Our small team is experienced in working with current and legacy inventory, including all major payer plans, to increase revenue and stop revenue leakages. We have experience on various A/R platforms, such as Epic, Meditech, ECW, Allscripts, Oracle Cerner, GE, Invision, etc.
To ensure HIPAA and HITeach compliance, we use security compliance mandated by the PCI Security Standards Council and offer a 24/7 Customer Self-Service IVR payment application.
We partner in managing day-one claims or claims 120 days and over. Working claims, on or offsite, with access to your account receivable platform and (EHR) electric health records.
- Investigate/resolve any denied and short-paid transactions promptly and effectively.
- Manages assigned work queue to ensure all accounts are worked, timely and appropriately
- Identifies critical challenges driving AR, escalates to Management for resolution
- Ability to analyze AR work queue, provide recommendations for resolution, and identify billing and payment trends
- Communicate with carriers to reconcile outstanding account balances
- Works to resolve account balances of an assigned work queue
- Take actions including (but not limited to) write-offs, appeals, transfers, review of EOBs, and other carrier correspondence
- Researches and resolves unbilled claims
- We provide weekly KPI reports to leadership on the Management of claim inventory.
- Third-Party Liability Billing and Medical Record Release and Notarization of Affidavits.