Medical Billing Services Streamlined & Efficient
At RevenueCycle Pros, we simplify the complexity of medical billing, ensuring healthcare providers get paid accurately and on time. Our end-to-end medical billing services are designed to minimize claim denials, accelerate reimbursements, and support practice growth.
What Is Medical Billing
Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It forms a crucial part of a provider’s revenue cycle management and ensures that all medical services are accurately documented, coded, and reimbursed.With increasing insurance complexities and changing regulatory guidelines, outsourcing your medical billing ensures compliance, boosts efficiency, and improves cash flow
Our Step-by-Step Medical Billing Process
We follow a streamlined, industry-standard billing workflow to deliver results consistently
Patient Registration
We begin by collecting detailed patient information including demographics, insurance details, and medical history. Accurate data entry at this stage reduces downstream claim errors.
Insurance Verification & Eligibility Check
Our team verifies active insurance coverage and checks for eligibility, co-payments, deductibles, and pre-authorization requirements. This step ensures the services provided are covered, reducing the risk of denials.
Patient Check-In & Check-Out
During the patient visit, our system ensures real-time updates to patient information. We also assist with co-pay collections and ensure services rendered are documented before check-out.
Medical Coding
Certified coders translate medical services into standardized ICD-10, CPT, and HCPCS codes. We ensure compliance with payer guidelines and optimize codes for maximum reimbursement.
Charge Entry
All coded services are entered into our billing system with proper modifiers, provider details, and service locations. This creates a complete and accurate claim ready for submission.
Claims Submission
We generate clean claims and submit them electronically (or manually where needed) to the appropriate insurance payers through clearinghouses, reducing rejections and delays.
Payment Posting
Upon receiving the Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA), we post all insurance and patient payments into the system and reconcile with account balances.
Denial Management & Appeals
If a claim is denied or underpaid, our specialists analyze the issue, correct errors, and resubmit or appeal the claim to ensure full reimbursement.
Accounts Receivable (A/R) Follow-Up
We continuously track unpaid claims and follow up with insurance carriers to accelerate collections. This reduces aging receivables and improves cash flow.
Patient Billing & Collections
We send clear, easy-to-understand patient statements and offer multiple payment options. Our support team is available to resolve patient billing inquiries and facilitate timely collections.
Reporting & Analytics
Our clients receive detailed monthly reports on collections, aging, denial trends, and performance metrics to help identify opportunities for improvement and growth.
Why Choose RevenueCycle Pros?
- Certified medical coders & billing experts
- HIPAA-compliant secure data handling
- Specialty-specific billing experience
- Real-time performance tracking & transparency
- Dedicated account manager for personalized support
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Get Started Today
Ready to improve your revenue cycle and reduce billing headaches? Contact us for a free consultation or a complimentary revenue assessment.