+10 years
experience

Posting is the department that is in charge of processing the payments and denials that the insurance companies send us after the claims are created, we are in charge of downloading the bank statements and assigning the payments made by the insurance company to those clients, thus keeping an accounting record of the money coming into the hospital and making sure that the cycle continues, i.e. if the patient's procedures have been paid, we have concluded.

The Prior Authorization Department is in charge of processing the authorization for Medication, Radiology, and injections. Our goal is to provide the necessary assistance in all the treatments required by our doctors, meaning: sending all documentation that supports medical necessity. We followed insurance and injections limitations guidelines.

Insurance verification is the process of making sure that all patients are good to go for their appointments and that all services rendered will be covered by their insurance. The department needs to keep in mind Dr’s networks, referrals, state coverage for outside plans, and benefits, among other aspects to provide accurate information to clinics and other related departments like billing and authorizations. Our main goal is to ensure that we will receive payment from the insurance companies.

The billing department is in charge of ensuring the correct revenue cycle for the medical practice, we provide clear and consistent guidelines for billing and collections.

The Customer Care Department receives all of the phone calls that come through your clinic, schedules new patients, and med refill requests, and answers any questions that the patient has. All medical practices miss answering a large number of phone calls every day. With our system, we will capture more than 95 % of phone calls coming to your clinic. This will free up the time that your Medical assistants spend on the phone.