Our highly trained staff understands the complexities of governmental billing, reimbursement, and compliance, and they have a variety of tools at their disposal, including Government Websites. For primary Medicare claims, we can connect directly with Medicare — shaving days off the adjudication process. We can also follow-up with government insurance whether or not we were the primary claim submitter.
Managed Care & Commercial Insurance
We train our staff to work accounts by exception, meaning they focus on problem accounts, while allowing clean claims to work through the normal processing cycle. What’s more, our staff members have the most up-to-date claims adjudication technology at their disposal — including:
- Electronic claim status reports that maximize productivity and workflow
- Advanced tickler system that alerts us to accounts that need follow-up, preventing them from aging unnecessarily
- Advanced global payer reconciliations that adjudicate large volumes of claims with insurance carriers
- Sophisticated reporting capabilities that deliver the data you need to improve your revenue cycle
Accounts receivable clean-up can seem overwhelming, especially when your resources are limited. HBCS can help by combining detailed analysis, advanced technology, and an expert staff to identify aged receivables and expedite adjudication. HBCS also provides root-cause analysis and reporting to help you understand the reasons behind accounts receivable aging deterioration.
Energizing patient goodwill “My son was born at NYU Medical Center and for some reason was denied coverage. The bill was over $12,000. [Your representative] took the time to call the insurance company and work diligently until the bill was properly handled and processed. I just wanted to let you know that she was very helpful with a stressful issue.”