HIPAA Compliant & SOC-2 Audited Workflows
(209) 671-6993
Provider Billers LLC
Flagship Service

End-to-End Revenue Cycle Management

Transform Practice Cash Flow from Patient Intake to Final Payment Posting

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.

Performance Commitments
First-Pass Clean Claim Rate

98.4%

Average Days in AR

<28 Days

Denial Resolution Turnaround

48 Hours

100% HIPAA CompliantMutual BAA Executed
AAPC & AHIMA CertifiedCPC, CPMA & CCS Coders
SOC-2 Type II AlignedEncrypted EDI Gateways
CMS & OIG StandardsCMS-1500 & UB-04 Audits
Zero Migration Needed • Direct In-EHR Operations:
AthenaHealthEpic SystemseClinicalWorksKareo / TebraAdvancedMDModMedNextGenDrChrono
Problems We Eliminate

Common Practice Bottlenecks Solved

In-house billing staff turnover leading to unsubmitted claims and timely filing write-offs

Payer rule changes causing unexpected surges in E/M and surgical claim denials

Lack of real-time visibility into collection rates and net revenue realization

Delayed payment posting resulting in distorted patient billing and inaccurate AR reports

Scope of Work

Key Deliverables & Standard Operating Procedures

Comprehensive Charge Capture & Demographics Entry within 24 hours of encounter
Certified CPT/ICD-10 Coding Review & NCCI Edit Automated Pre-Scrubbing
Electronic Claims Clearinghouse Submission with secondary & tertiary crossover management
Daily Electronic Remittance Advice (ERA) and manual EOB payment posting with line-item reconciliation
Patient Statements, balance questions handling, and soft-touch collection workflows
Monthly Executive Financial Analytics & Denial Root-Cause Dashboards
Systematic Execution

Our 4-Step Operational Workflow

01

Front-End Scrubbing

Real-time insurance eligibility checks, authorization cross-checks, and demographic verification before claim generation.

02

Coding & Charge Audit

Dual review by AAPC-certified coders to ensure accurate CPT, ICD-10, and modifier pairing matching clinical documentation.

03

Electronic Dispatch & Tracking

Claims dispatched through top-tier clearinghouses (Change Healthcare, Availity, Waystar) with Level 1 & Level 2 validation.

04

Denial Triage & Payment Posting

Payments posted within 24 hours; any non-paid line is immediately routed into specialized appeals queues.

Frequently Asked Questions

Which EHR and Practice Management systems do you work with?

We operate seamlessly across all major US EHRs including Epic, AthenaHealth, eClinicalWorks, Kareo/Tebra, AdvancedMD, ModMed, NextGen, DrChrono, Allscripts/Veradigm, and Kareo. We work directly inside your system so you retain 100% data ownership.

What is your pricing structure for full RCM?

We operate on a transparent percentage-of-collections model (typically 3.5% to 6.5% depending on specialty volume and complexity). If you don't get paid, we don't get paid—aligning our incentives with your practice's profitability.

Zero Risk • Mutual BAA Signed First

Ready to Upgrade Your Practice’s Full RCM?

Take the risk-free first step with our Free 10-Claim Denial Audit. We pinpoint the exact leaks in your current billing workflow within 48 business hours.

Speak directly with an RCM Director:

(209) 671-6993

100% Risk-Free B2B Evaluation

Request Your Free 10-Claim Audit for Full RCM

Zero upfront cost. We sign a HIPAA BAA before examining any documentation.

100% HIPAA Compliant. Protected by 256-bit TLS encryption. Mutual BAA executed before any PHI is inspected.