Medical Billing Service in Idaho

Medical billing for Private Practices, Primary Care Physicians, Mid-Level Providers, and Physicians that attend Skilled Nursing Facilities

Charge/ Data entry of patient information

Quick, thorough, and accurate verification of patient demographic and medical codes

 Every claim is verified to have proper POS, DOS, CPT, and ICD to reduce the chance of claim rejection. 

Electronic CMS 1500 forms are generated to submit to clearing houses for further verification and proper submission to the payer.

Payment posting

Correct interpretation of EOB’S

Accurate posting of payment to the accounts

Entering the allowed amount, paid amount, and patient responsibility 

Verifying payments posted with ERA’s (Electronic Remittance Advice)

Applying front office payment posting

Denials, rejections, follow-up, and re-submission of corrected claims if necessary

Account Receivable Management

Shorten days in accounts receivable

Increasing collections ratio

Identify category/payer combination

Prioritize claims based on dollar value and date of service

Follow-up 

Collect unpaid and partially paid claims

Claim Denials and Appeals

Prioritize claims based on dollar value and time sensitivity 

Time-sensitive appeals

Review most common denials 

Not all denials will be appealed, based on volume and value

Credentialing

Assist with Medicare enrollment

Assist with credentialing steps with other insurance companies

FAQs

  • I am in Meridian, Idaho but can partner with clients in any state.

  • I work with Medicare, HMO, PPO, and Medicaid.

  • Clients pay a % of the payments generated.

  • I have worked extensively with Kareo and Prime Clinical but can connect to any billing software.

  • I have been a professional medical biller for eleven years, billing for in-office visits and skilled nursing facilities. I am certified as a CPB and CPC and I am a member of the AAPC.

  • Transparency is key. You will have access to your analytics where you can view charges, payments, balances, etc.

  • I will send statements to patients where they can pay online, over the phone, or by check. They can contact me with any questions.