BillingParadise’s powerful 24 hours Billing & Collection team ensures prompt and timely payment by having tremendous team coordination, which can nullify the communication gap. It is clearly understandable that our team is 3 times powerful than a typical 8 hours in-house billing team.
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Here is our 24 hours Team Coordination Working Cycle that can maximize your revenue flow significantly,
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Billing & Collection Team |
WORKING HOURS |
From |
To |
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Account Receivables |
8:00 AM |
5:00 PM |
Claim Management |
4:00 PM |
1:00 AM |
EOB Posting & Denial Management |
12:00 AM |
9:00 AM |
FIRST 8 HOURS: 8:00 AM TO 5:00 PM:
Account Receivables Team: This team follows-up with the Insurance Carriers relentlessly over the phone to get to know the status of the claims that are transmitted through the Clearing House. This team starts following with the insurance companies from the 7th day of claim transmission to predict the insurance reimbursement amount for next 7 days and to alert the Denial Management team on denied claims if any. The Denial Management team starts working on the denials well before the receipt of EOBs
Coordination:
- 8:00 am to 9:00 am with EOB Posting & Denial Management Team.
- 4:00 pm to 5:00 pm with Claim Management Team.
How this can maximize the cash flow?
- By knowing the status of your claims within 5 to 7 days from Date of Service.
- By predicting your reimbursement for next 7 days.
- By significantly minimizing the time to get your denied claims paid.
SECOND 8 HOURS: 4:00 PM TO 1:00 AM:
Claim Management Team:
This team creates claims based on the super-bills received or based on the output given by BillingParadise’s Certified Medical Coding team. This team scrubs the claims internally and transmits them to the insurance companies through Clearing House to avoid denials like, patient eligibility with his/her insurance carriers, incorrect CPT, Diagnosis/Modifier mismatch, etc.
Coordination:
- 4:00 pm to 5:00 pm with Account Receivables Team.
- 12:00 am to 1:00 am with EOB Posting & Denial Management Team.
How this can maximize the cash flow?
- By getting your claims transmitted within 12 to 24 hours.
- By ensuring clean claim transmission through state-of-the-art Claim Scrubbing system.
- By minimizing the denials.
THIRD 8 HOURS: 12:00 AM TO 9:00 AM:
EOB Posting & Denial Management Team:
This team posts the charges/cash into the EMR/EHR/PM within 12 to 24 hours. This team generates a Denial Report and start working on the denials if any on a case-to-case basis on the same day of EOB receipt. This team has expertise in handling any kind of denials as the team is organized by specialty and State basis. The team reminisces its best on getting the tough denials paid.
Coordination:
- 12:00 am to 1:00 am with EOB Posting & Denial Management Team.
- 8:00 am to 9:00 am with Account Receivables Team.
How this can maximize the cash flow?
- By working on the denials within 12 hours of EOB receipt.
- By getting the denied claims paid by having the right specialty team, which is State specific.
Call us @ 1-(888)-571-9069 to get more details about medical billing services or fill up the inquiry form here.
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