The Client:
A fast growing Multi- Specialty medical billing company in BAYONNE , NJ.
The Challenge:
Boss was initially approached by the company to take care of charge and demographic entry. The company decided to offshore because of the following reasons:
- Employee turnover
- Claims submitting to wrong mailing address
- Most of the claims getting denied for authorization / precertification and so on
- Cash flow problem due to wrong submission of claims without insurance verification on benefits.
We had Expert team worked to verify on benefits / authorization / precertification for carrying out the operations.
The Project:
- To provide charge/demographic entry to this client using Medics software
- To processing more than 12000 claims every month
The client had mentioned in advance that we will have to handle heavy workload often and complete it within 24 hrs.
The Quick Solution:
Quickly ramped up the team with short notice.
- We defined well set process to implement any instruction changes or updates within 8 business hours
- We are maintaining a Consistent Turnaround time of 24 hours
- Two levels of QA done to ensure accuracy levels of 98 – 99%
- We do sent a report on daily basis for the list of patient billed.
- Working with this client for the past 4 ½ year with no escalations
- The client has successfully overcome the problem of employee turnover and improved the cash flow
- Saving more than 45% of the operational cost
Having got satisfied with our services, the client has shifted the payment posting, Denials & AR work to us within 6 month. We are proud to say that the client is looking to outsource their upcoming projects to us in near future.
The Results:
By outsourcing their claims entry work to BOSS, the CLIENT was able to:
- All billing works are done within 24hours of client business time and Increase operating efficiency and reduce administrative costs.
- Client was able to save 60 percent on overheads.
- Client was able to concentrate more on their client relations, business development and other core activities with the availability of more time.
- Client was able to increase the volume at any given time without any expense on overheads.
- Existing client staffs were promoted to be supervisors over the billing and increased in their business with good rapport with their heath care provider clients.
- Have significant improvement in the cash flow as a result of increase in collection ratios.
- Client witnessed 30 percent increase in their invoice excluding their cost saving by outsourcing their back office billing work to us.
About Boss Healthcare:
BOSS is an Offshore Medical Billing Company based in Chennai, India providing medical billing services to physician practices, hospitals, practice management groups and third party medical billing companies of all sizes and specialties across US. Our services include, Insurance Verification, Patient Answering, Medical Coding, Demographic Entry, Claims Entry, Submission of Claim, Payment Posting, Denial Management, Accounts Receivables service and Revenue Cycle Management.
“We always spell sUccess with Uâ€
Want outsource your Insurance Verification, Patient Answering, Medical Coding, Demographic Entry, Claims Entry, Submission of Claim, Payment Posting, Denial Management, Accounts Receivables service and Revenue Cycle Management.