Full Service Medical Billing.

More Revenue, less costs.

Full Service Medical Billing

Pacific Billing Solutions offers a full service billing solution.  We will process electronic claims, post payments, send out patient statements, follow-up on unpaid claims, and deal with denials and appeals. We will also handle patient inquiries regarding their statements and charges if necessary.  Our services include the following:

• Electronic Claims Processing Electronic claims processing helps you get paid faster by submitting your insurance claims electronically. We have the ability to send electronic claims to over 2500 payers and commercial insurance companies.  You will receive claim processing reports with status updates on your claims. Our software automatically transfers the coordination of benefits (COB) information from primary to secondary insurance claims. By using Pacific Billing Solutions, we can save you time and expedite your insurance payments by using our integrated electronic billing software.
  
• Claims Denial Management Our system automatically posts and tracks information about rejections and denials that have been reported back to us on processing and electronic remittance advice reports from insurance companies.  We will use rejection and denial management reports and our collections management tools to efficiently resolve rejections and denials by gathering missing information, correcting data entry errors, and resubmitting your claims within each payers' timely filing deadlines.
• Charge Entry We will improve productivity by streamlining data entry routines by setting up fee schedules, checking codes against payor reimbursement rules, entering charges quickly, setting up billing defaults, and eliminating redundant data entry.
• Statement Processing We can provide customized and on demand patient statements.
• Collections Management We track insurance claims through the entire submission and reimbursement cycle. We will track co-pay and deductibles, post patient co-pays, bill for missed co-pays, review and collect on unpaid claims and patient accounts so you can maximize your cash flow.
• Eligibility Verification Our service includes an integrated insurance verification and eligibility process. Once we submit an insurance eligibility verification request, we will usually receive a response in 30 seconds or less. This service saves time and increases collection capabilities.
• Managing Medical codes We will automatically load and update lists of procedures, diagnosis, modifiers, and other important code sets into our database to ensure that correct coding is used.
• Management Reporting We offer reports that are practice specific and we can create custom reports by request. We can customize and filter these reports by various criteria such as departments, insurance company, service location, etc.  Standard reports include:  revenue reports, accounts receivable reports, payment and adjustment reports, and denial management reports.