Medical Billing Back Office Outsourcing Services
Stop revenue leakage and administrative overload.
Our managed, HIPAA-compliant back-office services streamline your revenue cycle, reduce claim denials, and accelerate your cash flow, so you can focus on patient care.
Trusted by Leading Healthcare Providers & Global Enterprises
Is Your Practice Bleeding Revenue from Billing Inefficiencies?
The complexity of medical billing—from intricate coding and payer-specific rules to tedious follow-ups and denial management—drains valuable resources and directly impacts your bottom line. Administrative burdens distract your staff from patient care, while billing errors lead to delayed payments and significant revenue loss. You need a partner who can navigate this complexity with precision and expertise, ensuring you get paid fully and on time, every time. That's where we come in.
A Comprehensive Suite of Medical Billing Back Office Services
We provide end-to-end RCM back-office support, powered by certified experts and intelligent automation, to ensure every stage of your billing cycle is optimized for maximum efficiency and reimbursement.
Charge Entry & Scrutiny
We ensure every billable service is accurately captured and entered into your billing system. Our meticulous scrutiny process cross-references superbills with patient charts and coding to eliminate errors before claims are even created, maximizing first-pass submission success.
- Reduce data entry errors by over 99.5% with our dual-keying and validation process.
- Accelerate your billing cycle with a guaranteed 24-hour turnaround for charge entry.
- Ensure compliance by identifying and rectifying missing or inaccurate charge information proactively.
Payment Posting & Reconciliation
Timely and accurate payment posting is the backbone of a healthy revenue cycle. We process all payments from ERAs, EOBs, and patients, ensuring every dollar is accounted for and correctly allocated. This provides a clear, real-time view of your financial performance and flags any payment discrepancies immediately.
- Automate ERA posting to improve speed and eliminate manual errors.
- Identify and address underpayments and denials at the point of posting.
- Streamline reconciliation for accurate daily and monthly financial reporting.
Denial Management & Appeal
We don't just report denials; we resolve them. Our specialists analyze the root cause of each denial, correct the claim, and manage the entire appeals process with payers. This systematic approach not only recovers lost revenue but also provides actionable insights to prevent future denials.
- Reduce your overall denial rate by up to 30% within the first six months.
- Improve revenue recovery with a dedicated team managing timely appeals and follow-ups.
- Gain insights from denial trend analysis to fix upstream billing and coding issues.
Proactive Accounts Receivable (A/R) Follow-Up
Unpaid claims are a silent drain on your practice. Our persistent A/R team systematically follows up on all outstanding claims with insurance companies. We prioritize aging buckets, identify payment bottlenecks, and work tirelessly to resolve issues and secure payment for your services.
- Decrease your Days in A/R and improve cash flow significantly.
- Ensure no claim is left behind with our structured, multi-channel follow-up process.
- Receive clear reporting on A/R status and the actions taken to resolve outstanding balances.
Insurance Eligibility & Benefits Verification
Prevent denials before they happen. Our team verifies patient insurance eligibility and benefits prior to their appointment. This crucial step confirms active coverage, identifies patient responsibility (copays, deductibles), and secures necessary pre-authorizations, ensuring a smooth and financially transparent patient experience.
- Drastically reduce eligibility-related denials, a leading cause of claim rejection.
- Improve patient collections by providing accurate financial responsibility information upfront.
- Avoid costly write-offs for services rendered to patients with inactive coverage.
Certified Medical Coding (ICD-10, CPT, HCPCS)
Our AAPC-certified coders ensure maximum, compliant reimbursement by assigning the most accurate and specific codes based on clinical documentation. We stay current with all coding updates and payer-specific guidelines to guarantee your claims are clean, compliant, and optimized for payment.
- Minimize coding-related denials and ensure adherence to all regulatory requirements.
- Maximize revenue through accurate code assignment that reflects the full scope of services provided.
- Benefit from regular internal audits to maintain the highest levels of coding quality and compliance.
Credit Balance & Refund Processing
Properly managing credit balances is essential for both compliance and patient satisfaction. We identify, validate, and process overpayments from patients and payers, ensuring refunds are issued correctly and your accounts remain clean and auditable.
- Maintain compliance with state and federal regulations regarding patient and payer refunds.
- Improve patient trust and satisfaction with timely and accurate refund processing.
