Front End

  • Efficiently manage and schedule patient appointments, ensuring a smooth and organized workflow for both healthcare providers and patients.

  • Accurately collect and record patient information during the registration process, establishing a solid foundation for the billing and reimbursement process.

  • Thoroughly verify patient insurance coverage and benefits to confirm eligibility, helping prevent claim rejections and ensuring accurate billing.

  • Obtain necessary approvals from insurance providers before scheduled medical procedures, ensuring coverage and minimizing the risk of claim denials.

Middle End

  • Efficient and accurate entry of charges for medical services rendered, ensuring that all billable services are recorded for proper reimbursement.

  • Precise assignment of accurate medical codes to diagnoses and procedures, facilitating proper billing and compliance with coding standards.

  • Thorough review and validation of claims to identify and address errors or inconsistencies before submission to insurance, minimizing the risk of claim rejections and delays.

Back End

  • Accurate and timely recording of payments received from insurance providers and patients, ensuring proper reconciliation and financial tracking.

  • Monitoring and managing outstanding accounts receivable, addressing issues, and optimizing cash flow for healthcare providers.

  • Identifying and addressing claim denials and rejections promptly, implementing strategies to minimize future occurrences, and maximizing revenue recovery.

  • Generating and sending clear, accurate, and timely bills to patients, providing transparent information on their financial responsibilities.

  • Offering responsive and supportive customer service to address patient inquiries, resolve billing concerns, and provide assistance throughout the billing process.

  • Evaluating and analyzing the entire revenue cycle process to identify areas for improvement, optimize efficiency, and enhance financial performance.

  • Conducting thorough audits to ensure compliance with industry standards, regulations, and internal processes, providing insights for continuous improvement.