The services we provide:
- Eligibility checking.
- EOB/ERA posting.
- Patient payment posting.
- Prepare statements to bill patients for over dues (Copay, coinsurance, deductibles etc.)
- Send patients over dues to collections agencies like Transworld etc (if over dues not paid by them).
- Claim submission via clearing house (ChangeHealthcare, Emdon etc)
- Insurance voice calls for eligibility status, claims status, rejections, appeals and other issues to companies like Medicare, Medikit, Tufts, Bcbs, AllwaysHealth etc.
- Handling claims rejections in our favour.
- Handling clearing house rejections in our favour.
- Prepare appeals and reconsiderations.
- Reconciliations (In case of Optical Sales).
- Coordinate with office front desk for eligibility, referral, claims or patient eligibility related issues
- Follow up with Doctors regarding denied claims due to diagnosis & modifier issues.
- Notify Doctors with changing Insurance rules for claims, procedure codes, diagnosis codes etc.
- Your claim will be processed well within the required time frame of 30 days.
- 12+ years of experience.
- Working in US timeZone.
- Direct one to one contact with your working agent.
- Full Backup of everything including the manpower so that services are never interrupted.
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