- Prevent future overpayments by analyzing the root causes of credit balances.
Patient Statement Generation & Inquiries
We handle the generation and dispatch of clear, easy-to-understand patient statements. Our team also manages incoming patient calls regarding billing inquiries, providing professional and empathetic support that protects your practice's reputation and helps patients resolve their balances.
- Increase patient payments with clear, consolidated, and timely statements.
- Free up your front-office staff from handling complex billing questions.
- Enhance the patient experience with a dedicated, knowledgeable point of contact for billing issues.
Demographics & Document Indexing
Accuracy starts at the beginning. We ensure all patient demographic information is entered correctly and that all related documents (EOBs, patient forms, correspondence) are scanned, indexed, and digitally filed in the correct patient account for easy retrieval and auditing.
- Prevent claim denials caused by simple demographic errors like misspelled names or incorrect policy numbers.
- Create a fully digital, organized, and easily searchable patient financial record.
- Improve operational efficiency with instant access to all billing-related documentation.
Electronic & Paper Claims Submission
We manage the entire claim submission process, ensuring claims are sent to the right payers in the correct format. Our system scrubs every claim for errors before submission, and we handle the complexities of both electronic (EDI) and paper claim filing to maximize acceptance rates.
- Achieve a first-pass acceptance rate of over 98% with our pre-submission claim scrubbing.
- Accelerate reimbursement by submitting clean claims electronically within 24 hours.
- Receive confirmation reports for all submitted claims for complete transparency.
Old Accounts Receivable Cleanup Projects
Is aged A/R weighing down your balance sheet? Our dedicated cleanup team can tackle your backlog of old, unpaid claims. We specialize in analyzing, prioritizing, and resolving aged accounts to recover revenue you may have considered lost.
- Recover significant revenue from claims aged 90, 120, and 180+ days.
- Receive a one-time cash flow boost without disrupting your current billing operations.
- Clean up your A/R for more accurate financial reporting and a healthier balance sheet.
Customized RCM Reporting & Analytics
You can't manage what you can't measure. We provide comprehensive, easy-to-understand reports on all key performance indicators (KPIs) of your revenue cycle. From charge lag and denial rates to A/R aging and collection percentages, we give you the data-driven insights needed to make informed business decisions.
- Gain full visibility into your financial performance with monthly and quarterly reports.
- Identify performance trends and opportunities for improvement with expert analysis.
- Make strategic decisions based on hard data, not guesswork.
Payer Credentialing & Enrollment Support
Ensuring your providers are correctly credentialed with all payers is a foundational and often frustrating step. We manage the entire credentialing and enrollment process, from application to re-credentialing, to ensure there are no administrative delays in your ability to bill for services.
- Onboard new providers faster and start billing for their services sooner.
- Avoid revenue loss due to lapsed credentials or enrollment errors.
- Free your administrative staff from tedious paperwork and constant follow-up with payers.
Robust HIPAA Compliance & Data Security
Protecting patient data is our highest priority. Our operations are built on a foundation of strict HIPAA compliance, with secure data centers, encrypted communications, and regular staff training. We are SOC 2 and ISO 27001 certified, ensuring your data is protected by enterprise-grade security protocols.
- Mitigate risk with a partner committed to the highest standards of data security.
- Ensure full compliance with all HIPAA privacy and security rules.
- Gain peace of mind knowing your sensitive patient information is secure.
Seamless EHR/PM System Integration
Our team is proficient in working with all major Electronic Health Record (EHR) and Practice Management (PM) systems. We establish secure, seamless connectivity to your existing platform, ensuring smooth data flow and eliminating the need for you to change the systems you already know and use.
- Work within your current system—no need for costly or disruptive software migrations.
- Ensure real-time data synchronization for accurate reporting and visibility.
- Benefit from our expertise across dozens of platforms, including Epic, Cerner, eClinicalWorks, and more.
The LiveHelpIndia Advantage in Medical Billing
We're more than just a service provider; we're your strategic partner in financial health. We combine certified expertise, advanced technology, and a commitment to security to deliver results that go straight to your bottom line.
Ironclad Security & HIPAA Compliance
Your patient data is sacred. We protect it with enterprise-grade security, including SOC 2 and ISO 27001 certifications, ensuring total compliance and peace of mind.
Certified Expertise
Our team consists of AAPC-certified coders and experienced billing specialists who are experts in navigating the complexities of payer guidelines and regulations.
