Streamlined charge entry, CPT/ICD coding, claim creation & clearinghouse submission with >98% first-pass success rate.
Real-time checks to validate active/inactive coverage, co-pays, deductibles, and prior authorizations.
Identify root causes, rework rejected claims, and appeal with documentation to reduce AR days and revenue loss.
Generate and dispatch accurate statements, manage patient queries, and offer courteous, professional support.
Accurate posting of EOBs and ERAs with rigorous reconciliation to ensure no revenue is missed.
Custom KPI dashboards, quarterly business reviews, and actionable insights to drive performance improvement.