Services Offered
Claims and Revenue Cycle Management
Claims and Revenue Cycle Management
Claims and Revenue Cycle Management
- Claim review and electronic submission
- Payment posting and reconciliation
- Accounts receivable (A/R) management
- Insurance follow-up on outstanding claims
- Denial investigation and resolution
- Claim corrections and resubmissions
- ERA & EFT enrollment and management
- Revenue cycle reporting and billing insights
Insurance and Authorization Support
Claims and Revenue Cycle Management
Claims and Revenue Cycle Management
- Insurance eligibility and benefits verification
- Initial authorization requests
- Reauthorization management
- Authorization tracking and utilization monitoring
- Coordination of benefits review
- Insurance portal management
- Ongoing payer communication
- Proactive reminders for upcoming authorization expirations
Credentialing
Claims and Revenue Cycle Management
Credentialing
- Initial provider enrollment
- Insurance payer credentialing
- CAQH profile setup and maintenance
- NPI registration and updates
- Provider roster and demographic updates
- Revalidation support
- Credentialing application tracking
- Ongoing credentialing maintenance