Significant Cost Reduction
Reduce your operational overhead by up to 60%. Our efficient offshore model eliminates the costs of hiring, training, and managing an in-house billing team.
Maximized Revenue
We don't just process claims; we optimize them. Our proactive denial management and A/R follow-up lead to a 10-15% increase in collections on average.
AI-Powered Efficiency
We leverage intelligent automation for tasks like payment posting and eligibility checks, reducing errors and freeing up our experts to focus on high-value recovery efforts.
Seamless Integration
Our team works directly within your existing EHR/PM system. There's no need for a disruptive technology change—we adapt to your workflow.
Actionable Analytics
Receive clear, comprehensive reports that provide deep insights into your financial performance, helping you identify trends and make data-driven decisions.
Dedicated Support
You get a dedicated account manager as a single point of contact, ensuring clear communication and a partner who truly understands your practice's unique needs.
Scalability on Demand
Whether you're a solo practitioner or a multi-specialty hospital, our services scale with you. Easily adjust support levels as your practice grows or your needs change.
Technology & Platforms We Master
Our teams are proficient with the industry's leading EHR, PM, and billing software, ensuring a seamless and efficient workflow with your existing technology stack.
Real Results for Healthcare Providers
See how we've transformed the revenue cycles of practices just like yours.
Case Study: Boosting a Multi-Specialty Clinic's Financial Health
Industry: Healthcare (Cardiology, Orthopedics, Primary Care)
Client Overview: A mid-sized clinic with 15 providers was struggling with a high denial rate and an aging A/R that was impacting their cash flow and ability to invest in new equipment. Their in-house team was overwhelmed, leading to inconsistent follow-ups and a lack of strategic oversight on billing performance.
"LiveHelpIndia didn't just take over tasks; they re-engineered our entire billing process. The transparency in their reporting and the relentless A/R follow-up have been game-changers. Our collections are up, and my staff can finally focus on our patients."
- Sarah Collins, Practice Administrator, Apex Medical Group
Key Challenges:
- Denial rate consistently above 15%.
- Over 25% of A/R was older than 90 days.
- In-house staff lacked time for proactive A/R follow-up.
- No clear visibility into the root causes of denials.
Our Solution:
We implemented a comprehensive back-office solution, starting with a full audit of their existing A/R. A dedicated team was assigned to manage their end-to-end billing cycle.
- Deployed a specialized denial management team to analyze, appeal, and track all rejected claims.
- Initiated a systematic A/R follow-up project, prioritizing high-value, aging claims.
- Implemented a pre-submission claim scrubbing process to catch errors before they left the system.
- Provided detailed monthly performance reports with root cause analysis for denials.
Positive Outcomes:
Case Study: Streamlining a Hospital's Complex Billing Operations
Industry: Healthcare (Hospital System)
Client Overview: A 150-bed community hospital was facing significant operational bottlenecks in their billing department. High staff turnover and outdated processes led to long charge lags, inaccurate payment posting, and a growing credit balance problem that posed a compliance risk.
"The level of expertise and process discipline LiveHelpIndia brought was incredible. They integrated with our Epic system seamlessly and cleared a massive backlog of unposted payments in weeks. They are a true extension of our finance department."
- David Chen, CFO, Regional Community Hospital
Key Challenges:
- Average charge lag of 7 days, delaying the entire billing cycle.
- Significant backlog in payment posting, leading to inaccurate A/R data.
- Growing, unmanaged credit balances creating compliance issues.
- Lack of standardized workflows across the billing department.
Our Solution:
We provided a dedicated team to handle specific functions of their back office, acting as a scalable extension of their in-house department.
- Established a 24-hour turnaround for charge entry, reducing charge lag to under 24 hours.
- Utilized automation and a dedicated team to clear the payment posting backlog and maintain daily reconciliation.
- Conducted a full credit balance audit and established a compliant, ongoing resolution process.
- Worked with hospital management to document and implement standardized best-practice workflows.
Positive Outcomes:
Case Study: Enabling Growth for a Behavioral Health Practice
Industry: Healthcare (Mental & Behavioral Health)
Client Overview: A rapidly growing mental health practice with multiple locations was struggling with the unique complexities of behavioral health billing, including complex authorizations and varied payer rules for therapy sessions. Their administrative staff were spending more time on billing than on patient scheduling and support.
