Medical Billing
At Eclaimworks Inc, we offer end-to-end medical billing services that streamline your revenue cycle, reduce administrative burden, and maximize collections. Our billing experts combine deep industry knowledge, automation tools, and performance-driven processes to ensure faster reimbursements and fewer denials.
We manage everything from pre-billing verification to AR follow-ups, helping your practice maintain financial stability and focus on delivering patient care.
Our Medical Billing Offerings Include:
Practice Financial Analysis
We provide in-depth financial reporting and insights to help you monitor and improve the financial health of your practice.
Our services include:
- Aging Accounts Receivable – Insurance & Patient
- Days in AR
- Clean Claim Ratio & Denial Rate
- Historical Adjustments & Write-Offs (W/Os)
- Gross & Net Collection Ratios
- Insurance Fee Schedule Review
These metrics empower you to identify revenue leaks, assess payer performance, and make data-driven decisions.
Accounts Receivable (AR) Management & Collections
We ensure every claim is set up for success with meticulous checks before submission.
Our pre-billing support includes:
- Insurance Eligibility & Benefit Verification
- Pre-Authorization & Referral Management
- Patient Reminders with Outstanding Balance Details
Our proactive approach prevents delays and denials, while also improving the patient payment experience.
Claim Management & Billing Services
We manage your claims from scrub to submission, ensuring clean, timely, and accurate processing.
Our billing process covers:
- Claim Scrubbing
- Electronic & Manual Claim Submission
- Working Clearing House (CH) Edits & Rejections
- Denial Management
- Payment Reconciliation – Identify Underpaid Claims
- Balance Billing for Patients & Secondary Insurance
Our streamlined workflows reduce the time it takes to get paid, while improving your clean claim rate.
Pre-Billing Services
We track every dollar and ensure no claim falls through the cracks with consistent follow-ups and appeals.
Our AR services include:
- AR Tracking & Follow-up
- Appeals & Re-submissions
- Patient Statement Dispatch
- Patient Balance Follow-up
- Coordination with Collection Agencies
We focus on aging buckets, payer-specific patterns, and claim status to recover more revenue, faster.