Medical Billing Services by HealBill Solutions

Are high numbers of patient appointment calls keeping you and your staff away from other essential work? Try our scheduling and pre-registration services which allows you to focus on other core functions of your practice.

Have you noticed that patients are not always aware of their insurance coverage and benefits, also sometimes they provide incomplete and outdated insurance information which results in high numbers of rejections and denials and causes delay in payment cycle? 

We put guess work out of the equation and verify the coverage of each and every CPT and patient's eligibility before submitting every claim to payers.

At the time of verifying the eligibility based on the patient’s history, our team of experts will proactively check if a referral or prior auth is required or not and help you get one if needed.

Our charge entry experts ensure that each claim undergoes thorough scrutiny, verifying details such as Date of Service (DOS), Place of Service (POS), Provider Information, Units, Modifiers, CPT codes, Facility billed from, and Referring Doctor, minimizing the risk of claim rejection. We tailor billings according to your fee schedule, ensuring accuracy in every submission.

Our team will fetch rejections and denials reports within 24-48 hours’ post billing the claims, to ensure the claims were accepted for adjudication by payer’s clearinghouse. If any claim is found rejected, they correct and resend them immediately.

We believe that mastering the art of reading EOBs is crucial, requiring a keen understanding of payer communications when handling payment posting tasks.

We ensure prompt posting of insurance payments from EOBs, ERAs as well as Patient payments.

We reconciliation each payments and ensure it is posted in your PMS and deposited in your bank.

Our knowledgable team ensure preventing revenue loss as a result of claim denials. Through our services, you can increase cash flow, streamline your billing procedure, and guarantee on-time payments.

We ensure you get paid for each services in time. We follow up on each unpaid claims twice a month until it gets paid. We ensure your AR remains under 90 days.

We send appeals & medical records to the payers as and when required. Our efficient appeal processes address and rectify claim discrepancies and ensure the claim approval and timely payment.

By partnering with HealBill, you can rest assured that your providers and practice are credentialed correctly and in a timely manner, reducing potential delays in revenue cycle management.

We may help you choosing the best payers of your areas. We may help you getting credentialed with the Government Payers like Medicare, Medicaid, All Commercial / Private Payers, Worker's Comps, MCOs, Dental and Vision Payers and many more.

We may help Dentists to get credentialed with payers for Medical Services.

Effective contract negotiations are crucial to securing favorable reimbursement rates and ensuring your practice’s financial health. At HealBill, we bring years of experience and industry insight to help you navigate complex payer contracts, ensuring you achieve terms that align with your goals.

We will take care of provider portals like CAQH, PECOS, Medicaid revalidation & NPPES. Our dedicated provider credentialing and enrollment team will make sure the provider portals are up to date as per insurances and HIPAA guidelines to avoid uninterrupted revenue services.

We streamline the process of managing patient referrals, ensuring that healthcare providers can efficiently track, process, and verify referrals for specialist care. By maintaining accurate and timely referrals, we help optimize reimbursement, minimize delays, and ensure compliance with payer requirements, ultimately improving the efficiency and profitability of your practice. Let us manage the complexities of referral processing, so you can focus on what matters most—your patients.

Software transition services in medical billing involve the seamless migration from one billing system to another, ensuring minimal disruption to operations while maintaining compliance with healthcare regulations. Our expert team specializes in providing seamless software transition services. The goal is to preserve the accuracy and security of patient data, streamline billing processes, and reduce errors in claims submission. With expert assistance, organizations can achieve a smooth transition, optimizing workflow efficiencies and improving revenue cycle management, all while minimizing the risk of costly billing mistakes or delays.