Revenue Cycle Management Services

medical billing revenue cycle management services in Illinois

From claim submission to payment collection, we've got you covered.

We handle every step of your revenue cycle, from accurate claim submission and coding to timely payment collection and comprehensive reporting.

Full Revenue Cycle Management Services

We offer comprehensive Revenue Cycle Management (RCM) services designed to optimize your financial performance and streamline your revenue flow. Our expert team handles every step of the process, from patient registration and insurance verification to billing, collections, and denial management. Our tailored solutions are adaptable to various healthcare settings, ensuring seamless integration and improved financial outcomes. We are committed to increasing your revenue and reducing your operational costs through our efficient and effective RCM services.

Patient Access and Registration

We ensure accurate and efficient patient registration, including demographic data capture, insurance verification, and eligibility checks. This crucial first step sets the foundation for a smooth revenue cycle. We minimize errors and maximize clean claims submission.

Medical Coding and Billing

Certified coders accurately assign appropriate diagnostic and procedural codes, ensuring compliance and maximizing reimbursement. We then submit clean claims electronically, reducing processing time and minimizing rejections.

Payment Posting and Reconciliation

We accurately post payments received from insurance companies and patients. Our reconciliation process ensures that all payments are accounted for and discrepancies are identified and resolved promptly.

Accounts Receivable Management

We manage your accounts receivable, tracking outstanding balances and implementing effective collection strategies. Our goal is to minimize bad debt and accelerate cash flow.

Insurance Verification Prior Authorization

Our team verifies patient insurance coverage and obtains necessary prior authorizations before services are rendered. This proactive approach helps prevent claim denials and ensures timely reimbursement. We navigate the complexities of payer requirements to secure approvals.

Claims Submission and Tracking

We electronically submit claims to insurance payers and diligently track their status. Our system automatically identifies and addresses any issues, ensuring prompt payment and minimizing delays.

Denial Management

Our dedicated team aggressively pursues denied claims, identifying the root causes and implementing corrective actions. We work to overturn denials and maximize your revenue recovery.

Reporting and Analytics

We provide comprehensive reports and analytics on your revenue cycle performance, providing valuable insights into key metrics. This data empowers you to make informed decisions and optimize your revenue cycle.

Why Outsource Your Medical Billing to BillCare?

  • Reduce Administrative Burden: Free up your staff to focus on patient care, not paperwork. Outsourcing eliminates the need to hire and train in-house billing staff, saving you time and money.
  • Improve Cash Flow: Our efficient billing processes and proactive denial management help you get paid faster and more consistently, improving your cash flow and financial stability.
  • Increase Revenue: We maximize your reimbursement potential by minimizing claim rejections and aggressively pursuing denied claims. Our expertise in billing codes and payer requirements ensures you receive the full reimbursement you’re entitled to.
  • Reduce Errors: Our experienced billers are experts in medical billing regulations and best practices, reducing the risk of costly errors and compliance issues.
  • Stay Compliant: We stay up-to-date with the latest industry regulations and compliance requirements, ensuring your billing practices are always compliant and secure.
  • Focus on Your Core Competency: By outsourcing your medical billing, you can focus on what you do best: providing high-quality patient care.

About BillCare

BillCare LLC is a team of experienced medical billing professionals dedicated to providing high-quality services to healthcare providers of all sizes. We understand the unique challenges you face and are committed to helping you achieve financial success. Our mission is to be your trusted partner, providing reliable and efficient billing solutions that free you to focus on delivering exceptional patient care. We believe in transparency, communication, and personalized service.

We'll assess your current billing processes and discuss how we can help you improve your revenue cycle.