Medical Billing Services in Oklahoma
Maximize your collections and streamline operations with specialized Medical Billing Services in Oklahoma.
Trusted Medical Billing in Oklahoma
Practices in Oklahoma City and Tulsa face a distinct set of billing hurdles, from managing the specifics of SoonerCare (Oklahoma Medicaid) to handling the needs of extensive rural populations and various tribal health programs. Our specialized service is designed to tackle these local complexities head-on. We maintain deep expertise in the constantly evolving policies of the Oklahoma Health Care Authority (OHCA), ensuring compliance and maximizing reimbursement for services under programs like SoonerCare Choice and Insure Oklahoma.
We understand the critical difference between the claims processes for urban facilities and Rural Health Clinics (RHCs), particularly the nuances of the UB-04 and 1500 claim forms, which is vital for rural provider financial health. Furthermore, we actively manage the claims with major local commercial payers like Blue Cross Blue Shield of Oklahoma, improving your payment cycles and reducing the administrative burden that often overwhelms local clinic staff.
Our Core Revenue Cycle Management Services inOklahoma
We provide complete Revenue Cycle Management (RCM) solutions, built to optimize financial performance for Oklahoma healthcare providers. Our services are tailored to maximize clean claim submissions and accelerate cash flow across the state.
Medical Billing Services
in Oklahoma
We perform rigorous, end-to-end electronic claim submissions using sophisticated clearinghouse technology. Our process involves expert handling of complex payer requirements, including precise coding for Medicare, all major commercial carriers (like Blue Cross and Blue Shield of Oklahoma), and, crucially, the Oklahoma Health Care Authority (OHCA) for SoonerCare.
Medical Credentialing
Services in Oklahoma
We manage the entire, time-consuming provider enrollment and re-validation process. Our team ensures rapid onboarding with SoonerCare and essential commercial insurance networks, handling all necessary paperwork, application tracking, and follow-up. This proactive management minimizes the common delays that result in thousands of dollars of unbillable services
Eligibility Verification
Services in Oklahoma
This is a mission-critical, front-end service where we conduct real-time, multi-payer verification of patient benefits and coverage before the scheduled visit. This process not only confirms active insurance status but also accurately captures the patient's full financial responsibility including co-pays, deductibles, and co-insurance. By confirming coverage and identifying prior authorization.
Denial Management
Services in Oklahoma
Our dedicated team implements an aggressive and systematic methodology to analyze every denied claim. We identify the root cause—whether it is a coding mismatch, documentation deficiency, or failure to secure prior authorization and execute immediate corrective action. We then aggressively pursue appeals and manage correct resubmissions, converting denied revenue into paid claims
Accounts Receivable
Services in Oklahoma
We implement persistent, detailed, and focused follow-up on all outstanding insurance and patient balances. Our strategy involves prioritizing aged accounts and strategically engaging with unresponsive payers to resolve delayed payments. By aggressively working down the claims cycle, we dramatically optimize your A/R days, substantially improve your practice’s cash flow
Provider Credentialing
Services in Oklahoma
This specialty service ensures seamless integration for new practitioners into your existing billing structure. We handle all initial enrollment and contract negotiation steps with Oklahoma governmental and private payers, managing the entire lifecycle from initial application submission and CAQH profile management to final contract loading and approval for full billing authority.
Salient Features of Our Medical Billing
in Oklahoma
Our commitment extends beyond basic claim submission; we offer advanced features tailored to the Oklahoma market. Our billing platform provides transparent, real-time access to your RCM data, offering comprehensive reports on denial trends, payer mix performance, and A/R aging specific to your location, whether you are in Tulsa or a smaller town. We specialize in compliance with state-specific regulations, including those governing third-party liability and collections from SoonerCare members, thereby mitigating audit risks.
- Eligibility Check
- Charge Entry
- Claim Scrubbing
- Electronic Submission
- Payment Posting
- Follow-up & Appeals
- Patient Statements
- Customized Reports
Why Choose Us to Outsource Medical Billing in Oklahoma
Choosing our Medical Billing Services in Oklahoma means partnering with local experts who speak the language of Oklahoma payers, especially the intricacies of the OHCA. Our sole focus is maximizing your reimbursement by ensuring every dollar of earned revenue is collected efficiently. We offer a transparent, flexible pricing model, often based on a percentage of collections, aligning our financial success directly with yours. By handling the complex administrative burdens of coding compliance and A/R follow-up, we free up your clinical and front office staff to concentrate entirely on patient care.
