Revenue Cycle Management

Front End Function

Appointment scheduling: Simplify appointment scheduling with a one-click calendar feature for easy access, ensuring a seamless scheduling experience facilitated by our dedicated team.
Benefits verification and authorisation: Ensure meticulous benefits verification and authorization by having our staff validate all collected information with insurance representatives. This includes confirming the active status of insurance policies and inquiring about patients’ copayments and deductibles.
Patient registration: Efficiently manage patient registration processes, handling credit card transactions seamlessly and organizing monthly work schedules for the department.

Middle End Function

Medical coding – outpatient/ inpatient: Swiftstax, as proficient medical billers, specialize in solving problems related to medical coding for both outpatient and inpatient services. Our expertise extends to providing comprehensive coding and payment guidance, particularly for behavioral health services.
Charge entry: Streamline charge entry by analyzing and preparing data, starting with patient information, covering demographics, health history, health insurance, and payment plans.
Claims transmission: Facilitate smooth claims transmission, incorporating necessary billing edits for a streamlined and error -free process.

Back End Function

Payment Posting, AR Follow-Up, and Denial Management: Our proficient team handles payment posting accurately, ensuring precise recording and allocation to the respective accounts. In AR follow-up, our specialists excel in collection, analysis, and prioritization. Our analytics team meticulously evaluates partial payments and rejected claims, rectifying code errors and resubmitting updated claims promptly. Denial management, a pivotal part of revenue cycle management, involves investigating and resolving denied insurance claims. Our process includes identifying and categorizing denials, resubmitting claims, tracking statuses, implementing preventive measures, and proactive monitoring for future claim submissions.
Coding denial management: Systematically manage coding denials by investigating the reasons behind each denied claim. Focus on resolving issues, resubmit requests to the insurance company, and file appeals when required.
Credit balance / refund processing: Optimize credit balance/refund processing by outsourcing to experienced professionals, enabling healthcare organizations to leverage their resources effectively. Rectify situations where staff collected excessive upfront payments based on estimates.
Self pay follow up: Enhance self-pay follow-up with patient-focused communication procedures. Ensure clear understanding of medical costs and explain various payment options. Utilize automated call tracking and recording for efficient follow-up on self-pay obligations