Back-end Revenue Cycle MedicalBills

Back-end Revenue Cycle focuses on claims management, payment posting, and follow-ups to maximize collections.

Services We Provide

Claims Submission

  • Transmitting claims to insurance payers (electronically or manually).
  • Ensuring clean claims with proper formatting and coding.

Claims Management & Follow-Up

  • Tracking claim status and resolving any issues.
  • Following up on delayed or denied claims.

Payment Posting

  • Applying payments received from payers and patients to the correct accounts.
  • Reconciling Explanation of Benefits (EOBs) or Electronic Remittance Advices (ERAs).

Denial Management

  • Analyzing and appealing denied or underpaid claims.
  • Identifying trends and root causes of denials to prevent recurrence.

Accounts Receivable (A/R) Management

  • Monitoring outstanding balances.
  • Prioritizing collections based on age and payer.

Patient Billing & Collections

  • Sending patient statements and managing payment plans.
  • Handling inbound billing inquiries and collecting balances.

Bad Debt Management & Collections Agency Coordination

  • Identifying accounts for write-off or external collection.
  • Coordinating with third-party collection agencies, if needed.

Reporting & Analytics

  • Generating financial reports to track performance (e.g., Days in A/R, denial rate, collection rate).
  • Using data to drive improvements in the revenue cycle.

What People Are Saying

Hear from doctors and partners who trust MedsRole.

Alex Fraser
Alex Fraser

MedsRole has truly changed the way I manage my healthcare. From fast service to expert support, they make getting the care and medication I need simple, secure, and stress-free. I trust them completely — and recommend them to anyone who values their health and time!

Doctor

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