Billing, Audit, & Administrative Services
- Billing and Collections– Medical Practices, Pharmacies, and Laboratories
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- Follow-ups on Open Claims
- Bill Resubmissions
- Locate Missing Payments
- Shorter Wait Time on Rejections or Pending Claims
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- Centralized Administration – Third Party Contracting and Credentialing with PBMs and Payors
- New and Ongoing with all regulating bodies
- Maintain all current documentation
- Accessible and responsive help desk
- Stay abreast and communicate updates and PBM Changes
- Audits
- Internal Audits- in constant preparation to make sure all is compliant and in line with all regulations
- Managing External Audits with PBMs and Payors: Preparing for instances where an audit is requested
- Inventory and Supply Chain Management, Procurement, and Ordering
- Ability to quickly leverage vendor relationships and economies of scale to reduce costs
- Market trend analysis and product research to ensure the most effective product mix
- Monthly Reporting and Reconciliation
- Tracking incoming payments, accounts receivable, and capturing costs
- Continuous business analysis and feedback