Medical Billing Process | Billing Workflow

21+

Years of Experience

1000+

Experienced Resources

200+

Satisfied Clients

Precise Medical Billing to Boost Your Financial Health

The medical billing process involves several key steps in which a healthcare provider interacts with insurance companies and patients to obtain payment for services rendered. Submitting accurate claims and securing reimbursement can be challenging and time-consuming for physicians. With extensive experience in providing medical billing services, we can help you easily navigate the various steps involved in the process.

Our streamlined medical billing process ensures that your claims are submitted accurately and promptly. We adeptly handle the required paperwork, simplifying the interaction with insurance companies. Our systematic, step-by-step approach eliminates all possibilities of inaccuracies and errors and optimizes the claim submission process, improving your bottom line.

Partner with us for HIPAA-compliant, cost-effective medical billing solutions that save 30% to 40% of your operational costs.

From accurate coding to timely payments, we’ve got your practice covered.

Speak to an Expert

Steps in the Medical Billing Process

1

Patient Registration

9

Claim Submission

6

2

Insurance Verification

9

Payment
Posting

7

3

Medical
Coding

9

Patient
Collections

8

4

Charge
Entry

9

Denial
Management

9

5

Claims Scrubbing

9

AR
Management

10

1

Patient Registration

"

2

Insurance Verification

"

3

Medical Coding

"

4

Charge Entry

"

5

Claims Scrubbing

"

6

Claim Submission

"

7

Payment Posting

"

8

Patient Collections

"

9

Denial Management

"

10

AR Management

We closely monitor the performance of your billing process. By identifying optimization opportunities, we work to maximize your revenue cycle and drive improvements.

Here’s an overview of our 10-step medical billing process:

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Patient Registration or Check-in

Obtaining patient information, including personal details, insurance coverage, and demographic data.

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Insurance Verification

Verifying patient insurance coverage to determine the extent of benefits and ensure accurate billing information.

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Medical Coding

Assigning appropriate medical codes (ICD-10, CPT, and HCPCS) to describe the diagnosis and the services to the patient during the encounter.

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Charge Entry

Entry of the coded information into the billing system, specifying the services rendered, along with associated charges.

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Claims Scrubbing

Verifying the accuracy of medical codes used on the claim and ensuring they are supported by the patient’s medical documentation

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Claim Submission

Submitting accurate and timely claims that meet payers’ requirements, reducing risk of denials and delays

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Payment Posting

Recording and reconciling payments received from insurance companies and updating the patient’s account with the information.

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Patient Collections

Billing patients and securing payments due from them by sending reminders, making phone calls, or using payment plans.

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Denial Management

Addressing and resolving claim denials promptly, identifying and rectifying issues to ensure successful resubmission.

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Accounts Receivable (AR) Management

Tracking and managing outstanding accounts receivable, following up on unpaid or underpaid claims to maximize reimbursement.

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We serve all 50 states

What Our Clients Say

“I’ve had a very good experience with the insurance verification service. I am planning to use other offered services because they are easy to work with and provide great communication.”

Dr. Millicent Brown

“Your service is prompt, accurate and reliable. Thank you!”

Bobbie Jo Turley

“Jan and Meghann are the BEST!!! They are responsive, professional and fast! Thank you so much for making my job easier!!!”

A. Jill C. McCrory

“Top notch service. Easy to work with. Fast, reliable, excellent from top to bottom. Strongest recommendation possible!”

Eldon Peters

Why Choose Us

Dedicated manager
Expert certified coders and billers
Customized billing solutions
Integration with practice software
Proactive denial management
Excellent QA support
Cost-effective and flexible pricing plans
No long-term yearly contracts
No set up fees or training fees
Proven track record
HIPAA compliant

Our team stays up to date on the latest developments in medical billing. By keeping our team fully informed of relevant laws and regulations, this approach minimizes errors and inaccuracies. With years of industry expertise, we are well-equipped to deliver cost-effective medical billing solutions for practices of any size or specialty

Healthcare and Dental Revenue Cycle Management Process

Let our team help you streamline and optimize your medical billing process

Call (800) 670-2809!

FAQs

How do you handle denials and minimize revenue loss?

Proactive denial management is a core aspect of our strategy. We swiftly identify and resolve issues to minimize revenue loss, ensuring a streamlined reimbursement process and financial stability for your practice.

Can you ensure compliance with healthcare regulations?

Yes, compliance is a top priority. Our dedicated team ensures that your billing practices align with ethical and legal standards, providing you with peace of mind and a foundation for long-term success.

How do you handle patient billing and ensure a positive experience?

Our patient-centric approach extends to billing. We design our processes to be transparent, clear, and patient-friendly, contributing to overall positive experiences and satisfaction.

How do you handle accounts receivable management?

Our experienced team expertly manages accounts receivable, overseeing outstanding payments and following up on unpaid or underpaid claims to maximize reimbursement for your practice.