An Experienced Team That Brings Results
Medical Billing Services
At The Remote Firm, our medical billers understand all the basic and major medical coverage plans, such as the Fee-for-Service Plans, Health Maintenance Organizations (HMOs), Point-of-Service Plans (POS), and Preferred Provider Organizations (PPOs), and know the different methods of billing patients. Moreover, they understand the medical billing industry and all its complexities. Also, medical billers at The Remote Firm are proficient at the terminologies & software applications that are most often used in a medical office. We have expertise to electronically file claims and knowledge on the most common types of insurance policies. Our medical billing experts understand database management, spreadsheets, electronic mail, possess state-of-the-art word processing skills, and are proficient in bookkeeping. Our experts are capable enough to explain charges to the patients and further pursue effective communication. Our medical billers also have a good working knowledge of medical terminology, anatomy, claims form completion, and coding. Our specialists also process responses from insurance companies which include the explanation of benefits (EOB) too.
Our medical coding services enable you to cope with coding demands, smoothens the medical billing process and improve cash flow management for inpatient and outpatient healthcare providers. Our expert coders possess the knowledge, experience, and skills to handle your coding requirements quickly and efficiently. One of the main reasons for the claim denials is medical coding errors. To assist our clients in preventing such errors, we have a team of certified medical coders who maintain the highest level of accuracy in medical coding. By meeting and in fact, exceeding the industry standards & compliances without compromising on quality, we guarantee accurate coding and complete satisfaction to our clients.
The Remote Firm understands the importance of offering connections to a variety of payers. That is why we work with our clients to support the payers that they need. With The Remote Firm, you have the convenience of submitting claims, remits, and eligibility verifications electronically to all the payers. Our team gets you enrolled with all the payers to check eligibility, submit claims electronically/paper, and receive ERA’s/EOB’s electronically for accurate data.
The AR management model incorporates successful techniques to ensure maximized cash flow. Our analysis team, calling team and resolution team work collaboratively to decrease the number of AR days. Our AR management cycle includes the process of following up with insurance carriers either by accessing their websites, IVR or calling the representatives at the insurance end to check the claim status of the ones that have not responded in 30 days from billing, and identifying issues resulting in payments. Our objective is to always keep the above 90 days under 15% of the total outstanding AR.
The Remote Firm is a leading back-office provider of offshore medical billing services to healthcare organizations. We have expertise in demographic and charge entry services for many specialties ranging from general practice to more complicated ones. Our charge entry service consists of entering CPT codes, ICD codes, modifiers and other related information into the billing software.
Ineligible patient insurance coverage counts for more than 75% of all claim rejections and denials by payers. And, logging into multiple payer websites for eligibility information is a time-consuming task. Our team does the eligibility check to avoid these denials before the claim is billed out. Some services do require authorization before they can be billed out to the payer. Thus, our dedicated team obtains every necessary piece of information and authorization from the payer prior to the filing the claim so as to avoid any claim denials.
The Remote Firm' Analytic Solutions, in partnership with Prevalent Health Inc, provide a wide variety of "real-time" edits as well as vertical business intelligence on your clinical and medical billing data. From data discovery, data quality evaluation, interpretation to presentation; we cover the complete analytics spectrum to provide meaningful oddities and trends to your data. Contact our Healthcare Analytics Expert for more information.
Payment posting in medical billing is one of the key processes that get the utmost attention from our operations management. The payments in lieu of claims, which are received from the payers & patients are posted in the medical billing system of the client to reconcile the claim. The Remote Firm also does electronic payment posting into the medical billing software and handles the exceptions (fallouts) manually to make sure that no payment is missed.