Insurance Billing/Follow Up Services
As a fully integrated extension of a client’s business office, ROI Active Receivables Management Services streamline billing and reimbursement workflows, reduce outstanding receivables and increase cash flow.
ROI receives copies of your patient’s demographics and charge information via placement files. Since the accounts referred to ROI can be in any phase of the revenue cycle ROI Insurance Staff will systematically check claim status and verify benefits and eligibility prior to submitting the claim to the appropriate payer, thus preventing duplicate and irrelevant denials. Depending on your needs ROI Billing Staff has the knowledge and capabilities to submit your claims via the standard paper UB04 and HCFA1500 forms, as well as unique State required forms and 837 files.
After payer processing and upon receipt of your payment and transaction file ROI Insurance Staff will review for correct processing and determine what the balance represents. Accounts with patient liability are routed to the predictive dialer where attempts are made to collect from the patient. Using detailed internal status codes accounts that are not patient liability are then filtered to the appropriate work flow for any additional billing, follow-up, reprocessing or write-off that would be needed to resolve the account.
ROI’s billing services include:
- VA Coding and Insurance Billing Services
- Eligibility verification
- Initial and rebilling of primary insurance
- Secondary and additional insurance billing
- Writing and submitting Appeal letters for denied claims
- Continued follow-up on open accounts
- The account is set up to re-appear in their work queue
- Medical records are requested to be sent to the carrier
- Re-bills are generated
- Secondary claims are generated
- Internet resources are utilized to resolve the balances
- The account is researched for disputes or missing payments
- The patient is contacted by phone or letter for additional information
Please Contact The ROI to see how we can help your company.
