Why work with billers? Work with
the medical billing experts!

FIRST SHIFT - 8:00 AM To 4:00 PM EST

Accounts Receivables Team:

Dedicated AR Callers leverage Insurance carrier’s full Business hours. The team has extraordinary rapport with the insurance carriers, which allows it to follow-up with the insurances on unpaid claims relentlessly to get paid faster. The team go after the unpaid claims right after the insurances’ claim processing time (Federal 14 Days & Commercial 20 to 30 days). The team alerts the Denial Management team on any denied claims to get them addressed within 24 to 36 hours

• Staying on top of denied Claims week after week
• Predict Collections a week ahead

SECOND SHIFT - 12:00 AM To 4:00 PM EST

Patient Eligibility Reporting:

Stich in Time Saves Nine…! This team contacts the insurance companies to get you a detailed report on Patient Eligibility, two days prior to their visit. The report contains info on Patients’ Insurance Eligibility, Procedure Eligibility, Co-pay, Deductible, Insurance Preauthorization and past dues if any. The team loads this info right into the EMR as an alert or sends a report to you on a daily basis before 8:00 am local time.

Claim Management Team:

This is a team of specialty specific Certified Coders, which validates the claims after reviewing the Medical Records to make sure CPTs, ICD-09/ICD-10 & Modifiers are captured completely. This team scrubs the claims internally and transmits them over to the insurance companies through the Clearinghouse. This way, the team gets rid of denials like, patient ineligibility with his / her insurance carriers, incorrect CPT, Diagnosis / Modifier mismatch, etc.

• 100% Claim Audit by specialty specific Certified Coders
• 100% Claim Scrubbing for Clean Claim Transmission
• Claim Transmission within 12 to 24 hours
• Eliminates Denials

THIRD SHIFT - 12:00 AM To 8:00 PM EST

EOB/ERA Posting & Denial Management Team:

This team posts the EOBs/ ERAs into your EMR/EHR within 12 to 24 hours from the time of receipt. The team generates a Denial Report based on the EOBs / ERAs and starts working on the denials on a case-to-case basis on the very same day.

• Addressing denials within 12 hours.
• Specialty specific Certified Coders to address coding based denials

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Our 24-hour EMR certified Billing & RCM workflow setup ensures maximization in revenue flow of your practice.

Here is the checklist

• Patients’ Insurance Eligibility and Benefit Verification prior to their visit. This helps your front desk staff to educate your patients on their out-of-pocket expenses upfront.
• Medical Coding Analysis by dedicated specialty specific ICD-10 Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.
• Creating clean claims.
• Claim Scrubbing to zero down denials.
• Transmitting claims to the insurance companies within 12-24 hours from the time of signing the Medical Records.
• Acting on clearing house report instantly.
• Following-up with the insurance companies over the phone right after the insurances’ Claim Processing Time.
• Posting EOBs and ERAs.
• Following-up with denied claims (Denial Management) and resubmitting claims on the same day.
• Mailing-out patient statements and placing follow-up phone calls to get patients’ responsibilities collected.
• Patient Call Support: Dedicated Toll-free number for the patients to get their billing questions answered.
• BillingBridge iPhone App: Access to Activity, Progress, Analysis & Benchmarking Reports.