MedBillingExperts has over 10 years of experience in providing a range of healthcare back-office support services for medical billing companies in USA. 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. Our end-to-end back office services and process efficiencies have helped us become one of the best medical billing and coding companies in the world.
We Provide Comprehensive Range of Back-Office Support Services to Medical Billing Companies
Our clients, which includes some of USA’s top medical billing companies, have benefitted immensely from our back-office support services. Our services include:
Revenue Cycle Management
Our RCM services offer medical billing companies proven, comprehensive and purpose-built revenue cycle solutions that streamline critical business processes starting from registration to reconciliation. Our specialized team knows what it takes 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 Services
We are rated as one of the best medical billing companies because we use a perfect mix of proven billing methodologies, effective control mechanisms and highly trained staff to obtain accurate, complete and timely payments from all third-party payers.
As a reputed medical billing outsourcing company in USA, we handle the entire gamut of billing requirements suc as:
- 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 Services
Our back-office services take care of all the complexities of medical coding and auditing, thereby enabling medical billing companies focus on things that matter the most for your business. 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
Consistent follow-up is necessary for faster reimbursements and to maintain constant flow of cash into the practice. Our AR experts can help you with collections, AR calling, claim denial analysis, following up on pending claims, and tracking unsettled balances. We reduce overheads, increase productivity, and resolve disputes with our Accounts Receivable services. Medical billing companies leverage our services to:
- Review and record invoices
- Prepare and mail invoices
- Prepare accounts receivable aging reports
- Prepare and deliver customer statements and notices
- Follow-up with patients, if requested
Denial Management Services
Fixing payment issues can be a massive challenge that takes considerable effort to overcome. Our professionals follow-up with insurers to check whether your claims meet the necessary preconditions or fall short. Be it erroneous data or partial documentation, we gather information that trails us to the cause of the denial. After locating and resolving the shortfall, we file claims according to the payer’s required format and guidelines. Our denial management services increase payment recovery for clients and partners by augmenting process management and improving root cause analysis.
Our denial management services for third party billing companies include:
- Clinical Appeals Service
- Complex Denials Service
- Government Appeals Service
- Comprehensive Denials Management Program
- Payment Variance Program
Medical Claims Processing
Our medical claims processing support services covers a range of sub-services; from patient demographic entry, document scanning, and claim adjudication to curating the Explanation of Benefits, claims follow-up, filing claims, and data indexing. By relying on our medical claims processing services, you can cut the volume of rejected claims significantly. Our comprehensive claims processing services for medical billing service 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. Our team consists of skilled and experienced adjudicators who have vast exposure to optimizing existing procedures and claims analysis. Let’s go through our inner processes to gain a better understanding. We support them with a robust and well-structured claims adjudication process. Some of the services we provide include:
- 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 team of billing experts ensure that the submitted payer details and other benefits information entered into the system is accurate and error-free. We check whether the patient is actively covered by a medical plan and if the coverage includes treatment, consultation, medical equipment, procedures, prescription drugs, etc. Our goal is to reduce unexpected payment complications from arising by addressing the problem before its occurrence. 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 Services
We tap into our decade-long experience in the industry to deliver accurate and reliable transcription services for any type of medical records. From SOAP reports, procedure notes, and operative reports to discharge summaries, clinical trials and research, audios related to every kind of medical record can be transcribed in as little as 12 hours. With highly skilled transcriptionists who are very familiar with different physician dialects and healthcare terminologies, our experts ensure that the transcriptions you require are completed accurately.
Medical Records Indexing
Our team of experts help you segment and sort through large volumes of treatment information and demographic data with our medical record indexing services. Our services enable faster retrieval of patient files from one location for seamless healthcare document management. All documents are initially scanned into the system and then transformed into images for simpler digital storing. They are then indexed and stored in your electronic health record (EHR) or practice management software. We combine precise manual processes with proven quality assurance and quality control mechanisms to offer simple, fast and efficient scanning, indexing and archiving services.
