Medical Billing Services
The medical billing process is a complex and multifaceted undertaking that plays a crucial role in
ensuring that healthcare providers receive the compensation they deserve. Each step in this
process is vital to maintaining a healthy revenue cycle for the practice. Even a minor oversight or
error can have a significant impact on the practice’s financial well-being.
With over 13 years of experience in the medical billing industry, we know how to streamline your
medical billing processes, maximise reimbursements, and minimize your administrative burdens.
About Medical Billing Services
- We understand that every healthcare practice has its own unique needs and preferences when it comes to its EHR system. That’s why we don’t require our clients to use any specific EHR software. We’re happy to work with whatever system you already have in place.
- We expertly prepare and submit claims to all insurance companies, ensuring that they are comprehensive, correct, and by the most recent coding requirements, guaranteeing that your claims are processed in a timely and accurate manner.
- Our qualified medical coders are experts in CPT, HCPCS, and ICD-10 coding, guaranteeing that your claims are recorded accurately and precisely. We examine your documents for errors or missing information that could affect reimbursement.
- We understand that claim denials can significantly impact your practice’s revenue. Our team of specialists thoroughly analyzes denied claims to identify the root cause of denials and take the necessary steps to correct errors, gather additional information, and file appeals when necessary to maximize reimbursement rates.
- We post payments to your account immediately and provide full information to assist you in tracking your revenue and identifying any inconsistencies. Our timely and precise payment posting process ensures that you receive your reimbursements.
- We post payments to your account immediately and provide full information to assist you in tracking your revenue and identifying any inconsistencies. Our timely and precise payment posting process ensures that you receive your reimbursements.
Who Can Use Our Services?
Hospitals
Clinics
Rehabilitation Centers
Physician Groups
Solo Practitioners
Ambulatory Surgery Centers
Home Healthcare Providers
Diagnostic Imaging Centers
Dental Practices
Mental Health Professionals
Urgent Care Centers
Independent Practice Groups
Our Medical Billing Workflow
- Patient Registration:
The medical billing journey initiates with patient registration, encompassing tasks like check-in, insurance eligibility verification, and co-pay collection. Our experts leverage this information to assess insurance coverage for services and clarify the patient’s financial obligations. - Eligibility and benefits verification
Before any services are rendered, our experts verify patient eligibility and benefits with insurance companies. This crucial step ensures that the services provided are covered by the patient’s insurance plan, preventing any surprises and ensuring a smooth billing process. - Patient Prescription and Data Entry
Ensuring precision, we meticulously review and update the patient’s medical history, incorporating allergies and medications. Systematically entering vital demographics and information contributes to a thorough patient profile, simplifying billing processes and supporting informed decision-making. - Referral and Authorization Management
In certain medical treatments and procedures, doctors may require authorization or permission from the patient’s insurance company, either before or after the treatment. We also offer authorization services as recommended by the doctor to facilitate this process. We handle all referral and authorization procedures with insurance companies, ensuring that services are correctly authorized and covered, as well as removing any potential delays or blockages in the reimbursement process. - Coding and billing
After the patient’s visit, our medical biller translates the physician’s notes into standardized diagnosis and procedure codes.Simply provide us with the prescriptions and we’ll handle the rest. Alternatively, if you prefer to provide us with the codes yourself, our coding experts are always ready to assist. They can guide you in using the appropriate modifiers with your codes to maximize your reimbursement. - Charge posting
We keep detailed financial records. We post charges to patient accounts carefully, providing a detailed account of services given and associated fees, ensuring transparency and paving the path for efficient billing. - Claim submission
Once the diagnosis and procedure codes are finalized, the medical biller compiles a claim form, an itemized document that details the services rendered to the patient. This claim, subjected to rigorous scrutiny to ensure adherence to payer and HIPAA compliance standards, is then submitted to the relevant insurance company for reimbursement. After carefully reviewing claims, we submit them to insurance companies and continue to follow up with them every day to check whether our claims are on files and if they have everything in the supporting documentation that they require to reimburse those claims. - Clearing House Denials Management
While we boast a remarkable 97% claim acceptance rate, there may be instances where a claim is denied. In these rare cases, our team of denial management experts springs into action. They thoroughly investigate the reasons for denials, promptly identify any errors, and take the necessary steps to rectify them. This ensures that your claims reach the right destinations swiftly, minimizing delays in reimbursement and maximizing your revenue. - Payment posting
We carefully record all the payments received from insurance companies and patients, maintaining accurate financial records and providing you with a clear overview of your revenue status. We reconcile payments received with submitted claims to ensure accurate accounting. Our experts then process patient payments, including co-payments, deductibles, and out-of-pocket expenses. The last step is to allocate payments to the appropriate patient accounts and update their financial balances. - Secondary filing
We provide secondary insurance coverage for patients with multiple insurance plans. We then prepare secondary claims forms, incorporating patient demographics, diagnosis codes, procedure codes, charges, and primary insurance information. These claims are then submitted to the respective insurance companies. We diligently track the status of secondary claims and follow up with insurance companies as needed to ensure prompt reimbursement. - Accounts receivable management and patient billing
We effectively manage accounts receivable, tracking outstanding balances and following up with patients to ensure timely payments. Our AR specialist sends clear and concise patient statements, outlining their financial obligations and promoting timely payments. For those who fail to settle their bills within a reasonable timeframe, the medical biller may initiate a collection process to recover the unpaid dues as per provider’s go ahead..
Why Choose Our Medical Services?
- We are cost-effective and offer simple medical billing services that fit your budget.
- We offer comprehensive assistance and personalized support all day, every day.
- We know how important data security is and take measures to prevent unauthorized access or change.
- Our track record is flawless, and our services are completely customized.
- We have been in this field for over 13 years and are a HIPAA-compliant organization that is certified.
- We have a proven track record of helping healthcare providers achieve significant improvements in their financial performance.
FAQ
Q: What makes your medical billing services different from other providers?
A: Erian Billing Solution distinguishes itself through our unwavering commitment to accuracy,
efficiency, and personalized service. We leverage cutting-edge technology, employ experienced
and certified professionals, and maintain open communication with our clients to ensure
exceptional results.
Q: How do you ensure the accuracy of my claims?
A: Our team of certified medical coders undergoes regular training and adheres to the latest coding
guidelines, ensuring that your claims are coded correctly and completely. Additionally, our
advanced systems employ automated checks and audits to identify and rectify any potential errors
before claims are submitted.
Q: How do you handle claim denials?
A: We proactively identify potential denial issues during the claim preparation stage, minimizing
the likelihood of denials. However, in the event of a denial, our experienced team promptly
investigates the reason, gathers supporting documentation, and initiates the appeals process to
secure the reimbursement you deserve.
Q: How can I track my billing performance?
A: Our secure online portal provides our clients with real-time access to detailed reports and
analytics. These insights allow you to monitor your billing performance, identify trends, and make
informed decisions to optimize your revenue.
At Erian Billing Solution, we are devoted to providing our clients with the highest level of service
and expertise. To book a free consultation and learn more about our services, please contact us
immediately.
