Medical Coding   Medical Billing   Accounts Receivable Management   HIPAA

 

Healthcare Providers > Accounts Receivable Management

Episource is led by a team of experts in the area of healthcare with extensive experience in handling claims processing through all aspects of the revenue cycle for healthcare providers such as Billing, Coding, AR Management, Follow-Ups, and Collections. The team has successfully migrated healthcare billing, coding, and AR operations to offshore locations.

Episource provides the following AR services:
 

  • Receivable Analysis
  • Payer Follow-Up
  • Self Pay Follow-up
  • Collections / Bad Debts Follow-up

Payer Follow-up

  • Outbound calls
  • Claims status & eligibility verification –through online access of insurance carriers web portals
  • Re-filing claims
  • Follow-up on low value accounts, resulting in receivable maximization
  • Appealing claims
  • Reporting and Follow-up on additional documents required by carriers for claim processing
  • Denial Analysis
  • Periodical Recommendations on analysis of the receivables and denials
  • Monthly summary

Self Pay Follow-up
 

  • Calling Patients / Guarantors to recover the outstanding
  • Inbound and outbound calls
  • Obtain & Update Insurance information from patients for filing claims
  • Follow-up with carriers to find out patient responsibility
  • Process / Forward requests for itemized statements
  • Follow-up / send statements for small value accounts
  • Monthly Summary

Collections / Bad Debts Follow-up

  • Aggressive follow-up with the guarantors – Outbound calls & initiating statements
  • Obtain insurance information for filing of claims
  • Update the change in demographic details
  • Monthly Summary





Services
- Healthcare Providers
- Healthcare Payers
- Invoice Processing
- Information Technology