From charge to cash, handled by one team.
Billing is where good visits lose money quietly: a charge that was never entered, a rejection nobody saw, a denial that missed its appeal window, a balance the patient cannot make sense of. Billing & AR Services puts our team on that work every day, running on Revenue Operations and Claims Intelligence. We match charges to the schedule, scrub and submit claims, fix clearinghouse rejections the same day, appeal denials with the record attached, follow up open AR by aging bucket, post payments against the remit, and answer patient balance questions. Coverage checks and coding are separate services. Keep them in house, or add Eligibility Verification Services and Coding Services when you want one team on the whole cycle.
Inside Billing & AR Services
Every capability below exists because a practice asked for it. Nothing here is a roadmap item.
Charges matched to the schedule
Every encounter on the schedule is matched to a charge. Visits that were seen but never billed are found the same week, not at year end.
Clean claims, sent daily
Claims are checked against payer edits before they leave. Clearinghouse rejections are corrected the same day instead of aging in a queue.
Denials and appeals
Claims Intelligence groups denials by reason and payer. Our team corrects and resubmits, or appeals with the record attached, inside each payer’s filing window.
AR followed up by owner
Open accounts are worked by aging bucket, and every account has a named owner. Nothing sits because it belongs to no one.
Posting and patient balances
Payments and adjustments are posted against the remit and checked against your contracted rates. Patient balance questions get a plain answer, not another statement.
One lead, one monthly review
A named billing lead runs a weekly session on open AR and a monthly review of denial causes, and sends the fixes back to registration, documentation, or coding.
One claim, followed from charge to payment
Each step on one record: what happened, who closed it, and where the claim stands now. The example shown is illustrative, not real patient data.
| Step | Ran on | Result | Closed by |
|---|---|---|---|
| Charge matched | Revenue Operations | On schedule · billed | Daily reconciliation |
| Claim submitted | Revenue Operations | Accepted | Scrubbed, no rejection |
| Denial worked | Claims Intelligence | Corrected and resubmitted | T. Rivera |
| Payment posted | Revenue Operations | Matches contract | Posted from remit |
| Patient balance | Patient Engagement | Paid in full | Answered by text |
- Fix assignedRegistrationTwo payers repeatedly entered wrong at intake
- In reviewDocumentationTime or medical decision making missing on one provider’s visits
- ClosedCodingModifier pattern corrected across the specialty
- Worked dailyFollow-upAged accounts over 90 days assigned by owner
Illustrative example · not real patient data
From the schedule to the signed record
Assess
We review your AR aging, denial reasons, payer mix, and how billing is set up today, then tell you where the money is getting stuck.
Transition
Clearinghouse connection, existing AR sorted, and a cutover date agreed with whoever bills today. Claims keep moving during the handover.
Work it daily
Charges, claims, rejections, denials, AR, and posting worked every day by our team, with every worklist visible to you.
Fix upstream
The monthly review turns repeat denials into specific fixes, so the same claim does not fail the same way twice.
Facts, not promises.
These are properties of how Billing & AR Services is built, not projected savings. Results in your practice depend on your payers, your panel, and your documentation.
Every step of the claim on the same record, nothing retyped
One person accountable for your payers, your worklists, and the monthly review
Denial causes and AR aging, with the fixes ranked by what they cost you
Organizations that run on Billing & AR Services
A good fit when…
- Practices and groups where billing is split across staff who each own one piece of it
- Organizations carrying aged AR and repeat denials they cannot get ahead of
- Groups that lost a biller and do not want to rebuild the function
- Management services organizations standardizing billing across practices
See Billing & AR Services on your own workflow.
Tell us what your organization is fighting (open care gaps, documentation, denials, coverage) and we will walk you through the part of the platform that closes it.