Revenue Cycle Management
ZenniMate's Revenue Cycle Management Services
Our team at ZenniMate is here to ease your load with the often complex and time-consuming Revenue Cycle Management (RCM) process. We act as an extension of your staff, helping to restructure your RCM efforts. By working with us, you can boost your revenues while cutting staffing costs by 70–80%. Whether you need a single remote staff member for RCM support or a full team for larger healthcare providers, we’ve got you covered. We list HIPAA compliance and top-notch security to ensure your data is always protected when you outsource your RCM needs.
We also offer skilled specialists to take on the complex task of working your medical revenue cycle. Our team is here to handle every step of the process, from processing claims and handling payments to boosting your revenue.
Think of us as an extension of your own team. With our wide experience in every aspect of revenue cycle management, we’re dedicated to confirming your operations run smoothly and efficiently.
How about this: Substitute as your dedicated RCM team members?
Our staff will well blend into your Prior-Authorization process, offering dedicated support and reporting straight to you. Each team member will feel like a natural part of your team, helping you maintain high morals of patient care and support. Best of all, you can access this service for a straightforward hourly or monthly fee, simplifying payroll and benefits management.
At ZenniMate, with our working team in USA, we distribute top-notch and affordable RCM solutions to our clients. Our dedicated staff takes care of everything from collecting payments on submitted claims to analyzing and examining underpaid claims. We also make sure to follow up insistently with insurance carriers till every claim is resolved, ultimately boosting your revenue.
We also take care of coding tasks and complete the demographic access of patient details in your billing software. Moreover, we handle eligibility verification to ensure all is correct and up-to-date.
Comprehensive Revenue Cycle Management Solutions from ZenniMate
1. Verification of Eligibility and Benefits:
We make sure patients’ insurance eligibility is in order by studying their medical records, confirming their reporting, and following up with them if there are any differences in their documents or records. We also make complete reports with all the essential documents to help speed up the claims procedure and reduce the risk of denials. Before any service is provided by the healthcare provider, we check the patient’s benefits and deductible balances to ensure everything is set.
2. Expert Medical Claims Processing Solutions:
We handle both paper and electronic claims submissions with comfort. Our skilled team takes care of fixing your Clarification of Benefits (EOBs) and ensures that your claims are submitted on time to the insurance company.
3. Medical Debt Collection Solutions:
With our wide experience and expertise, we offer consistent and high-quality healthcare collection services. Our goal is to provide special RCM services by leveraging the latest tools and technologies to ensure the best results.
4. Comprehensive Denial Management Solutions:
Insurance claim denials can be a significant headache for healthcare businesses globally. Our team steps in to help by carefully analyzing, modifying, and resubmitting denied claims. We start by recognizing the claims that were denied through their revenue coding and CPT/HCPCS codes. Then, we dig into the reasons behind each denial and create a detailed report on denial management. This approach helps streamline the process and manage claim denials more effectively.
5. Payment Posting Services:
With our RCM services, we ensure that all payments are posted quickly and precisely into your billing system. Plus, we perform regular checks on every posted payment to keep errors to a minimum.
6. Accounts Receivable Follow-up:
At ZenniMate, we handle all issues that cause delays or denials in receivables. Our Accounts Receivable professionals are dedicated to pinpointing problems and resolving them quickly to ensure that healthcare providers receive their payments on time. We follow up on outstanding claims, start collection processes, and track overdue payments to boost cash flow.
7. AR Calling Services:
Our AR Calling Services are designed to efficiently manage and resolve payment delays. We start by analyzing the overdue payments that are causing issues in your revenue cycle management system. Then, we carefully follow up with patients who have remaining balances. Our approach is to engage with patients in a friendly and supportive manner, cheering them to settle their accounts promptly. We also spread out to insurance companies to get more data on any rejected claims.
8. Accounts Receivables Services –
We’re here to help with patient accounts that need follow-up and certify that unpaid or underpaid claims are collected. Our services cover:
- Analyzing accounts receivable
- Identifying reasons for claim denials
- Following up on pending claims
We also provide monthly reports to help you manage cash flow and boost profitability. These reports include:
- Aging accounts receivable
- Charges, payments, and adjustments
- Payment timeliness from different payers
- Payer mix
Transform Your Revenue Cycle Today
Contact us now to discover how we can optimize your revenue cycle management and enhance your healthcare billing processes.
