submission:
- Creating and submitting claims to insurance companies or other payers electronically or via paper.
- Claims detail the services provided, associated costs, and patient information.
Payment Posting:
- Recording and posting payments received from insurance companies, patients, or third-party payers to the patient’s account in the billing system.
- Includes posting co-pays, deductibles, and other patient responsibilities.
A/R Follow-up (Accounts Receivable Follow-up):
- Monitoring and managing unpaid or partially paid claims and outstanding patient balances.
- Following up with insurance companies and patients to ensure timely reimbursement and payment.
Denial Management:
- Investigating and resolving denied claims by insurance companies.
- Includes identifying reasons for denials, correcting errors, and resubmitting claims with additional documentation if necessary.
Reporting:
- Generating reports and analytics on billing and financial performance.
- Includes metrics such as accounts receivable aging, collection rates, and revenue cycle efficiency.


Benefits of Our Services:
- Maximized Revenue: Reduced claim denials and optimized reimbursement rates.
- Improved Cash Flow: Streamlined processes accelerate payment cycles and enhance financial stability.
- Enhanced Efficiency: Time-saving solutions that allow healthcare providers to focus on patient care.
- Transparent Reporting: Detailed analytics and reporting for informed decision-making.

