Medical Billing

Is your healthcare struggling to streamline the medical billing process by reducing medical billing errors? Do you want to reduce medical billing costs and improve cash flow? Is your back-office work keeping you occupied without allowing you to focus on patient care?

It is time for you to outsource medical billing to a reliable and experienced medical billing service provider. Claimtronics is a one-stop solution provider for all your medical billing needs. Our web-based medical billing systems in real-time enables your business running smoothly. By working with our fully automated solution, your business will experience enormous benefits, and your tasks will consume fewer resources.

What do we do?

Credentialing

Prior to patients’ appointments, our team approaches the insurance company with the insurance and demographic details of the patients. Wherever required, pre-certification is done for surgeries, specific lab tests, and diagnostic tests and are sent to the hospital/clinic.

Charge Entry

The billing specialists ensure that the claim is ready to be filed with all required details post entering the CPT and ICD-10 codes. The fee details are pre-loaded into the system.

Claims Submission

Our experienced billing staff verifies the claim thoroughly and submits it for approval allowing negligible chances for rejection. In case of rejection, the necessary changes are made, and the claim is resubmitted. All paper claims are processed and sent for submission.

Payment Posting

We maintain and update the payment log daily with a proper entry of the payments assisting scanned EOBs and checks. The amount from EOBs/checks is reconciled every day to avoid any deviations.

Denial and Appeal Management

We handle denials with utmost care and concern. Every action from the payors, facilities, providers, patients, etc. related to underpaid, pending, denial, or improperly processed claims is documented in the system. Based on the provider’s authorization, we involve patients to obtain their billing information for insurance updates.

Patient Demographic Entry

Our medical billing specialists maintain a record of patient demographic details such as name, address, date of birth, medical history, insurance details, guarantor, etc. For established patients, we validate these details and make necessary changes in the practice management system.

Customized Service

We understand that every business is unique and so do their requirements. Hence, our medical billing team extends customized solutions concerning data recording, data maintenance, payment and claims processing, etc.