Our Billing specialist’s brings expertise in multiple states, multiple specialties, and multiple hospital & physician management systems, Medicare, Medicaid, Managed Care, Preferred Provider Organizations and Indemnity Insurers. We know CMS 1500 and UB92 forms.
Our Offshore Medical Billing specialist’s has experienced with popular billing software applications Medic, Medical Manager, HealthPac, Calmed, Prime Clinical, Medisoft, CpuMed, NextGen, Practice Today, IDX, SMS Signature and Lytec.
Patient Demographics
☛ Ability to work on scanned images as well as Electronically Submitted Demographic Sheets
☛ Ability to accurate process insurance information (selecting appropriate insurance details)
☛ Offshore Medical Billing specialist’s access the information via the Server (or directly from Software Screen as the case may be) and enter information directly into the client software
Charge Entry
☛ Offshore Medical Billing specialist’s process charges for all specialties with good appropriate state and specialty rules
☛ Trained in regulations related to Medicare, Medicaid, Managed Care, Third Party Liability, Workers Compensation, Preferred Provider Organizations, Indemnity Insurers
☛ Paper and Electronic claims are sent daily, Electronic claims are submitted directly to: Medicare, Medicaid, Blue Cross/Blue Shield & most commercial insurance carriers
☛ Offshore Medical Billing performs Internal Quality Assurance at different levels to provide the high quality output
Payment Posting
☛ We process both Manual and ERA payment posting
☛ Daily Deposits balanced accurately
☛ Denials are worked immediately and secondary claim reports are sent on daily basis
☛ For partial payments, analysis is done and corrective action is taken
☛ Overpayments are researched, authorized and documented.
Non-remittance mail from payers and patients is noted in the patient’s accounts and reviewed. Responses are processed timely to enhance cash flow