Every Service Your Revenue Cycle Needs, Under One Roof

A medical billing company manages the administrative and financial process of converting healthcare services into reimbursement. This includes verifying insurance eligibility, submitting claims with correct ICD-10 and CPT codes, following up on unpaid claims, managing denials, and posting payments. The goal is to maximize a practice's revenue while reducing the administrative burden on clinical staff.

When you outsource medical billing, your practice shares encounter data (via EHR, superbills, or a secure portal) with your billing partner. The billing company handles coding, claim submission, payer follow-up, denial management, and reporting on your behalf. You retain visibility through regular reports and direct communication with your billing team.

Denial management is the process of identifying, analyzing, and resolving claims that have been rejected or denied by a payer. Effective denial management includes correcting claim errors, filing appeals, resubmitting claims within timely filing windows, and tracking denial trends to prevent recurring issues.

Most eligibility-related denials happen because coverage was not verified before the visit. When your billing team confirms active coverage, benefits, co-pays, deductibles, and authorization requirements before the appointment, claims are submitted with accurate data — dramatically reducing eligibility-based denials.

AR (Accounts Receivable) follow-up is the proactive process of tracking unpaid and outstanding claims after submission. Billing specialists contact payers by phone or portal to determine claim status, resolve holds, and escalate unresolved claims before timely filing deadlines expire.

Yes — reputable medical billing companies operate under HIPAA-compliant processes, including Business Associate Agreements (BAAs), secure data transmission protocols, and controlled access to patient health information (PHI). When evaluating a billing partner, confirm they have documented HIPAA compliance practices and are willing to execute a BAA.

Every specialty benefits from professional billing, but specialties with complex coding requirements — such as cardiology, orthopedics, neurology, oncology, behavioral health, and pain management — often see the greatest improvement in clean claim rates and revenue recovery when working with specialty-aware billing professionals.

Absolutely. Outsourcing billing removes the need to hire, train, and retain in-house billing staff — which is particularly costly for small practices. A billing partner scales with your volume, and you only pay for the services you need, without the overhead of full-time staff.

Medical billing typically refers to the claim submission and payment collection process. Revenue cycle management (RCM) is a broader term that encompasses the entire financial lifecycle of a patient encounter — from eligibility verification and prior authorization before the visit, through coding, billing, denial management, payment posting, and financial reporting after the visit.

Key revenue cycle metrics include: days in accounts receivable (AR), clean claim rate (first-pass acceptance), denial rate by payer, net collection rate, cost to collect, and reimbursement rate vs. contracted rates. A good billing partner provides regular reports covering all of these.

Medical billing companies typically charge a percentage of collected revenue — usually between 2.5% and 8%, depending on your specialty, claim volume, payer mix, and the scope of services included. At 247 Medical Billing, our services start at 2.50% of collections — one of the lowest rates in the market. We also offer custom flat-rate and hybrid pricing plans for higher-volume and multi-location practices. Contact us for a transparent, no-obligation quote built around your specific needs.

Reducing claim denials requires fixing problems both before and after claim submission. Before submission: verify insurance eligibility for every visit, confirm prior authorization requirements, and have a certified coder review each encounter for ICD-10 and CPT accuracy before the claim leaves your system. After submission: analyze every denial for root cause, file timely appeals with full documentation, and track denial patterns by category and payer to identify upstream workflow errors. 247 Medical Billing implements all of these upstream and downstream controls as standard practice — which is how our clients achieve a 98.6% first-pass clean claim rate.

We work with most major EHR and practice management systems, including Epic, Kareo (Tebra), AdvancedMD, DrChrono, Athenahealth, Modernizing Medicine (ModMed), eClinicalWorks, Practice Fusion, PrognoCIS, and OmniMD. If your system is not listed here, contact us — we can typically integrate with any cloud-based or API-accessible EHR platform. Our team manages the technical setup, so your staff doesn't need to change how they document.

Most practices are fully onboarded within 5 to 10 business days. The exact timeline depends on your EHR/PM system, current credentialing status with payers, and the complexity of your specialty's billing workflows. Our onboarding team manages all transition logistics — system integrations, workflow documentation, team training, and payer verification — so there are no gaps in billing during the switch. Practices switching from in-house billing or a previous vendor typically see their first clean claims submitted within the first week of onboarding.

Yes — new practice setup is one of our most common onboarding scenarios. For new practices, we handle provider credentialing and payer enrollment from scratch (Medicare, Medicaid, and all commercial payers), CAQH profile setup, NPI registry management, and billing workflow design tailored to your specialty. We know that new practices cannot afford delayed enrollment — every day without payer credentialing is a day of unbillable services. Our credentialing team begins the enrollment process immediately upon engagement.

Medical billing typically refers to the specific process of submitting claims to insurance payers and collecting payment. Revenue cycle management (RCM) is the complete financial lifecycle of a patient encounter — starting before the appointment (eligibility verification, prior authorization) and continuing after payment is received (posting, reconciliation, reporting, and analytics). 247 Medical Billing provides full RCM services, not just claims submission. We manage every step of the cycle so your practice has a single, accountable partner for all revenue-related functions.