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 Services
Our experts help you track, analyze and measure all sorts of data collected from claims reports, patient records, diagnosis, reports, hospital management data, and more. We deliver user-friendly reports that are accurate and comprehensive so that you can drastically cut down your financial risks and significantly enhance your service efficiency. We combine our expertise with advanced statistical techniques and state-of-the-art information management technologies to deliver services such as:
- Healthcare Predictive Analytics
- Business Intelligence
- Modelling and optimization
- Real-time medical data analytics
Healthcare IT
Our experts render practical solutions to help you adopt the best healthcare IT tools for your business. Aside from upgrading your hospital’s systems and providing data migration services, we deliver on-site support services to help keep your internal processes running smoothly. As a leading healthcare back-office support company, we offer a gamut of healthcare IT solutions to top 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
Error-free and quick data entry is a critical part of efficient and effective healthcare services. In fact, the first step in error-free claims submissions is fast and highly accurate documentation. It is important because it removes the typical hassles and risks that accompany negligent billing practices. Our experts have the necessary qualifications to handle complex data capture tasks with both precision and great care. We provide superior data capturing, extracting and archiving services for a wide variety of records, which include:
- 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
Healthcare Back-Office Support Process We Follow
It is our aim to handle healthcare back-office support functions in a way that gives you the best visibility into the process so that you can measure and track the progress at every stage. We implement the services in the following way:
Eligibility Verification
The first step in the process is to check patient eligibility to see whether they qualify to meet the minimum requirements of their insurance provider.
Capture Patient Demographic Data
Important demographic data such as gender, date of birth, ethnicity, postal code, and blood type are then collected and categorized for effective record keeping as well as further statistical analysis
Medical Coding
Our team of certified medical coders will then convert physicians reports and recordings into HIPAA compliant medical codes from ICD-10 and CPT codes to HCPCS codes as required.
Charge Posting
We assign the correct dollar value to each patient account based on the codes assigned by our team of certified medical coding professionals.
Electronic Claims Submission
After ensuring that all documentation is completed thoroughly, our experts perform quality checks to see if all the data is in keeping with the payer’s guidelines before electronically submitting the bills in their required format.
Payment Posting
We verify whether the payment obtained from the payer matches with the dollar value charged by the physicians. The payment is then electronically posted to the medical billing system to undergo further accounts reconciliation.
Dispatch Patient Statements
We intermittently dispatch high-quality patient statements and billing summaries for recordkeeping and to effectively backtrack expenditures. This gives you a comprehensive look at every component of the final bill.
Comprehensive Reporting
We provide critical reports and insights from the analysis of your electronic health records (EHR) alongside a detailed Explanation of Benefits (EOB) statement to help you better understand your current operations and resulting cash flow.
AR Follow-Up and Denial Management
Our team of experts’ follow-up with the insurers in the event of a short pay or denial of payment. We use the EHR to justify the invoice for a higher reimbursement amount.
Benefits of Outsourcing Healthcare Back-Office Support Services
Outsourcing healthcare back-office support services to experts can be vastly beneficial if you are looking to accelerate turnaround times, generate greater returns, and reduce your operational costs. Some of the other benefits that medical billing companies enjoy by outsourcing their requirements to us include:
Generate Greater Returns
Third party medical billing companies deliver world-class healthcare back-office billing support services. This helps medical billing companies focus on revenue generating activities and free-up their time to drive greater revenues and keep operations profitable at all times.
Minimize Operating Costs
Because we operate out of global delivery centers that are situated in third-world nations across the globe such as India, the Philippines, Venezuela etc. we guarantee low service costs to our clients. In this way, our billing services for medical billing companies help them augment profits through savings.
Accelerated Turnaround Times
Our experts operate from multiple global delivery centers situated across Asia, and North and South America. So, we guarantee turnaround times. With 24x7 services we ensure we are available round the clock for your needs.
State-of-the-Art Technologies
We count on the most sophisticated technologies, tools, and infrastructure to deliver high-quality back-office support services to our clients. Our workstations have intrusion detection technology, 100% IT redundancies, robust firewalls, and 200% backup power capabilities to deliver the most cutting-edge offshore services at all times.
100% HIPAA Compliance
As a well-certified healthcare back-office support services company, we strictly follow HIPAA compliance guidelines and protocols to keep the data of healthcare providers and medical billing companies USA, safe and secure. We are 100% HIPAA compliant and keep ourselves updated with all the latest HIPAA requirements.
Rapid Scalability
With operations round the globe and massive pools of skilled talent we can scale operations up or down in a seamless manner. No sooner than your business requirements grow, we assign more resources in the shortest possible time
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.
