Outsourced Medical Billing Services

Medical Billing Outsourcing Services

Smoothly ramp up and execute your day-to-day functions.

For over 25 years, Global Healthcare Resource has proudly served practice management firms, large provider groups, medical billing companies, home health agencies, healthcare technology platforms, and hospitals. Our cost-effective end-to-end medical billing management services allow our healthcare partners to automate every facet of their revenue cycle.

End-to-End Revenue Cycle Management

Global Healthcare Resource can integrate with any EHR, allowing you to easily streamline time-consuming intake processes, such as benefits eligibility verification and patient demographic entry. An automated intake process minimizes the risk of denials due to inaccurate patient information, reduces patient wait times, and encourages an overall positive patient experience.

Next, our dedicated team of medical coding experts utilizes our Time Zone Advantage to deliver charts within 24-hour turnaround times at nearly perfect accuracy rates. Leveraging the benefits of an international team maximizes each minute of the day, increasing revenue cycle times exponentially. Quicker billing cycles mean faster claim submissions and reimbursements.

When reimbursement issues arise, our accounts receivable teams quickly identify and research denied or unpaid claims, followed by timely communication with insurance companies or patients. Corrected claims are refiled, and providers get to keep their hard-earned revenue.

With an efficient claims and denial management system in place, your organization will experience a significantly lower risk of lost revenue due to inaccurate claims or unattended denials. An increased clean claim rate allows you a higher return on investment and more time to focus on what matters most to your business.

Medical Billing Outsourcing Solutions

Global Healthcare Resource aims to enhance every aspect of your revenue cycle through our medical billing services. This holistic approach ensures a well-organized billing system from start to finish, improving accuracy, minimizing denials, speeding up claims processes, and helping you receive payments sooner.

Our skilled offshore medical billing specialists have the knowledge and expertise to operate as an extension of your team in an average of 30 days. Our billing professionals can perform any front, middle, or back-end processes, including:

Scheduling
Pre-Authorization
Eligibility Verification
Patient Demographic
Medical Coding
Charge Entry
Payment Posting
Denial Management
Accounts Receivable Follow-up (Insurance and Patient)

Outsourcing Medical Billing Services

Global Healthcare Resource helps you overcome medical billing challenges by simplifying the revenue cycle management (RCM) process through:

Fully trained team members: With our experienced senior management and highly trained billing team members, hiring and training additional in-house RCM staff is unnecessary.
Improved RCM procedures: We leverage our expertise to pinpoint opportunities to improve your medical billing processes, making future billing cycles more efficient.
Reduced turnover rates: When you choose Global Healthcare Resource as your partner, you benefit from a dedicated team that works solely on your project. We closely monitor turnover trends and are prepared to keep your project fully staffed with highly qualified professionals.
Simplified billing tasks: Our outsourced medical billing services simplify RCM tasks, giving you more time to focus on other core areas of your healthcare practice.

Patient Contact Center

Any time patient communication is necessary, our highly-trained patient contact center professionals can assist with inbound and outbound calls. Learn more here.

Your Medical Billing Outsource Partners

Our accomplished team spans multiple continents, giving you the advantage of 24/7 personnel. The combined competencies of our winning teams in the U.S., India, and the Philippines provide access to over 6,000 diverse and talented HIPAA-compliant professionals ready to meet your medical billing needs.

Choose the Leaders in Medical Billing Management

When you partner with Global Healthcare Resource for your medical billing management needs, you gain access to a skilled team committed to your success. With a global presence, an extensive in-house training program, and over 25 years of experience in healthcare RCM solutions, we set ourselves apart from competitors in our field.

Regardless of the nature of your healthcare operation, Global Healthcare Resources can provide a tailored RCM solution to meet your requirements and exceed your expectations. Contact us to discuss your medical billing management needs, or use our online calendar tool to schedule a free consultation and quote.

What are the primary benefits of outsourcing medical billing services for healthcare providers?

The primary benefits of outsourcing medical billing services for healthcare providers include:

Cost Savings: Reduces overhead costs associated with maintaining an in-house billing team, allowing providers to allocate resources more effectively.
Access to Expertise: Specialized billing companies have in-depth knowledge of healthcare billing practices, ensuring accuracy and compliance with regulations.
Improved Collection Rates: Outsourcing can lead to higher collection rates and faster payments due to the expertise and resources of dedicated billing professionals.
Enhanced Focus on Patient Care: By delegating billing tasks, healthcare providers can concentrate on delivering quality patient care rather than administrative duties.
Scalability: Outsourcing allows organizations to easily adjust billing services based on patient volume and changing needs without the burden of hiring and training new staff.

How can outsourcing medical billing improve the efficiency of a healthcare organization?

