Healthcare Services

We leave no stone unturned to maximize your revenues and derive your business. Leverage our expertise for your Billing and AR needs and reduce your operating costs by at least 70%

Enrollment Services:

Pro Admin understands the importance of offering connections to a variety of payers. That is why we work with our clients to support the payers that they need. With Pro Admin, you have the convenience of submitting claims, remits, and eligibility verifications electronically to all the payers. Our team gets you enrolled with all the payers to check eligibility, submit claims electronically/paper, and receive ERA’s/EOB’s electronically for accurate data.

Eligibility/ Prior Authorizations: Ineligible patient insurance coverage counts for more than 75% of all claim rejections and denials by payers. And, logging into multiple payer websites for eligibility information is a time-consuming task. Our team does the eligibility check to avoid these denials before the claim is billed out.

Some services do require authorization before they can be billed out to the payer. Thus, our dedicated team obtains every necessary piece of information and authorization from the payer prior to the filing the claim so as to avoid any claim denials.

Charge Posting:

Pro Admin is a leading back-office provider of offshore medical billing services to healthcare organizations. We have expertise in demographic and charge entry services for many specialties ranging from general practice to more complicated ones.

Our charge entry service consists of entering CPT codes, ICD codes, modifiers and other related information into the billing software.

Payment Posting:

Payment posting in medical billing is one of the key processes that get the utmost attention from our operations management. The payments in lieu of claims, which are received from the payers & patients are posted in the medical billing system of the client to reconcile the claim. Pro Admin also does electronic payment posting into the medical billing software and handles the exceptions (fallouts) manually to make sure that no payment is missed.

Account Receivable:

The AR management model incorporates successful techniques to ensure maximized cash flow. Our analysis team, calling team and resolution team work collaboratively to decrease the number of AR days. Our AR management cycle includes the process of following up with insurance carriers either by accessing their websites, IVR or calling the representatives at the insurance end to check the claim status of the ones that have not responded in 30 days from billing, and identifying issues resulting in payments. Our objective is to always keep the above 90 days under 15% of the total outstanding AR.

Contact a Pro Admin SME for more information