Management Consulting - Jacksonville, FL, US
At Alexander's MBC, we focus on providing you the highest quality of billing services and insurance claims management. We handle data entry, filing of claims, follow-up and posting of accounts receivables. Our ability to electronically transmit our insurance claims ensures "clean claims" on the front end and immediate follow-up on exceptions with insurance carriers and patients on the back end. The goal of our team members is to ensure the timely filing for every one of our clients.Below is a partial list of the services that we offer:*Payment posting, revenue reconciliation, and refund processing.*Pre-appointment verification enabling practices collect the out of pocket upfront.*Focused review of Payor/clearing house rejections.*Patient Follow-up and Statement processing.*Managed care compliance audits to review payments against contracts.*Professional and Facility Coding.*Our internal quality assurance procedures maintain strict coding standards.*Creation of New Patient account*Updating Demographics based on need.*Selection and Updating of Insurance /Self Pay.*Entry into billing system from coded documents.*We investigate pending Claims by contacting the insurance carrier, physician, and medical records personnel as required.*Follow up contact of responsible parties on third party Claims to secure payment, which payment shall be made directly to Customer by responsible parties. Methods of follow up contact including telephone contact, tracer letters (not to be mailed from India), submission of Claims, and faxed status request to third party payers.*Submission of electronic claims through a clearinghouse contracted with by Client.*A/R follow-up for denied claims until resolution, including claims "statusing" – for 90 or 120 days and then move to collections.*Submit documentation for reviewed Claims necessary for payment to responsible party, including claims, itemized statements, pre-certification documents, and referrals.*Credentialing
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