Central Billing Department

The Central Billing Department pursues quality insurance collection results which exceed nationally recognized standards for 30-, 60-, and 90+-day collection categories.

This can be achieved by electronic claims submission to participating primary carriers and secondary carriers accessible through a clearinghouse.

Posting, processing and reviewing of insurance payments include:

• Medicare, Medicaid, managed care plans
• Blue Shield products, commercial plans
• Auto and worker's compensation
• Capitation checks and bonus payments

The Central Billing Department also provides services for you by:

• Posting all mailed patient payments
• Tracking and summarizing insurance Aged Trial Balances
• Generating insurance/patient payment refunds
• Handling inquiries from insurance carriers and patient accounts referred by an office
• Reviewing claims needing pre-authorization, referrals, etc.
• Processing and mailing all primary and secondary insurances not electronically transmitted
• Claims processing investigation and troubleshooting
• Balancing End of Day, Month, Year Reports
• Archiving insurance remittances
• Updating patient information in the computer
• Researching Insurance Guidelines and Appeals
• Coordinate the credentialing of physicians for billing to commercial/indemnity insurance carriers
• Coordinate credentialing for new physicians and insurances