Services

End to End Revenue Cycle Management Services

We work as an extension of you medical billing company and provide end-to-end services such as – Appointment Scheduling, Patient Demographics, Eligibility Verification, Prior Authorization, Coding, Charge Entry, Claim Submission, AR Follow-up, Denial Management, Payment Posting, Patient Billing Support and Provider Credentialing.

Eligibility & Benefits

In the era of high patient deductibles, we help take on the heavy lifting of gathering both eligibility and benefits before the patient visit. This is an essential service for your clients as they struggle with increasing patient payment responsibilities.

Patient Demographics Entry and Charge Entry

Our team of highly experienced billing professionals perform the charge entry functions. Our highly trained Data Entry Team and Quality Control Team makes sure that all data is entered exactly as provided. We understand the importance of making sure that insurance ID numbers, claims address and all demographic and insurance information is entered correctly and directly impacts claim payment.

Visit Coding

Our billers have the added knowledge of working on multi-specialty practices, they know how to match CPT codes to diagnosis codes so that the claims get paid. Our team is also well versed in working on a variety of medical billing software. With this added advantage we can get started right away, saving staff training time and effort.

A/R Follow-Up

Collection of Accounts Receivable is essential to any medical practice, but it is not an easy task. Pro billing employ professionals and follows efficient methods to recover the receivables through our Internal Accounts Receivable Software which helps in easy analysis of the outstanding receivables and effective follow-up with insurance companies.

Payment Posting

Our trained billing professionals knowledgeable of different kind of EOB’s (Explanation of Benefits) across ALL PAYERS posting MANUAL and ELECTRONIC PAYMENTS. Payments received from Patient’s and Insurance Companies are posted to the patient accounts in the client’s medical billing system. The posted payments are balanced against the bank deposit slips to ensure payments received are reconciled on a day-to-day basis.

Denial Management

Our experienced and proactive denial management team carefully analyze your remittance advice to identify the root causes of denials, zero pays, claim reversals and meticulously work on them until the claim is closed out.

Credit Balance Resolution

Incorrect adjustments, erroneous credits and misuse of debit codes makes Credit Balance tasks quite challenging, requiring precision, attention to detail and a focus on operational excellence. Pro billing analysts are diligent and well trained to ensure outstanding credit balances are accurately resolved.

Provider Credentialing

This is a very critical function for the providers to become a part of a payor network and to receive better revenue realization. Our experienced staff thoroughly and meticulously performs the credentialing for providers by reviewing the necessary documents and filling out the required forms.

15 Minutes Call Can Reduce Your Costs by 40%!!