Mon – Fri : 08:00 AM – 05:00 PM EST – Sat/Sun: Closed
347-701-1467
info@rafsonsmedbilling.com
Mon – Fri: 08:00 AM – 05:00 PM – Sat/Sun: Closed
Mon – Fri : 08:00 AM – 05:00 PM EST – Sat/Sun: Closed
Mon – Fri: 08:00 AM – 05:00 PM – Sat/Sun: Closed
Provider credentialing is crucial for seamless billing and patient trust. RafsonsMedBilling ensures your credentials are accurate and up-to-date, helping you maintain compliance and receive timely reimbursements.
RafsonsMedBilling’s credentialing services help healthcare providers build solid relationships with insurance networks, increasing patient access and improving financial performance. We secure optimal contracts, ensuring high reimbursement rates that enhance your revenue cycle and allow you to focus on patient care.
Credentialing and contracting are crucial for establishing a new practice or healthcare facility, forming the basis for your relationships with both insurance companies and patients. Credentialing with RafsonsMedBilling secures your facility’s entry into preferred provider networks, which can enhance patient trust and satisfaction while driving increased revenue. Our mission is to help your facility grow, serve more patients, and foster strong connections with insurance networks.
RafsonsMedBilling supports healthcare providers by managing their credentialing and contracting processes from start to finish. We assist in obtaining, reviewing, and negotiating contracts with insurance payors, ensuring that all contracts are current, accurate, and aligned with their financial goals. By leveraging our expertise, you can focus on patient care while we handle the complexities of credentialing.
With insurance companies’ ever-evolving policies and increasing network restrictions, RafsonsMedBilling helps you navigate these challenges to maximize reimbursement and streamline access to a broader patient base. Our team’s extensive experience with insurance providers ensures that your facility gains the best rates and builds long-term, beneficial relationships with major insurance networks, including:
RafsonsMedBilling is committed to securing optimal in-network contracts that align with your facility’s financial and patient care goals. With 25+ years of experience negotiating with insurance networks, we use established relationships to secure the best reimbursement rates for each provider. Our credentialing services help physicians, clinics, and hospitals enter both government and private insurance networks with terms that support sustainable growth.
Our credentialing services cover every detail, from understanding contract terms to managing renewals and keeping all documentation up-to-date. Properly negotiated contracts lead to better reimbursement rates, helping you focus on patient care while maximizing revenue.
Credentialing verifies a healthcare provider’s qualifications with insurance networks, ensuring that providers can serve a larger patient pool and receive optimal reimbursements.
We manage the credentialing process from documentation to contract negotiation, allowing providers to focus on patient care while securing network inclusion and better rates.
Physicians, clinics, and hospitals of all sizes benefit from our comprehensive credentialing, expanding their reach to more patients and increasing revenue.
Outsourcing saves time and administrative costs while ensuring expert handling of all credentialing and contracting processes.
Yes, our credentialing processes strictly adhere to HIPAA standards to ensure data security and compliance.
While credentialing timelines vary, our efficient process minimizes delays, completing all requirements as quickly as possible.
Credentialing with RafsonsMedBilling connects providers with major insurance networks, allowing them to serve more patients.
Our expertise in contract negotiation secures favorable terms, maximizing providers’ reimbursements and revenue.
RafsonsMedBilling handles all credentialing aspects, from documentation to compliance, reducing administrative tasks and enhancing efficiency.
Experience the full benefits of RafsonsMedBilling’s streamlined solutions firsthand. Book a demo today to see how our practice management, billing, and compliance services can enhance your workflow, increase revenue, and improve patient satisfaction.
Experience the full benefits of RafsonsMedBilling’s streamlined solutions firsthand. Book a demo today to see how our practice management, billing, and compliance services can enhance your workflow, increase revenue, and improve patient satisfaction.
In today’s healthcare landscape, hospitals face tightening margins, increased operational costs, and complex billing requirements. RafsonsMedBilling serves as an extension of your team, helping to enhance collections, reduce errors, and optimize revenue through our tailored medical billing solutions. From managing AR recovery to reducing manual entry and claims errors, we streamline your billing to ensure fast, accurate reimbursements for healthcare systems.
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.