- Check eligibility and benefit verification by calls and web portals.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Identify and bill secondary or tertiary insurance.
- Check each insurance payment for accuracy and compliance with the contract discount.
- Payment Posting (EOB/ERA).
- Review patient bills for accuracy and completeness and obtain any missing information.
- Generate Patient Statement.
- Obtain referrals and pre-authorization as required for procedures.
- Call insurance companies regarding any discrepancy in payments if necessary.
- All accounts are to be reviewed for insurance or patient follow-up.
- Follow up on unpaid claims through insurance calls & web/portals.
- Research and appeal denied claims.
- Update billing software according to updated fee schedule.
- Updates cash spreadsheet, runs collection reports.
- Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Physicians Revenue Group Incorporated, a full service Practice Management & Revenue Cycle company. PRG Inc. has been in the business of providing Practice Management & Consulting Services to small to mid-size medical practices all across North America. Our experts bring a combined experience of more than 30 years providing practice management & revenue cycle solutions to medical practitioners. Since the time we have started consulting medical practices, we have successfully helped numerous medical practitioners maximize their profits by reducing costs & increase revenues. We believe in “working smarter, not harder”. Our informatics driven comprehensive approach to Practice Management sets us apart from other practice management companies. By putting our unique expertise to work we have helped transform multiple healthcare facilities across the United States into stable, efficient, & profitable centers without comprising on the patient care. Our innovative products and services simplify and manage each aspect of practice management while our practice management solutions are built around our conviction that doctors should deal with the wellbeing of their patients while we are there to handle all the administrative & management burdens connected with running a practice. We’re dedicated to improving patient experience, quality of care, and operational efficiency through hands-on leadership support.
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