INSURANCE BILLING & FOLLOW UP

Solutions

RSI has the technology, experience and resources to provide thorough and rapid follow up on third party claims. As a normal course of business on many of our current projects, RSI performs both billing and follow up services. To accomplish this, we utilize various technologies such as Claim Management/Billing Software, Internet / POS websites, and experienced (certified) billing specialists for direct contact to insurance companies.

This process includes but is not limited to: verify claim status, assist in coordination of benefits, verify eligibility, contact payers directly, work with payers to resolve any outstanding issues/requests, ensure timely filing limits are met, assist in billing secondary payers (if applicable), resubmit claims (when possible), work edit/rejection reports, denials, appeals, short-pays, no responses and contractual write-off’s.

Insurance Billing & Follow Up for Medical Clients & – Full-Service, Third-Party Claim Management:

  • Primary, Secondary & Tertiary Billing (Rebills)
  • Appeals/Denials Management
  • Credit Balance Management
  • Payer Specific – Reconciliations / Payer Meeting
  • Structured Claim Follow-Up
  • Third-Party Lien Processing
  • Eligibility Verification
  • Contract Management Consulting
  • Primary, Secondary & Tertiary Billing (Rebills)

An account will remain in third-party status until either the balance is 100% resolved or adjusted to patient responsibility. This process will be based upon contractual requirements with payers as well as CMS regulatory guidelines. The immediate and persistent follow up on outstanding claims will maximize reimbursement and more quickly resolve the accounts.

ANCILLARY SERVICES

  • Technology Solutions / Services
    • – Claim Management / Billing Software
    • – Eligibility Verification Software
    • – Secure Client Portal (24/7 for Viewing Accounts)
    • – TCPA Compliant Manual Contact System
  • Conversion Services
    • – Full Service Management of Legacy System:
  • Value-Added Services
    • – Charity / Financial Assistance Processing (Healthcare)
    • – Customized Reporting / Analytics
    • – Cash Posting
    • – Client Training

Benefits

  • Implementing an assertive, proactive claim follow-up program reduces A/R days and improves reimbursement.
  • Reduces back-end workload for onsite billing staff; allowing for greater focus on current claims.
  • Reduction in long-term costs for the client via increased collections and decreased process fees.

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