Outsourcing medical billing can improve the efficiency of a healthcare organization by:

Streamlining Processes: Specialized billing companies often have established processes and advanced technology that enhance the efficiency of billing and collections.
Reducing Administrative Burden: Delegating billing tasks frees up internal staff to focus on core functions, improving overall operational efficiency.
Minimizing Errors: Experienced billing professionals are less likely to make errors in coding and billing, leading to fewer claim denials and faster payments.
Providing Real-Time Reporting: Outsourcing partners typically offer detailed reporting and analytics, allowing organizations to monitor performance and make informed decisions.
Enhancing Compliance: Outsourcing partners stay updated on regulatory changes, helping organizations maintain compliance and reduce the risk of audits.

What factors should healthcare providers consider when selecting a medical billing outsourcing partner?

Healthcare providers should consider the following factors when selecting a medical billing outsourcing partner:

Experience and Expertise: Look for a partner with a proven track record in healthcare billing and a deep understanding of the specific needs of the provider's specialty.
Technology and Integration: Evaluate the technology used by the outsourcing partner and their ability to integrate with existing systems seamlessly.
Reputation and References: Research the partner's reputation in the industry and seek references from other healthcare providers to gauge their reliability and performance.
Compliance and Security: Ensure that the partner adheres to industry regulations, such as HIPAA, and has robust data security measures in place to protect patient information.
Customer Support: Assess the level of customer support offered, including responsiveness and availability for addressing concerns or issues.

How does the outsourcing process work, and what can clients expect during onboarding?

The outsourcing process typically involves the following steps:

Initial Consultation: The healthcare provider meets with the outsourcing partner to discuss needs, expectations, and specific requirements.
Contract Agreement: Both parties agree on the terms of the partnership, including pricing, services provided, and performance metrics.
Data Transfer: The provider securely transfers relevant patient and billing data to the outsourcing partner, ensuring accuracy and completeness.
System Integration: The outsourcing partner integrates their billing system with the provider's existing systems to facilitate seamless data exchange.
Training and Onboarding: The outsourcing partner trains the provider's staff on new processes and communication protocols to ensure a smooth transition.
Ongoing Support: After onboarding, the outsourcing partner provides ongoing support and regular performance reports to monitor progress and address any issues.

What types of healthcare organizations benefit most from medical billing outsourcing?

Healthcare organizations that benefit most from medical billing outsourcing include:

Small to Medium-Sized Practices: Independent practices that may lack the resources to maintain an in-house billing team can benefit from outsourcing.
Specialty Practices: Organizations with complex billing requirements, such as cardiology or orthopedics, can leverage specialized billing expertise.
Hospitals and Health Systems: Larger organizations can benefit from outsourcing to streamline billing processes and improve overall efficiency.
Outpatient Clinics: Facilities providing outpatient services can enhance their billing operations by outsourcing to dedicated professionals.
Telehealth Providers: Organizations offering telehealth services can navigate unique billing requirements more effectively through outsourcing.

How can outsourcing medical billing affect patient satisfaction?

Outsourcing medical billing can affect patient satisfaction in several ways:

Improved Billing Accuracy: Fewer billing errors lead to clearer statements and reduced confusion for patients, enhancing their overall experience.
Timely Communication: Outsourcing partners often provide better communication regarding billing inquiries, leading to quicker resolutions and improved patient trust.
Flexible Payment Options: Dedicated billing services can offer more flexible payment options, making it easier for patients to manage their financial responsibilities.
Reduced Administrative Burden: With less time spent on billing issues, healthcare staff can focus more on patient care, leading to a better patient experience.
Enhanced Transparency: Clear and accurate billing practices foster transparency, helping patients feel more informed and satisfied with their financial interactions.

What challenges can arise when outsourcing medical billing, and how can they be mitigated?

Challenges that can arise when outsourcing medical billing include:

Data Security Concerns: Protecting patient information is critical. To mitigate this, choose a partner with robust security measures and compliance with regulations like HIPAA.
Communication Gaps: Miscommunication can lead to errors. Establish clear communication protocols and regular check-ins to ensure alignment between the provider and the outsourcing partner.
Loss of Control: Providers may feel a loss of control over billing processes. To address this, maintain regular oversight and request detailed reporting to monitor performance.
Integration Issues: Technical difficulties in integrating systems can arise. Ensure that the outsourcing partner has experience with your existing systems and can facilitate a smooth integration process.
Quality of Service: The quality of service may vary among outsourcing partners. Conduct thorough research and select a reputable partner with a proven track record in the industry.

The integrity of your data is our #1 priority.

SOC 2 Type 2 Compliant.

SOC 2 Type 2 audits determine how well an organization safeguards customer data and how those controls operate over a 9-month (minimum) time frame. Reports are issued by third party auditors who review the following principles: Security, Confidentiality & Availability. Global Healthcare Resource is proudly SOC 2 Type 2 compliant.

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SECURITY

The security principle addresses whether an organization's system is protected (both physically and logically) against unauthorized access.

AVAILABILITY

The availability principle addresses whether the services an organization provides is operating with the type of availability that client's expect.

CONFIDENTIALITY

The confidentiality principle addresses the agreements made with clients in regard to how their information is used, who has access to it and how it's protected.

Global Healthcare Resource

Medical
Billing Outsourcing

Cost-effectively streamline your revenue cycle processes by outsourcing your medical billing.