"Behavioral health billing is a minefield, and LiveHelpIndia navigates it expertly. Their handling of pre-authorizations alone has saved us countless hours and prevented so many denials. Outsourcing our billing to them was the best decision we made for scaling our practice."
- Dr. Emily Carter, Founder, MindWell Behavioral Health
Key Challenges:
- High rate of denials due to missing or incorrect pre-authorizations.
- Difficulty keeping up with different payer rules for session types and lengths.
- Administrative staff were overwhelmed and unable to support practice growth.
- Inconsistent cash flow due to unpredictable payment cycles.
Our Solution:
We assigned a team with specific expertise in behavioral health billing to manage their complete revenue cycle.
- Implemented a rigorous pre-authorization tracking and management process for all patients.
- Our certified coders took over all charge entry, ensuring correct CPT codes were used for every session.
- Managed all aspects of claim submission and follow-up, freeing the client's staff to focus on patient-facing roles.
- Provided predictable financial reporting, helping the practice manage its cash flow during expansion.
Positive Outcomes:
What Our Clients Say
We're proud to be a trusted partner in our clients' success. Here's what they have to say about our impact.
"The transition was seamless, and the impact was immediate. Our A/R days dropped by 12 days within the first quarter. The team at LiveHelpIndia is professional, responsive, and truly experts in their field."
"As a CFO, I value data and results. LiveHelpIndia provides both. Their detailed monthly reports give us unprecedented insight into our revenue cycle, and their performance has led to a consistent 10% uplift in our net collections."
"Freeing my staff from the burden of billing has transformed our practice. Patient satisfaction is up, and our cash flow is more stable than ever. I can't recommend LiveHelpIndia highly enough for behavioral health practices."
"We were skeptical about outsourcing, especially with security concerns. LiveHelpIndia's commitment to HIPAA and their ISO 27001 certification gave us the confidence to move forward. They operate with the highest level of integrity."
"Their old A/R cleanup project was phenomenal. They recovered over $250,000 in claims we had essentially written off. It was a massive, one-time boost to our bottom line that we didn't think was possible."
"The dedicated account manager makes all the difference. I have a single point of contact who understands our specialty and is always available to answer questions. It feels like a true partnership, not a vendor relationship."
Ready to Stop Revenue Leakage and Boost Your Bottom Line?
Let's talk about your specific challenges. Schedule a free, no-obligation consultation with one of our RCM specialists to discover how much more you could be collecting.
Get Your Free RCM AnalysisFrequently Asked Questions
Data security is our top priority. We are ISO 27001 and SOC 2 certified and operate in full compliance with HIPAA regulations. All data is transferred via secure VPNs, our systems are encrypted, and our staff undergoes rigorous, ongoing training in data privacy and security protocols. We maintain strict access controls to ensure only authorized personnel can view patient information.
No, you do not. Our team is proficient with all major EHR and Practice Management systems on the market, including Epic, Cerner, eClinicalWorks, Allscripts, Athenahealth, and many more. We establish secure remote access and work directly within your existing system, ensuring a seamless workflow with no disruption to your practice.
We offer flexible pricing models to suit your needs. The most common model is a percentage of your monthly collections, which aligns our success directly with yours—we only get paid when you do. We also offer Full-Time Equivalent (FTE) pricing for clients who prefer a fixed monthly cost for a dedicated team. We will work with you to determine the most cost-effective model for your practice.
We provide a suite of comprehensive monthly reports that give you complete visibility into your financial performance. Key reports include a summary of charges, collections, and adjustments; A/R aging analysis; denial analysis with root cause identification; and key performance indicator (KPI) tracking. We can also create custom reports tailored to your specific needs.
Upon starting, you will be assigned a dedicated Account Manager who will serve as your single point of contact. We schedule regular weekly or bi-weekly calls to discuss performance, review reports, and address any questions. We are also available via email and phone during business hours for any immediate needs. We believe in proactive and transparent communication.
Our onboarding process is designed to be smooth and efficient, typically taking 2-4 weeks. It involves an initial discovery call, signing the Business Associate Agreement (BAA), establishing secure access to your systems, and finalizing workflow protocols. We work closely with your team to ensure a seamless transition with minimal disruption to your daily operations.
Take Control of Your Revenue Cycle Today
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