Patient Access Services
Before patient care, it’s important to start laying the foundation for a payable claim
Centralized appointment scheduling to handle scheduling, rescheduling and canceling appointments to reduce no-show rates.
Understand the billing requirements and manage appointments accordingly to reduce denials and unpaid claims.
Eligibility & Benefits
Verify coverage on all primary and secondary using WebMD, payer websites and phone calls to payers.
Gather information on deductibles, co-pays, out-of-pocket maximums and benefit limitations of specialties accordingly.
Handle patient calls with questions about their statements, making courtesy follow up on their outstanding balance.
Follow-up calls with patients via a dedicated phone line.
Handle registration of new patient with accurate and complete patient demographic and insurance details, etc.
Follow up with the patient on obtaining the accurate information and notify patients on COB requirements.
Referrals and Authorization
Identify requirements of Referrals and Authorization and notify the provider prior to the appointment.
Co-ordinate with the provider and initiate the request through phone calls or online forms. Follow up though approval.
Notify patients on no coverage or out of network provider which could result in Self-pay and reduce denials.
Share information on patient’s Co-pay, co-insurance rate, and remaining deductible and reduce bad debts.
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