Ophthalmology Medical Billing & RCM Services
Our aim is to get paid all Ophthalmologist for the services they provide to their patients. As we know, medical billing is always a hard nut to crack because of their ever changing, nested and complex nature. With 15+ years of experience we tackle these Ophthalmology medical billing complexities with ease and help providers save time for better patient care.
Our comprehensive services include:
✓ Eligibility Verification
We verify patient coverage prior to encounters through EHRs (i.e., eClinicalWorks), insurance portals (Medicare, BCBS, Tufts, UHC etc.), and direct calls—ensuring accuracy before the visit.
✓ Claims Scrubbing & Submission
We accurately scrub and submit clean claims to all major insurers like Medicare, BCBS, Tufts, Cigna, Aetna—maximizing approval rates from the start.
✓ Clearing House Rectifications
Returned claims? We act fast to correct and resubmit through Navicure, Waystar, Change Healthcare and more—keeping your cash flow uninterrupted.
✓ Rejected Claims Resubmission / Payer Rejections
We have 15+ years of experience handling rejections. We fix and resubmit rejected claims with precision—so our provider doesn’t lose revenue to preventable errors.
✓ Appeals & Reconsiderations
We draft strong appeals, request reviews, and fight for every dollar—turning rejections into recoveries.
✓ EOB, ERA & Payment Posting
We post payments swiftly and accurately—closing the loop on every claim with precision and reliability.
✓ Patient Billing for Overdue
We bill for copays, deductibles, coinsurance, and other dues—keeping your patient balances up to date without stress.
✓ Collections Management
For accounts overdue by 90+ days, we coordinate with collection agencies like Transworld—professionally pursuing balances while preserving patient goodwill.
✓ AR Calling / Follow up
We stay proactive on aging AR. From claim follow-ups to eligibility checks, rejections to appeal or for practice communications—we make AR professional calls so our providers can focus only on patient care.
✓ Practice Communication
We keep the provider team informed on rejections, referrals, prior authorizations and other information exchanges — ensuring smooth, two-way updates.
✓ Insurance Rule Updates
CPT changes? Policy updates? Diagnosis changes? We keep providers in the loop—ensuring compliance and steady reimbursements.
✓ Vendor Coordination
We handle issues directly with EHR vendors, clearinghouses, and collection partners—saving your staff hours of back-and-forth.
✓ Secure Document Storage
All key documents are safely archived and organized—easy to access whenever you need them.
✓ Flexible Task Support
Need help beyond billing? Our team adapts to your workflow—offering reliable support wherever you need it.
Assurances
Proactive Communications and Follow-ups
We stay ahead with timely updates and follow-ups—so nothing falls through the cracks.
Comply HIPAA Privacy Rule
Your patient data is safe—our processes strictly follow HIPAA compliance.
EHR Adoptability
No matter your EHR system, we adapt quickly and work efficiently.
Reduce Claims Denial by up to 90%
Our precision-driven approach minimizes denials—boosting your approval rate.
Experienced Staff – 15+ Years
Leverage 15+ years of specialized billing expertise at your service.
Full Back up Including Manpower
We ensure uninterrupted service—with backups for both data and staff.
Operate in Your Time Zone
Our team works in your time zone—for smooth, real-time coordination.
4 Weeks Free Trial – No Commitment
Try us for 4 weeks absolutely free—no strings attached, just results.
We welcome the opportunity to discuss how StaffCloud can address your ophthalmology billing needs and contribute to the success of your practice. Please contact us at support@staffcloud.net or +91-9326811779 to schedule a conversation.