About the client
The client is a multi-specialty medical practice providing a wide range of medical services, including primary care, specialty consultations, diagnostic tests, and minor surgical procedures. With a substantial patient base, the clinic has been facing challenges in its medical billing processes.
Client challenges
- The client frequently received denials and rejections from insurance companies due to coding errors and incomplete claim information, leading to delayed payments.
- Many claims were not processed promptly, leading to delayed payments and a negative impact on the clinic’s cash flow.
- The client’s billing team struggled to keep up with the growing backlog of unprocessed claims, leading to operational inefficiencies.
Solution
- LevelShift engaged their experts to analyze the client’s billing requirements. The team consisted of highly skilled and certified billing specialists who are well-versed in the latest healthcare billing regulations.
- Upon having a clear understanding of the specific requirements, we promptly assembled and trained an offshore billing team, transferring the essential knowledge to them seamlessly.
- Our team significantly reduced the errors and the number of pending claims.
- We conducted regular compliance audits to ensure adherence to healthcare regulations.
Benefits
- The errors decreased substantially resulting in fewer claim denials and rejections.
- The average time to process claims reduced by a huge margin, leading to faster payments and improved cash flow.
- The outsourcing of billing tasks helped reduce the backlog of unprocessed claims.
- Regular audits and reviews helped the clinic maintain compliance with healthcare regulations, reducing risk of penalties.