x
B
R
I
T
E
C O N S U L T I N G
C O N S U L T I N G
Medical Billing Services
Healthcare & Clinics
Who we serve: Independent practices, multi-specialty groups, urgent care, behavioral health, telehealth.
Your challenges: Claim denials, authorization delays, incomplete patient eligibility checks, unpaid balances, and revenue leakage.
What we do
• Eligibility & Authorization: Real-time insurance eligibility checks and prior authorization processing.
• Patient Scheduling: End-to-end scheduling support with integration into EMR/EHR systems.
• Charge Creation & Entry: Accurate CPT/ICD-10 coding, modifier review, and charge entry.
• Claim Submission & Follow-Ups: Electronic/paper claim filing with proactive follow-ups on unpaid claims.
• Referral Management: Tracking and submission of specialist referrals for compliance and faster approvals.
• Denial Management & Fixing: Root-cause analysis, corrections, and resubmission to reduce lost revenue.
• Payment Posting: ERA/EOB reconciliation, adjustments, and underpayment identification.
• Patient Billing & Collections: Clear statements, follow-up calls, and payment plan support.
Monthly Deliverables
- Eligibility & authorization report with turnaround times
- Claim submission and first-pass acceptance rate report
- AR aging with >90-day claims tracking
- Denial analysis by payer with resolution pipeline
- Payment posting and collection summary
KPIs we track
Eligibility success rate, authorization turnaround, claim acceptance %, denial rate %, average days in AR, net collection rate, patient payment compliance.
Tech we support
Athenahealth, Kareo, DrChrono, AdvancedMD, eClinicalWorks, Practice Fusion, and integrations with QuickBooks/Xero.
Dental Practices
Who we serve: General dentistry, orthodontics, pediatric, oral surgery.
What we do
- Eligibility & pre-treatment verification.
- CDT coding review and charge creation.
- Claim submission and follow-ups with insurance.
- Referral tracking when required by insurers.
- Payment posting and adjustment reconciliation.
- Denial resolution and appeal management.
- Patient scheduling and billing follow-ups.
Labs & Diagnostic Centers
Who we serve: Independent labs, imaging, pathology centers.
What we do
- Bulk charge creation and batching for tests/procedures.
- Eligibility checks and prior authorizations for imaging/diagnostics.
- Claim submission with scrubbing for high-volume accuracy.
- Denial analysis and corrected resubmissions.
- Referral tracking for specialized testing.
- Payment posting and underpayment appeals.
- Patient scheduling coordination where applicable.
Telehealth Providers
Who we serve: Virtual care, behavioral health, online specialty clinics.
What we do
- Multi-state eligibility & coverage verification.
- Prior authorization for telehealth-covered services.
- Accurate charge creation with telehealth-specific codes (POS 02/10, modifiers 95/GT).
- Claim submission & follow-ups across multiple payers.
- Referral handling for cross-specialty virtual care.
- Denial fixing and resubmissions.
- Patient scheduling and reminders for virtual appointments.
How We Work (applies across all FP&A services)
-
1. Onboarding & Setup
Payer enrollment, credentialing, system integration, coding audit.
-
2. Daily Workflow
Eligibility checks, prior auths, charge creation, claim submission, follow-ups, denial fixing, patient scheduling.
-
3. Monthly Reporting
AR aging, denial trend analysis, payer turnaround benchmarking, collection summaries.
-
4. Compliance & Security
HIPAA-compliant processes, staff training, and routine audits.