1. Insurance Eligibility & Benefits Verification Our team verifies patient insurance coverage, co-payments, and deductible requirements to ensure seamless claim submission. Accurate verification of benefits prevents denials, enhances cash flow, and increases the likelihood of successful reimbursements for services rendered.

2. Accurate Coding, Billing & Payment Posting Our experienced billers review patient records and assign precise codes, reducing errors that lead to denied claims. Payment posting allows us to quickly identify issues like non-covered services and prior authorization requirements. This proactive approach to billing and posting improves cash flow and minimizes billing cycle disruptions.

3. AR Follow-Up & Denial Management RafsonsMedBilling takes a proactive stance on accounts receivable. Our team follows up on unpaid claims to reduce AR days, appeals denied claims, and provides analysis to identify root causes of denials, helping to prevent future revenue losses and keep collections on track.

4. Provider Credentialing & Out-of-Network Negotiation Credentialing with insurance payers ensures providers meet all requirements for insurance reimbursement. For out-of-network claims, our negotiation experts work to achieve optimal reimbursements, leveraging cost analytics and insurance payer relationships to support your bottom line.

5. Comprehensive Revenue Cycle Management (RCM) Our end-to-end RCM services begin at appointment scheduling and span through claim submission, follow-up, and collections. Using efficient RCM software, we handle eligibility verification, claims, payment posting, and data analytics to maximize revenue and streamline workflow.