Insurance Eligibility Verifications
We verify patient insurance eligibility for all insurance carriers prior to them being seen by your office If you are a specialist we can determine if the patient needs a referral or authorization prior to being seen. We will also determine what their copay, coinsurance, and deductible amount will be.
Our certified coders can help your practice set up the proper coding to maximize your revenue. We are able to code for all specialities.
A/R Follow-up & Appeals
Here at PBS, claims are submitted within 24 hours of receipt. All claims go through a scrubbing process prior to being sent to the insurances to ensure an error free submission. If claims are rejected, we work to get them fixed and resubmitted the same day.
Payment posting is an important piece of the medical billing process. EOB's and ERA's are posted as soon as they are received. By doing so, we are ensuring that denials are quickly captured and handled appropriately.
Appeals & Denials
If a claim receives a denial, our specialists are ready to take action. We continue to follow up on denials until payment is received. If an appeal is necessary, we will help fight for the payment that you worked for using our knowledge in the laws and ethics of medical billing.
Once the payment posting is complete, we will scrub patient statement claims to be sure all balances are true and correct. We then generate statements and mail them out on a monthly basis. We have a telephone extension dedicated to patient inquiries. We are able to take patient payments over the phone which will be deposited directly to your designated account.
What we offer
Full Service Medical Billing
With full cycle revenue management we provide a complete package such as:
- Insurance verification
- Charge entry
- Claim submission electronic and paper billing
- Payment Posting
- A/R Follow Up Denial management & appeals
- Patient Statements
Practice Management Software
You may choose to use your own software, or we can work using ours. Using our software you'll have the option to view and print reports 24/7, check the status on any claim, and look up patient demographics with your very own login account. You can also make use of its scheduling platform. This platform will allow you to manage schedules for all providers in your practice. The use of our practice management software is available to you at no additional cost.
Excellent Customer Service
We strive to provide you with the best customer service. There are no ticket numbers, or long holds. We are just a call or text away. Our clients are able to have their questions answered within minutes. You'll also have access to your patient demographics and claim status 24/7 online whether you choose to use our software or your own.
We understand that not all practices are the same. We will work together to create a service that fits your specific needs. Our goal is to make things as easy as possible for you and your practice so you can focus on what matters most. Contact us today!