MEDICAL BILLING
Claims out daily, payments posted daily, follow-up that does not wait for month end
We take the claim lifecycle in the system you already use: scrub and submit, post and reconcile, chase the payer, then handle the patient balance. You keep visibility into every step and a named person to call about it.
Claims out daily
Charges entered and scrubbed on a daily cycle, not a weekly batch.
Posting reconciled
ERA and EOB posting balanced to the deposit, every day.
Follow-up by age
Worklists driven by dollar value and timely-filing risk.
The premise
Most billing problems are cadence problems, not effort problems
When claims go out in a weekly batch, rejections are found a week late. When posting lags, nobody can tell an underpayment from a missing remit. When follow-up is done by whoever has time, the oldest and largest balances are the ones that get skipped. Nothing about that requires more people — it requires a fixed daily rhythm and a worklist built from dollars and deadlines instead of from what is on top of the pile.
That is what this service is: the rhythm, the worklists, and one person accountable for both.
We bill in your system — no migration, no new license.
Rejections are worked the day they arrive.
Every reported number traces to a report you can run.
You get names, not a shared support inbox.
Who this is for
Four situations where outsourced billing pays for itself quickly
Independent practices, 1–10 providers
Billing currently rides on one person. When they are out, claims stop going out.
Multi-location groups
Several locations, one tax ID or many, and no consolidated view of what was billed versus collected.
Practices keeping coding in-house
Your coders stay; we take the claim lifecycle from submission through payment and patient balance.
Anyone with a patient-balance problem
Statements go out inconsistently and nobody is answering the phone when patients call about them.
Scope
What is included — and how we tailor the rest to you
Every practice runs a little differently, so we start from a clear core scope and shape the rest of the solution around how your team actually works.
Included
- Charge entry and claim scrubbing against payer-specific edits
- Electronic claim submission and clearinghouse rejection work
- ERA/EOB payment posting reconciled to bank deposits
- Secondary and tertiary claim submission
- Payer follow-up on unpaid claims by age and dollar value
- Patient statements, payment plans, and a billing phone line
- Credit balance and refund review
- Monthly close package: charges, payments, adjustments, A/R aging
Options we can build in for you
- Coding from documentation, through our Medical Coding team
- Provider enrollment and revalidation, through our Credentialing team
- Denial management and appeals as a dedicated workstream
- Older A/R recovery projects run alongside current claims
- Reporting built around the measures your leadership team watches
Tell us where the pressure is and we will put a solution together around it. Each added service is quoted and measured on its own, so you always see what it is doing for you.
How it works
Onboarding in two weeks, then a fixed daily, weekly, monthly rhythm
Onboarding, weeks 1–2
We work in your PM/EHR — no data migration. Access, payer list, fee schedule, and clearinghouse credentials confirmed in writing. Baseline A/R aging captured on day one so every later number has a starting point.
Daily claim cycle
Charges entered, scrubbed, and transmitted daily. Clearinghouse rejections are worked the same day they appear, not left in a queue for the weekly review.
Daily posting and reconciliation
Remits posted and balanced to the deposit. Any variance is flagged to your named account lead before close of business.
Weekly follow-up and touchpoint
A/R worklists rebuilt weekly by age and value. One standing 30-minute call with your account lead: what moved, what is stuck, what needs a decision from you.
Monthly close and review
Charges, payments, adjustments, aging buckets, denial reasons by volume and dollars, and the three things we are changing next month.
What we hold ourselves to
Demo targets — MBS to confirmFour numbers reviewed on every monthly call
98.2%
First-pass clean claim rate
Target on steady-state accounts
< 24 hrs
Charge-to-submission time
Business days, complete charges
30
Days in A/R
Target after 90 days
100%
Deposits reconciled daily
Posting balanced to bank
Placeholder targets shown for design review. Final figures to be supplied and verified by MBS before publication.
Pricing logic
One model, and what moves the number
Percentage of collections
It is the only way we bill for ongoing work. You pay on money actually collected, so incentives line up — no per-claim fees, no per-seat fees, and no charge for the standard reporting package.
Specialty and coding complexity
Modifier and documentation burdenAverage claim value and monthly volume
Work per collected dollarPayer mix
Medicaid, workers' comp, and plan shareScope and condition of current A/R
Patient billing, cleanup, tax IDsWe quote your rate after seeing volume, specialty, payer mix, and current A/R — not before.
FAQ
The six questions that come up on every call
Do we have to change our practice management system?
No. We work inside the system you already use. If you are mid-transition to a new EHR we will bill in both during the overlap, which we scope separately.
Who actually touches our claims?
A named account lead plus a defined billing team assigned to your practice. You get their names and you meet them during onboarding. They do not rotate without notice.
What happens to our existing A/R when we switch?
We capture a baseline aging on day one, then either work the legacy A/R as part of the engagement or scope it as a separate A/R Recovery project so cleanup dollars never get confused with new-cash performance.
How fast can you start?
Typically two weeks from signed agreement to first claims out, gated by system access and clearinghouse enrollment rather than anything on our side.
Do you talk to our patients?
Yes, if you want us to. Statements, payment plans, and a dedicated billing phone line are included. Scripts and escalation rules are approved by you before anyone calls.
How do we verify the numbers you report?
Every figure in the monthly package comes from your system, and we tell you the report it came from so your team can pull it independently.
Where to go next
Revenue Cycle Management
Add coding, denials, and A/R to billing for one accountable owner of the whole cycle.
OpenCredentialing & Enrollment
Enrollment gaps stop payment before billing can help. Close them first.
OpenA/R & Denial Benchmark
Six numbers, and you will see whether billing is your actual constraint.
OpenSend us last month's A/R aging and we will tell you what we would change first
No obligation and no deck. One review call, written findings, and a scope only if the numbers justify one.
Request a billing reviewHow does your A/R and denial rate compare?
Free benchmark tool — enter six numbers, see your bands against published industry sources, and download a branded PDF.