Specialized RCM & Medical Billing Services
Provider Billers provides specialized clinical coding, front-to-back revenue cycle management, and zero-risk aged AR recovery for independent medical practices and ambulatory surgery centers nationwide.
End-to-End Revenue Cycle Management
Provider Billers delivers full-lifecycle RCM engineered for independent practices and specialty surgical groups. We eliminate administrative drag, scrub claims to a 98%+ first-pass clean rate, and drive days in AR below 28 days.
Contingency-Based Aged AR Recovery (>90 Days)
Stale accounts receivable older than 90, 120, or 365 days represent massive lost profit for private practices. Our dedicated SWAT team of aged AR recovery specialists investigates, appeals, and liquidates aging balances on a strict contingency basis.
Denial Management & Root-Cause Appeals
Over 65% of medical claim denials are never appealed by practices, leading to catastrophic revenue loss. Provider Billers deploys forensic CARC/RARC denial analytics and aggressive multi-level appeals to turn denials into paid remits.
Medical Billing & Certified Coding Audits
Coding errors cause both under-reimbursement (lost money) and audit liability (clawback risks). Our certified coders (CPC, COC, CPMA) review clinical charts to maximize legitimate revenue capture while ensuring strict OIG and CMS compliance.
Provider Credentialing & Payer Contracting
Every month a new provider waits for commercial insurance or Medicare/Medicaid enrollment costs your practice an estimated $60,000 to $90,000 in unbillable revenue. Provider Billers speeds up enrollment and re-credentialing through relentless payer follow-up.
Front-Office Intake, Prior Auth & Healthcare BPO
Over 80% of claim denials originate at the front desk: invalid policy IDs, unverified deductibles, expired coverage, and unobtained prior authorizations. Our specialized healthcare front-office team secures pre-authorizations and verifies benefits before patients walk through the door.