Clientele RCM manages your entire revenue cycle; from coding, charge entry, patient and insurance billing to collecting, depositing and posting payments. Our expertise lies in practice management and optimizing reimbursement for the services you provide.

Our billers are aggressive yet customer oriented. Whether dealing with insurance companies, physician’s offices or your patients, they know how to collect your money in a professional manner.

Many of our clients are out of network providers. We have developed proven methods of follow up that are customized based on the insurance carrier who is processing the claim: Aetna, BCBS, Cigna, UHC etc. We know how to get your out of network claims paid at the rates you want.

The services we provide include:

• Insurance verification and eligibility to ensure proper coverage and reimbursement.
• Processing of claim forms in electronic/paper for both initial and secondary insurance.
• Third party insurance collections for patient co-pay/ deductibles, etc…
• Post-payment reviews.
• Outstanding claims review.
• Appeals for improper payments and denials.
• Balance billing of patients for unpaid claims (co-pay/deductible).