Choose the workflows you want off your plate
Outsourcing should not feel like “outsourcing.” It should feel like an internal team with structure. That means defined deliverables, QA, and weekly reporting.
Recommended start
Start with Medical Billing for 30–45 days to stabilize execution and establish KPI baselines. Then add pre-auth / documentation / front desk if needed.
Medical Billing
Deliverables: charge entry, claim submission, ERA/EOB posting, denials, AR follow-up, patient statements, weekly KPIs.
Pre‑Authorization
Deliverables: eligibility checks, auth submissions, status tracking, insurer follow-up, escalation.
Documentation Support
Deliverables: note QA support, missing-info checks, templates, provider feedback loops.
Front Desk & Calls
Deliverables: calls, scheduling, confirmations, insurance capture, patient messaging workflows.
Coding Support
Deliverables: CPT/ICD support, coding QA, denial trends, coordination with billing.
Credentialing Support
Deliverables: enrollment assistance, tracking, documentation management, payer follow-up support.
The “structure layer” clinics care about
- Onboarding checklist and access plan
- SOPs (documented workflows)
- QA sampling and issue tracking
- Escalation rules for blockers
- Weekly KPI report + next actions
Clinics that want predictability
If your team is constantly reacting to denials, payer issues, and administrative overflow, a structured partner can restore calm. Our model is designed for urgent care, primary care, and specialty clinics.