Medical Billing Insurance Claims Process - Step by Step

The process of medical billing insurance claims process starts when a medical practitioner starts treating a patient and prepares a bill of services for a designated payer, such as health insurance provider Co. In the health insurance sector, with the continuous rise in competition new operating models are coming into the spotlight. These providers access and evaluate the claims based on various factors to determine which services are eligible for reimbursement. The processing of such medical insurance claims involves multi-faceted challenges such as accuracy, volume, administrative costs, the speed of processing, and regulatory compliance. Therefore, all these factors collectively play an important role in the Medical billing insurance claims process and improving customer satisfaction.

Medical billing claims process is a challenging and time-consuming process. Any negligence in claims filing or lapse in maintaining accurate patient data may reject your claim. Therefore, medical claims processing need a specialized outsourcing service to manage these challenges and enhance the chances of success.

Bikham Healthcare is one of the leading and expert Medical billing insurance claims process outsourcing service companies. We have years of expertise to empower health insurance payers to efficiently streamline and manage the data processing of different insurance claim forms that are usually received from healthcare practitioners. Our professional medical and healthcare KPO services enable medical insurance payers to manage claims in a more efficient and cost-effective manner. Whether you are running a private medical practice, clinic, or hospital, we take care of your routine work while you focus on your core job.

Our Medical billing insurance claims process services include:

Bikham Healthcare helps you file all your medical claims by leveraging the following list of Medical billing insurance claims process services:

  • Submit data pertaining to patient demographics, CPT and ICD Codes, referring physicians, and Modifiers into the healthcare billing software.
  • Documents scan for any billing errors and also modify them if needed (EOB).
  • Deeply investigate healthcare claims for accuracy.
  • Development for an Explanation of Benefits (EOBs).
  • Claim submission and filing with the insurance company.
  • Regular follow-up with the Insurance Company on the claims.
  • Update about the claim status.
  • Processing of denied claims and reinvestigate them for claims submission.

We offer our healthcare providers efficient and cost-effective outsourcing services for medical billing insurance claims process related to charge entry, payment posting, health claim transmission/submission, AR follow up, and denial management.

How we manage medical billing insurance claims process?

  • At Bikham Healthcare, we utilize leading medical claims processing software for scanning various medical insurance claim forms, processing of claim payment, and automating the claim collection data.
  • This software helps in processing Medical billing insurance claims in record time.
  • Moreover, our client-oriented integrated systems help us to manage claims related to a wide array of health plans including medical, prescription drugs, vision, disability, dental, and COBRA claims.

Why should you choose us as your preferred Medical Billing Insurance Claims Process Provider?

  • At Bikham Healthcare, we minimize the time taken for claims filing and processing and increase your revenue by more than 20%.
  • We distribute your resources to providing healthcare BPO while we manage the mundane and repetitive tasks.
  • We help you in reducing the administrative overheads.
  • We focus on all those robust processes that ensure a high grade of accuracy and raise the chances of claims recovery.
  • You have a direct access to talented professionals without any need to hire additional resources.
  • Get protection from minute bugs, which further improves the chances of claims being accepted.
  • We make use of the latest medical claims processing software to protect patient’s confidential data.
  • Get regular reports for work-in-progress as well as claim status.
  • We keep an eye on any duplicate claims
  • Get access to fully-automated payment solutions
  • We ensure minimum compliance issues
  • Enhanced Judgment Rates

At Bikham Healthcare, we utilize the resources of best talent and technology. We can better understand your overall medical billing claim process that helps us to know where we can exactly fit in your work plan so that we can add significant value to your healthcare practice. Our team of highly experienced professionals has the expertise to manage large volumes of Medical Billing Insurance Claims Process in a seamless manner. Outsourcing all your medical billing claims tasks to us will spare the time of your staff members and thereby giving them the opportunity to focus on mission-critical activities.

So, whenever you feel the need of a reliable and trusted Medical billing insurance claims process outsourcing service, just let us know about it through any communication medium of your choice.

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