MEDICAL BILLING

At GLOBALTEQ, we specialize in US-based Medical Billing house (RCM Company) by providing comprehensive support for medical billing and revenue cycle management (RCM) processes. We offer a wide range of services designed to optimize your medical billing operations and improve your overall financial performance. Our dedicated team of experts is experienced in various aspects of medical billing, including Provider Credentialing & Enrollment, Patient demographic entry, Eligibility & benefit verification, Medical coding, Charge entry, Claims Transmission & Edits, Payment posting & Correspondence, Clinical documentation improvement & Audit (CDI & CDA), Account Receivable & Denial Management.

Our Medical Billing services include:

  • Provider Credentialing & Enrollment: We handle the complex process of provider credentialing and enrollment, ensuring that healthcare providers are properly registered and credentialed with insurance networks and government programs.
  • Patient Demographic Entry: Our team accurately enters patient demographic information into your billing system, minimizing errors and ensuring smooth billing processes.
  • Eligibility & Benefit Verification: We verify patient insurance eligibility and benefits, helping you determine coverage and minimize claim denials.
  • Medical Coding: Our certified medical coders assign accurate codes to medical procedures and diagnoses, ensuring compliance with coding guidelines and optimizing reimbursement.
  • Charge Entry: We enter charges into the billing system, ensuring that all services provided are accurately captured and billed.
  • Claims Transmission & Edits: We handle the submission of claims to insurance companies, ensuring timely and accurate claim submission. Our team also performs edits and reviews to identify and rectify potential claim errors or discrepancies.
  • Payment Posting & Correspondence: We post payments received from insurance companies and patients, reconciling payments with claims and resolving any discrepancies. We also handle correspondence related to claims and payment inquiries.
  • Clinical Documentation Improvement & Audit (CDI & CDA): Our experts review clinical documentation to ensure accuracy, completeness, and compliance with coding and billing requirements. We conduct audits to identify areas for improvement and provide recommendations to enhance documentation practices.
  • Account Receivable & Denial Management: We manage your accounts receivable, tracking and resolving unpaid claims and denials. Our team follows up with insurance companies and patients to ensure timely payment and minimize revenue loss.