Efficient Medical Billing Solutions
Streamline your billing process for better cash flow.
Efficient Medical Billing Solutions
Streamline your billing process for better cash flow.
About Optimize Medical Billing
Our Mission
At Optimize Medical Billing, our mission is to provide healthcare providers with accurate and efficient medical billing services. We strive to improve your revenue cycle management, ensuring your revenue is collected faster and more reliably.
Our Services
Services
- Revenue Cycle Management
- Demographic and Insurance Data Entry
- Medical Billing Claim Entry
- Certified Medical Coding
- Patient Customer Service
- Patient Payment Services
- Patient Statements
- Posting of Insurance and Patient Payments
- Denial Follow up
- Claim Appeals
- Provider Enrollment and Credentialing
- Financial Reporting
- Our data entry Specialists are highly trained to ensure accurate entry of patient demographics and insurances policy information.
- Medical Billing and Claim Entry
- Our Medical Billers are trained and educated in medical terminology, CPT, ICD-10, HCPCS and Modifier coding. They specialize in entering medical claims to ensure medical necessity and compliance with CCI edits. Our Medical Billers work closely with the physicians and staff to ensure all diagnosis codes are coded to the highest level of specificity to alleviate denials from insurance carriers.
- Our Medical Coders are continuously trained and educated to maximize our providers reimbursements and are up to date with insurance guidelines and policies. Our Medical Coders code directly from the operative reports and are available to assist our physicians with their coding questions.
- Payment Posting
- Our Payment Posters are well versed in the insurance carrier’s payment guidelines and are trained to recognize missed/incorrect reimbursement.
- Claims Management and Denial Follow up
- Optimize Medical Billing fights for every dollar owed to our providers. The level of difficulty in accurately and efficiently receiving your reimbursements has never been higher. Constant changes to government regulation and insurance company policies make claim submission a difficult and confusing part of the healthcare industry. Optimize has a streamlined process to follow up and reprocess all denied claims for payment.
- Financial Reporting
- We offer extensive and comprehensive reporting for all of your financial needs.
- Patient Billing and Customer Service
- We pride ourselves on exceptional customer service. Our team is skilled in handling patient billing questions. We understand the insurance claim process can be confusing and frustrating to some patients. Our Customer Service team provides courteous friendly assistance.
- Physician and Group Credentialing and Contracting
- Optimize Medical Billing specializes in Physician and Group credentialing and contracting. We have developed relationships with every insurance and know the ins and out of obtaining and maintaining contracts. We will also work with each individual Physician on maintaining their CAQH Profile.
- Auto Insurance and Workers' Compensation
- Optimize Medical Billing has billers knowledgeable with dealing with auto and workers' compensation medical claims. Often the auto and workers' compensation companies will reject, delay or terminate patients’ medical benefits. At Optimize we understand the PIP laws and work closely with the adjustors, attorneys and providers to ensure these medical claims are paid.
- Staff Training
- Optimize offers on and off-site staff training for insurance verification. Having your staff trained properly, accurately verify patient insurances is an essential role in getting claims paid faster and avoiding unnecessary rejections.
- Remote Access to Software
- Optimize offers our clients remote access to our billing program. Remote clients can schedule patient appointments, enter patient information and see real-time patient and insurance balances. Or we can remote access your data if you prefer to not change your Practice Management System or EMR.
- Multi-specialty billing
- Ambulatory surgical
- Take the financial matters out of your office and get back into the practice of medicine.
- We have developed a streamlined system dedicated to prompt and accurate claims submission. Our follow-up methods are extensive and professionally aggressive, maximizing insurance reimbursement. We specialize in insurance appeals, and we often recover revenue many physicians lose.
- Let us review and analyze your data and collect your reimbursement while you focus on your practice and patients.
Transparent pricing – Billing rates as low as 2.95% for small practices. 3.8% for gross revenue over $275,000.00 per month. Along with contracts with 6-month term limits to ensure you are happy with our services.
For Healthcare Providers (Physicians, etc.):
- Payer Credentialing (Insurance Panel Enrollment): $100 - $500 per provider, per payer, with discounts for multiple payers.
- Hospital Credentialing & Privileging: Can range from $500 - $900 for initial setup, with longer timelines (90-180 days).
- Medicare/Medicaid Enrollment: Around $250 - $400 per provider.
- Group/Facility Setup : $300 - $450 for initial setup.
- Ongoing Maintenance (CAQH/Recredentialing): $50 - $150 monthly or per event.
- Full-Service Bundles: Can be $1000 - $2000 for initial setup (CAQH, Medicare, Commercial).
Medical Billing Services by Optimize Medical Billing
Efficient Medical Billing
Reduced Denials and Rejections
We provide efficient medical billing services that help you get paid faster and optimize your revenue cycle management. We ensure that your claims are submitted accurately and on time.
Reduced Denials and Rejections
Reduced Denials and Rejections
Our team of experienced billers and coders ensure that your claims are accurate and complete, reducing the chances of denials and rejections. This leads to higher revenue and better cash flow.
HIPAA Compliant Billing
We take data privacy and security seriously. Our medical billing services are HIPAA compliant and we ensure that your patient data is always protected.
Customized Billing Solutions
Affordable Medical Billing Services
We understand that every practice is different. That's why we offer customized billing solutions to meet your specific needs. Our billing experts work with you to optimize your revenue cycle and increase profitability.
Transparency and Accountability
Affordable Medical Billing Services
Affordable Medical Billing Services
We believe in transparency and accountability. Our clients have access to real-time reports and dashboards that provide insight into their revenue cycle and billing performance.
Affordable Medical Billing Services
Affordable Medical Billing Services
Affordable Medical Billing Services
We offer affordable medical billing services that are tailored to meet the needs of small practices and healthcare providers. Our pricing is transparent and there are no hidden fees.