Medical Billing Services

Our end-to-end medical billing maximizes reimbursement while reducing AR days and overall cost of collections. You will have a dedicated Account Manager who will monitor your account and actively manage it.

Daily Charge Entry and Electronic and Paper Claim Submission

Daily charge entry is vital to the accurate and timely recording of patient services and procedures into the billing system, ensuring that all charges are captured to meet the billing requirements resulting in the maximum reimbursement. This process also includes preparing and submitting insurance claims both electronically and on paper, following payer-specific guidelines to ensure timely and accurate reimbursement.

Dedicated Follow-up, through automated tracking from Day 14 Forward

Starting from the earliest opportunity after claim submission, dedicated follow-up ensures persistent tracking and management of outstanding claims, addressing any issues or delays in payment. To get you paid!

Claim Correction and/or Re-submission and Denial Management

identify and rectifying errors in submitted claims and resubmitting them to insurance companies to secure appropriate payment for services rendered. Denial management focuses on identifying, analyzing, and addressing reasons for claim denials, identifying trends and taking corrective actions to overturn denials and secure payment.

Payment Posting / Adjustments and Patient Statements (Soft Collections)

This process entails recording payments received from insurance companies and patients, making necessary adjustments to accounts, and ensuring accurate financial records. Generating and sending patient statements involves the preparation and distribution of billing statements to patients, with a focus on gentle reminders and methods to collect outstanding balances.

Managing Collections

This encompasses strategies and actions to recover overdue payments from patients and insurance companies, utilizing various methods to maximize collections and minimize bad debt.

Patient Inquiries

Our team of dedicated customer service assistants skilled at handling patient inquiries involves addressing questions and concerns from patients regarding their bills, payments, and insurance claims, providing clear and accurate information.

Real-time Reporting and Customized Reports

Offering real-time reporting and customized reports involves providing up-to-date financial and operational data, tailored to meet specific needs and assist in informed decision-making.

A/R Recovery Projects

Accounts Receivable (A/R) recovery projects focus on recovering outstanding payments from aged receivables, employing specialized strategies to enhance cash flow and reduce write-offs.

Zybex® provides collection and billing services to help physician’s increase collections, bill more accurately.

Our billing service allows you to cut costs and gain HIPAA compliance without the normal associated cost of maintaining a full billing system and staff. Outsourcing frees you to focus on providing quality patient care.

Equally important, Zybex® will provide detailed analysis and monthly reports so you know exactly where your practice stands against your goals.

Additionally, you’ll gain valuable information that you can use to refine your processes and target problems.

By using a consultative approach and proven methodology,

Zybex® can help you identify the business issues that need to be addressed as well as develop a strategy tailored to resolve those issues and put your practice on the right track to meet your goals. We deliver a unique combination of technology, processes, healthcare expertise and billing/collection experience to maximize your return on investment for a reasonable fee.

Purchasing our software is not necessary to take advantage of this opportunity.

With Zybex®, you get more than a vendor; you get a partner that is dedicated to your success. Remember, “Zybex® does not get paid- till you do”.