In terms of cost, an in-house medical biller costs a clinic $ 14 to $ 15 an hour in the United States.
An off-shore medical billing company pays less than $ 2 an hour to a medical biller. The huge difference in the hourly wages is just one convincing reason for clinics to opt for off-shore service providers.
The off-shore medical billing companies are able to provide 24 x 7 billing service, mainly because the support staffs of medical billers are flexible and willing to work in any 8 hour shift allocated to them. The advantage that this offers is that the billing and documenting process is continuous, and there are very few backlogs.
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In terms of follow-up of medical claim with insurance companies, negotiation skills of medical billing companies whether inland or offshore are more effective, than in-house medical billers and this ensures that claim rejections are negligible, besides reimbursements are quicker, because ultimately medical billing charges are reimbursed to them by the clinics, only after insurance companies pay the clinics their due, unlike in-house medical billing staff, which regardless of receivables from insurance companies receive regular wages, and therefore the effort on follow-up by them is lax and less frequent.
Scrutinizes insurer compliance with contractual terms and audit remittances.
Lists out top paying CPT codes so users know where to focus on to drive up revenue.
Inbuilt claims scrubbing tools to increase your first pass claim acceptance rate
Maps denial reason codes to identify denial trends and address problem areas.
Prioritizes and organizes pending AR into buckets based on age, claim value & insurer.
Provides extensive net collection reports that detail insurer and patient collections.
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