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Medical Billing
Medical Billing

Medical Billing

Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider organizations.

  • Eligibility and Coverage Verification
  • Prior Authorization approval before services rendered
  • Create appointments on the scheduler while receiving patient calls
  • Full patient demographics and charge entry (OF, IH, OH, ER, AL, NH, CC, HO)
  • Insurance claims submission (primary, secondary, or tertiary)
  • Payment postings from EOBs/ERA
  • Revenue Cycle Management, Accounts receivable analysis, Collections, DAR and FTPR
  • Denial Management by strong follow-up
  • Handling patient/insurance/attorney calls
  • Appeals on denials via call, written, and fax for reprocessing
  • Monthly and annual reports preparation
  • Custom reports where required
  • Credentialing/Enrollment with all Government and commercial payers
  • EDI setups/agreements within covered entities
  • Consulting/Training with practice staff
  • Making of Super Bills, HIPAA Disclosure Forms, and other forms (where required)


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