We are familiar with the challenges that you face as a hospital: legacy systems, inability to work low dollar balances, self pay accounts not sufficiently worked, aged AR, shortage of qualified and skilled personnel etc.
BillingParadise will help you address all of these challenges very effectively.
Our solutions are designed to improve your cash flows, reduce your operating costs and lower your bad debt write offs, while maintaining positive patient and community relations.
• Not worth keeping Billing clerk in house for the low volume of claims processing work
• Low collections and Huge AR Backlogs?
• Your in-house billing assistants moved to other job and left you in lurch?
• Rising costs for processing services
• Difficult to keep up with ever changing claims processing procedures?
• Lack of trained and qualified resources?
• Distractions from pursuing your core business objectives
• Ever increasing need for IT capital expenditures
• Customer dissatisfaction
• Lack of follow ups with the insurance (Credentials, payments etc..)
• Low dollar value claims are not followed – Time Crunch!
• Payment delay for the visiting physicians.
• Delay in obtaining Authorization number.
• Expert resource with best process
• Better Process
• Faster TAT
• Significant cost savings up to 30-40 %
• 99% Accuracy
• Increased Cash flow - Denial Management and AR Follow-up.
• Experienced staffs with regards to the insurance policies will follow the claims and for credentials.
• Team allotment for the specialty vice follow ups.
• An office manager at your place manages the entire process with our staffs.
We will take care of your entire Healthcare Claims processing activities.
1. We will dedicate a Phone number for your Patients to call our office customer service 24/7.
2. We will get you a Toll Free Fax number .
3. Less than 36 hours TAT upon receiving super bills
4. Save about 40-50% of your existing cost or owning billing staff
5. Follow up with insurance carriers for all submitted claims to ensure proper payment of claims in a timely manner
6. Patient Insurance verification to minimize claims rejection*
7. Weekly production report and monthly AR aging report
8. Free patient billing and invoicing for three times
9. 90 Day payment guarantee for all Primary claims of MCR and other Commercial Carriers MCR Blue cross excludes Medicaid and Trust Funds and Patient balance
* If you signup online Appointment scheduling services with us what we do the eligibility of the Pt before the appointment and will notify your office the status.
1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software and claims will be submitted electronically.
3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
4. AR aging reports will be carefully processed and sent to your appraisal.
5. Insurance calling will be done on claims based on the AR report.
6. Reports on the work done will be sent on daily, weekly and monthly basis.
Step 1: Collecting / Checking / Scanning of required documents to Our Office
Step 2: Required data i.e. Patient Demographics, Insurance Information, Super bill, Check copies and EOB copies. Charge Entry will be updated in our software. Expected TAT of this process is 36 Hrs.
Step 3: Payment information's will be updated to individual claims account on daily basis based on daily document source – Check copies and Explanation of Benefits.
Step 4: Unpaid / Denied / Rejected claims will be Analyzed, Accounted and Act upon by the AR crew which will also call various Insurance Companies for follow-up..
Step 5: Through our Office / Client we will route submission of secondary and tertiary claims, claims with attachments, patient bills and other documents to the Insurance companies
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%