 |
Healthcare Services |
|
|
 |
|
|
|
Revenue Cycle Management |
AR Analysis |
|
Set collection targets for the month |
|
Develop strategies to achieve the target |
|
Identify and review claims that are unpaid or inappropriately paid |
|
Speedy and corrective action on denials |
|
Effective follow-up with the insurance/patient |
|
AR Management |
|
Aged AR Analysis |
|
Denial Analysis |
|
Review of duplicate payments |
|
Monitoring changes in plan |
|
Tracking billing and payment patterns |
|
Demographic Issues, Up-coding |
|
Unbundling, and Physician Profiling |
|
AR Follow-Up |
Insurance |
|
Accounts Receivables Follow-up |
|
Follow-up with insurance companies on Pending & Denied claims |
|
Follow-up with hospitals for additional information |
|
Follow-up with EDI for electronic claims transmission |
|
Follow-up with provider office for provider enrollment issues |
|
|
Patient |
|
Patient Follow-up |
|
Soft collections |
|
Setting patients on budget plan |
|
Accept payment by phone |
|
|
|
