· Quality Auditing of all services provided
· Comprehensive reporting on a monthly basis
· Trend analysis performed continuously, identifying items impacting the aging
· Communication and feedback provided directly to providers and practice administrators
· Conference calls and face to face meetings held routinely
· Review of & timely action/resolution on all correspondence received
· Communication of practice/provider specific information and front-end concerns identified
· Accurate and timely denials management
· Detailed reporting
· Routine trend analysis with timely feedback gives customers a reason to do business with you
· Use of knowledge driven decision making respective to modifiers and diagnosis linkage
· Comprehensive understanding of the Global Surgical Package, Medical Necessity and Bundling as well as the impact these components have on coding, front end protocol, and A/R Recovery efforts
· Comprehensive claim submission
· Management, resolution, and re-submission of PMS rejections
· Management, resolution, and re-submission of Clearing House rejections
· Top tier coding experts held to the highest levels of accuracy
· Coding quality audits on client accounts
· Coding updates and changes
· Consulting and feedback for the most appropriate and highest compensation possible
· Communication and feedback directly from our coding team to your practice administrators and providers
· Detailed and accurate responses to provider inquiries
· Professional demeanor focused on patient retention
· Receive, mitigate and resolve patient inquires
· Communication of important patient inquiry information back to practice management
· Log, manage, and archive all inquiries for reference and historical data purposes
· Adaptable around current statement submission protocol or can advise and implement an optimized system dependent only on your systems limitations
· Line item Payment posting that includes COB detail for every line for each claim
· Accurate retrieval, posting, and balancing of all deposits received including: ERA importing, lockbox remittance, credit card payments, zero payments, and manual deposits
· Review, consolidation, and balancing of all deposits received
· Management of all remittance via daily tracking Logs ensuring all payments are recognized, obtained, posted and reconciled