Eligibility & Benefits Verification
In the era of high patient deductibles, we help take on the heavy lifting of gathering both eligibility and benefits before the patient visit. This is an essential service for your clients as they struggle with increasing patient payment responsibilities.
Assured increase in collections between 10 to 30 percent with better Insurance Eligibility & Benefits verification process and information management.
Patient Insurance eligibility verification and appointment scheduling are two major complex tasks for any healthcare professionals that can affect their regular claims reimbursements. Outsourcing insurance eligibility verification service to Careeo increases your practice operational efficiencies by streamlining patient’s flow.
We apply multiple methodologies for verifying real-time patient insurance financial eligibility and medical benefits well before the visit, as a result, this process eliminates the delay in payments and streamline clean claim submission.
This precious solution creates the opportunity to alert patients on their financial responsibility at the time of the visits and protects both patients and the physician from major claims denial.
Demo
Accurate claims submission is mandatory in any revenue cycle management. At Careeo our professionals enter and verify all the patient insurance and demographic details accurately before updating the information in the Billing software. Our team verifies the eligibility of existing patients in circumstances when the patient returns for additional visits and services. Our medical billing experts ensure a flawless solution by minimizing the demographic entry through multiple combinations of technology in the billing software. Providing as much as possible information to the insurance company will avoid the requirement to contact the physician office for any errors.
Charge Entry
Entering relevant CPT, ICD-10, modifiers, POS as per payer and respective state guidelines is a critical task. Experts at Careeo are specialized in multiple specialties and with numerous of billing software. Our coding audit team ensures the errors are eliminated prior to the charges are submitted to the respective health insurance carriers.
- Turn around time of 12-24 hours
- HIPAA compliant & remote access solution ensures the data under secured control & Increased revenue with the minimum time frame
Payment Posting
Careeo have experienced and well-trained billing professionals knowledgeable of a different kind of EOB’s (Explanation Of Benefits) across ALL payors posting manual and Electronic payments.
Payments received from Patients and Insurance Companies are posted to the patient accounts in the client’s medical billing system. The posted payments are balanced against the bank deposit slips to ensure payments received are reconciled on a day to day basis.
Credit Balance Resolution
Incorrect adjustments, erroneous credits, and misuse of debit codes make Credit Balance tasks quite challenging, requiring precision, attention to detail, and a focus on operational excellence. Careeo analysts are diligent and well trained to ensure outstanding credit balances are accurately resolved.
AR Followup
Collection of Accounts Receivable is essential to any medical practice but it is not an easy task. Our employs professionals and follow efficient methods to recover the receivables through our Internal Accounts Receivable Software which helps in easy analysis of the outstanding receivables and effective follow-up with insurance companies.
We are highly materialized and supported by tracking tools that typically produce a significant gain in claims reimbursement for each medical practice, making the decision to outsource this function a clearly positive value equation. We dedicate expert resources, well trained and experienced in denial management, to undertake this very important work.
Denial Management
Denial Management is extremely time-consuming and most medical practice and billing companies do not dedicate sufficient resources to adequately pursue maximum reimbursement.
Careeo take care of all your critical functions involved in appeals filing, auditing low paid claims, updating medical practice contracts, managing unapplied balances, refunds, and processing patient statements and delinquency letters. Our multiple methodologies minimize lost claims reimbursements and denials with the highly efficient system designed to meet your needs and maximize collecting unpaid claims.
We are highly materialized and supported by tracking tools that typically produce a significant gain in claims reimbursement for each medical practice, making the decision to outsource this function a clearly positive value equation. We dedicate expert resources, well trained and experienced in denial management, to undertake this very important work.
In a nutshell, outsourcing your AR and Denial Management functions to Careeo will get you greater income by minimizing lost reimbursements and maximizing your effectiveness at collecting unpaid claims.
For billing enquiries, please email us using the form below
