Our billing team has worked on US medical claims since 2020. We check eligibility, request authorizations, submit claims, fix rejections, work denials, post payments and handle credentialing, inside the systems you already use.
Medical billing is the work of getting a healthcare provider paid by insurance companies and patients. It starts before the visit, with checking that the patient's insurance is active and getting approval for services that need it. It continues with sending a correct claim to the insurer, fixing any claim that is rejected or denied, and recording every payment and adjustment when the money arrives.
When you outsource medical billing to us, a trained team does that work for you every day, in your own billing software and payer portals. You keep control of your systems and your data. We sign your Business Associate Agreement before we touch any patient information.
We work on both sides of a claim. For providers and billing companies, we handle the steps that bring payment in. For health plans and third-party administrators, we process provider claims and manage member enrollments and terminations. Our first client, a Florida organization that handles billing for insurance companies, is where the team learned the payer side.
Most of our current clients are in New York and Florida, and we work with clients anywhere in the United States.
Each service below has its own page with our step-by-step process.
We confirm active coverage and plan details for the date of service before a claim goes out.
Read moreWe request and track approvals for services that need them, with focus on therapy services.
Read moreWe check each claim line by line, release it to the clearinghouse, and fix any rejection.
Read moreWe sort denials by reason, call insurers, file appeals and chase older unpaid claims first.
Read moreWe post payments from ERAs and EOBs and investigate recoupments, reversals and underpayments.
Read moreWe prepare applications, keep CAQH profiles current and track every payer until approval.
Read moreFor health plans and TPAs: we review, process and release provider claims in your system.
Read moreWe enter enrollments and terminations, follow up with employees and send monthly reports.
Read moreWe fit into the way you already work. You decide which tasks we take, which systems we use and the hours we cover.
Using something else? Tell us which system you use. We will say plainly whether we have worked in it before.
Our parent company, Hire My Assistants KPO LLP, is HIPAA compliant.
We sign the Business Associate Agreement your practice or plan uses, before any access is set up.
We work directly in your billing or claims system, or through the VPN or virtual desktop you provide. We never download or store patient data.
Restricted, monitored workstations, multi-factor login, encrypted devices, and access logs. No phones or writing material on the floor.
Every team member passes police verification and an outside background check, and completes HIPAA training when they join the team.
Share your specialty or plan type, the software you use and your monthly claim volume. We reply within one business day with what we can take on and how we would start.