Healthcare Back-office Services for Billing Companies

MedBillingExperts has over 10 years of experience in providing a range of healthcare back-office support services for medical billing companies. Our comprehensive back-office support services aim to streamline your revenue cycle to make it more efficient, quick and adaptable. We combine the power of our team, experience, knowledge, process and technology to reduce operational backlogs and increase revenues.

We Provide Comprehensive Range of Healthcare Back-office Support Services to Medical Billing Companies

Medical billing companies have benefitted by outsourcing following healthcare back-office support services to us:

Revenue Cycle Management

Our RCM services offer medical billing companies a commercially proven, comprehensive and purpose-built revenue cycle solutions that streamlines and automates critical business processes starting from registration to reconciliation. Our specialized team strive to streamline revenue flow, increase acceptance/denial ratios, enforce accurate policies, facilitate compliance with regulations, deploy time-sensitive bandwidth, go after underpayments, among others.

Medical Billing

We use a perfect mix of proven billing methodologies, effective control mechanisms and highly trained staff to obtain accurate, complete and timely payment from all third-party payers.

Here is the entire gamut of functions covered by our medical billing services:

  • Assistance with provider enrolment
  • Eligibility and benefit verification
  • Fee schedule review and analysis
  • Secondary insurance billing
  • Authorization request and tracking
  • Account receivables management
  • Posting of insurance and patient payments
  • Old account receivables recovery
  • Charge entry for all specialities
  • Electronic and paper claims submission
  • Extensive insurance follow-up
  • Patient statement processing and mailing
  • Denial review and management
  • Appeal of all denied or low paid claims

Medical Coding

Our back-office services remove the pain of medical coding and auditing for medical billing companies, allowing them to focus their attention on things that matter the most. We tap into the expertise of our team of 500+ AAPC certified coders and carefully knit with streamlined processes and high-end technology to create a coding workflow that minimizes errors, accelerates operational process, and reduces impact on your bottom line.

AR Management and Follow Up

We reduce overheads, increase productivity, and resolve disputes by offering following Accounts Receivable services to medical billing companies:

  • Review and record invoices
  • Prepare and mail invoices
  • Prepare accounts receivable aging report
  • Prepare and deliver customer statements and notices
  • Follow up with patients, if requested

Denial Management

Our denial management services increase payment recovery for clients and partners by augmenting process management, improving root cause analysis, and preventing denials:

Our denial management services include:

  • Clinical Appeals Service
  • Complex Denials Service
  • Government Appeals Service
  • Comprehensive Denials Management Program
  • Payment Variance Program

Medical Claims Processing

We offer fully-fledged claim processing services for medical billing companies and this includes:

  • Medical Claim Data Validation
  • Medical Claim Data Entry
  • Medical Claim Data Indexing / Extraction and Archiving
  • Medical Claims Administration Support Services
  • Provider and Member Data Maintenance and Cleansing
  • Medical Claim-related Finance and Accounting BPO Services (Billing, Accounts Payable Management, etc.)
  • Data Processing of all Medical Insurance Claim Forms, including UB-04, HCFA, CMS-1500, UB92, Dental Claims Forms

Medical Claims Adjudication

Our claims adjudication services will help you fight fraud, contain costs and increase productivity by helping you with the following:

  • Adjudicating entitlement
  • Analyzing validity of claims/fraud detection
  • Spotting duplicate claims
  • Computing valid claims amount
  • Extricating “data components” from raw claims
  • Establishing medical service provider type
  • Validating data against adjudicating engine
  • Committing fully adjudicated claims

Insurance Verification Service

Our comprehensive insurance verification services can help you with:

  • Patient Insurance Authorization
  • Insurance Pre-Authorization
  • Patient Insurance Health Benefits Eligibility
  • Healthcare Prior Authorization

We Also Excel in Providing Associated Services Such as:

Medical Transcription

We tap into our 10 years of experience in the industry to deliver accurate and reliable transcriptions for any type of medical records. From SOAP reports to procedure notes to operative reports to discharge summaries to clinical trials and research, audios related to every kind of medical records can be transcribed in as less as 12 hours.

Medical Records Indexing

We combine precise manual processes with proven quality assurance and quality control mechanisms to offer simple, fast and efficient scanning, indexing and archiving services that performs the way you want it to perform.

We are well-versed with scanning and indexing any type of medical records, including:

  • Insurance bills and information
  • Health insurance ID cards
  • Clinical history
  • EOBs
  • Patient records
  • Medical charts
  • Medical reports
  • Healthcare BPO provider notes

Healthcare Analytics

We combine our expertise with latest statistical techniques and state-of-the-art information management technologies to deliver highly effective and reliable healthcare analytic services including:

  • Healthcare Predictive Analytics
  • Business Intelligence
  • Modelling and optimization
  • Real-time medical data analytics

Healthcare IT

Being a leading healthcare back-office support company, we offer an entire gamut of healthcare IT solutions to medical billing companies. This includes:

  • Mobile App Development
  • Customized Healthcare Dashboard
  • Advanced Healthcare Analytics
  • Customized EHR
  • Healthcare IT as SaaS
  • 24X7 IT Support
  • Healthcare Information System
  • Data Migration

We are also well-versed with providing healthcare automation services for:

  • Advanced scheduling
  • E-prescription
  • Insurance claim management
  • Inventory management and many more

Healthcare Data Entry Services

We provide superior quality data capturing, extracting and archiving services for a wide variety of records, which includes:

  • Demographic Entries
  • Charge Entry
  • Payment Posting
  • Text and Numeric Data Entry
  • Image Record Data Entry
  • Handwritten Document Data Entry
  • Hospital Records
  • Tests or Lab Records
  • Surgical Encounter Records
  • Prescription Medication Records
  • Clinical and Healthcare Records
  • All Patient Information, Chart Information, Appointments, Account Information, Insurance Details, Notes from the Doctor, Billing etc
  • Medical Insurance Claim Forms, including UB-04, HCFA, CMS-1500, UB92, Dental Claims Forms
  • Other Relevant Medical Documents

Our Healthcare Back-office Services are Compatible with Every Leading Medical Billing/Practice Management Software

Being a leading healthcare back-office outsourcing company, we have meticulous designed our outsourced healthcare back-office services to be compatible with a range of software including:

  • Kareo
  • Advanced MD
  • Healthfusion
  • Nextgen
  • Athena
  • Eclinical Works (ECW)
  • GE Centricity
  • Imagine
  • WLT
  • Avant MD
  • AllScript
  • ZB
  • BrightTree

Why Hospitals Outsource Healthcare Back-office Support Services to Us?

Here are some of the benefits that you’ll gain when you outsource healthcare back-office support services to an expert healthcare back-office support company like MedBillingExperts:

  • 100% HIPAA compliant process
  • Up to 40% savings on operating cost per employee
  • 97% claims paid on first submission
  • 20 days average turnaround time
  • Access to 500+ highly skilled support staff
  • Flexibility of scaling up and scaling down the team as per requirement
  • Real-time access to reports
  • State-of-the-art systems and software
  • Stringent quality control and information security policies

When you outsource back-office support for hospitals to MedBillingExperts, you’ll partner with a healthcare back-office support company that is extremely skilled in handling every facet of our back-office operations and help you get you paid 30% more, 40% faster.

Contact us today and discover the advantage of outsourcing healthcare back-office support services for medical billing companies to MedBillingExperts.

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