Accounts Receivable and Insurance Follow-Up Services |
Most physicians, health care professionals and many billing company’s loose revenue each year, all thanks to poor or no follow-up at all with the various medical insurance company’s. Medical Billing and collections is a nickel-and-dime business and we have to know where the money is, we cannot be waiting for around 60 days to get paid, or to know about a denied claim.
Global Edge Insurance follow-up services are designed to focus on increasing cash flow, lower adjustments and reducing the number of days in accounts receivable (A/R). We provide aggressive follow up with the insurance company’s on all accounts at any stage of the aging bucket. Our Agents utilize variety of tools along with a persistent and aggressive follow-up on the phone each day and on every case including the low value and low margin accounts. We watch your aging buckets and monitor your money moving from one bucket to the next. We ensure to stop earlier the increasing A/R aging buckets by not waiting for 60 days to attack an account.
We run and analyze a variety of reports like aged trial balance, looking at old accounts, studying by payer and by patients to determine the right issues and address the same and making sure that the accounts that are a high balance or at risk of being lost due to timely filling reasons are addresses proactively.
Our Insurance follow up services are carried out by trained account representatives with extensive experience in all billing functions, thereby adjudicating the claims as quickly and accurately as possible. Our Accounts Receivable and Insurance follow up services include Aging Analysis, Payer Follow-Up, Denial Trend Management and Reporting. Some of the servicing options include:
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Global Edge follow-up services focus on ensuring clean, complaint claims were submitted and accepted by various federal /government programs and are always as per the guidelines. Follow-up is carried out using a variety of tools including website, governmental program systems and aggressively calling up to determine status of claims. Most of the primary and secondary claims, if submitted are done electronically, and processing of each claim is tracked in a timely manner, to determine any denials if any, and address the same pro-actively. |
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Global Edge has extensive experience and an excellent track record in handling Managed Care and Commercial Insurances. Our skilled staff utilizes the most up to date technology and process available to adjudicate claims in a timely and effective way, focusing on accounts which need immediate attention.
We utilize website and online accounts with all the major payers for verification purposes, claims status, and ERA. All the major procedures are filled with authorizations on behalf of the providers/hospitals and as per the contract conditions. Our teams have thorough experience in all the PPO plans like BCBS, Aetna, Humana, Cigna, Great West, AARP, GHI, United Health Care, United Medical Resources, First Health, Mega Health, Magna Care, Secure Horizon, Pacific Care, Mutual of Omaha, Inter Plan Health and many more.
Due to the tendency of Managed care plans of getting delayed payments, for the requirement of detailed documentation, authorization requests, ONN processing etc, Our experts are well experienced in handling all the documentation issues and in timely processing of claims. We also provide credentialing services to providers, so as to obviate the need of ONN processing and ensure quick re-imbursements.
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Our expertise in Worker’s compensation and Personal Injury receivable services cases is extensive. Our experts know how to get these claims paid, and are thorough in documentations, filing liens, working with attorney’s and judges, no appearance letters, negotiations, and settlements. The highly trained team is skilled at working directly with employers, workers compensation carriers, commissions and review boards to successfully expedite claims. We work with you as your partners in dealing with these often complicated and litigious claims. |
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Call us to enquire more about our Account Receivable and Insurance Follow-Up services at 1-510-257-4563 or Email us to know more how we can help you in following up for your pending A/R with Insurance companies. |
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Enhanced cash flow
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Increased profitability |
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Assured savings upto 50%
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100% HIPAA complaint
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Highly skilled workforce
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Integrated 24X7 services
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No capital investments |
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Global quality standards |
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Insurance Follow-up Services |
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