Professional Billing Specialists

Billing and collection are the sustenance of a medical practice. Unfortunately, they are also complicated to monitor and manage. Professional Billing Specialists are available at any/every level of the billing process.

• Daily electronic claim filing with paper claims submitted when required. Our detail oriented staff will accurately enter your patients’ information to assure that claims are processed correctly the first time they are submitted.
• Monthly patient statements. Patients will receive statements monthly detailing insurance payments, deductibles, co-payments and co-insurances.
• Payment and adjustment posting. Our staff is trained to accurately read Explanation of Benefits from the insurance carriers, so that payments are applied correctly and additional funds such as deductibles, co-pays and co-insurances are collected.
• A/R management. We offer both in-house collection or refer to an outside agency. Our staff vigorously works denials and appeals. We make sure that refunds are processed in a timely manner.
• Aggressive claim appeal process. We will challenge the insurance companies to receive the correct reimbursements for your practice when they have processed the claim incorrectly.
• Medical coding services. Our certified procedural coding specialists will assign ICD-9-CM and CPT codes obtained from medical reports accurately, so that you receive maximum reimbursement.
• Physician credentialing. We have experience in working with multiple insurance carriers and will negotiate pricing on your behalf, so that you are able to offer services to a wide range of patients.
• Customized practice and A/R reports. You will receive reports which can help you to evaluate the strengths and weaknesses in your practice.
• Considerate, well-trained staff to handle patient billing calls.