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Spend less time managing billing and administrative tasks for your small medical practice by using our billing services. Our experienced professionals produce accurate and timely claim submissions, resulting in increased revenue and reduced billing errors. Contact us today to simplify your billing process!

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Our Remote Medical Assistants Offer

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Insurance Verification Virtual Assistant

Virtual assistants automate insurance verification processes and ensure that patients' insurance information is accurate and up-to-date.

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Dental Virtual Assistant

Dental assistants can work remotely from their own computers and manage the dental office's practice with ease by logging into its practice management software.

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Medical Transcriptionists

Improve communication between medical providers, conversion of audio recordings, documentation accuracy, and provide a comprehensive secure electronic medical record.

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Virtual Medical Scribe

Portiva's Virtual Medical Scribing solution is here to streamline medical documentation, cut admin costs and liberate your staff's precious time. A perfect solution for you!

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Medical Billing Virtual Assistant

Medical billing virtual assistants are becoming more popular among physicians' offices as they provide efficient support for managing operations and maximizing revenue.

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Prior Authorization

Prior authorization helps doctors avoid unexpected costs and patients avoid unnecessary expenses, ultimately resulting in cost savings for physicians and patients alike.

Simplify Your Payment Process with Portiva Invoices and Accounting Software

Billers are important for the exchange of insurance information between providers and payers. Therefore, medical practices need the services of medical billing companies to handle patients’ billing effectively. Small healthcare facilities need to acquire professional medical billing provider services that help them manage their time and boost their productivity to prioritize their patients.

Operator team in call center for medical billing

Many medical billing services perform all your practice’s billing responsibilities and offer different solutions, including:

  • Unlimited Invoicing
  • Custom invoices
  • Income and expense tracking
  • Insurance eligibility verification
  • Inventory management
  • Invoicing software
  • Accounting software
  • Other billing features

This allows you to focus on more important duties and save you money and time. Read further to learn what medical billing providers do and why you need to hire them. Also, learn the steps that medical billers perform for successfully reimbursing money.

Do Small Practices Need Medical Billing Services?

Medical billing is a necessity of all healthcare practices of all scales, especially startups, due to having a low budget and resources for creating an in-house billing department. Outsourcing medical billing services help you get optimum growth in workflow and revenue.  

With the help of expert medical billing services, you can create custom invoices and ensure that all your claims are properly submitted on time. They can help you provide feedback to maximize reimbursement money and decrease the number of rejected claims. Micro-enterprises that are experiencing a great number of denied claims and struggling to generate revenue need to hire experts in medical billing services.

Benefits of Outsourcing Billing Services for Small Business

Hiring medical billing services is the right option for startups, as it can help them with expense tracking, scheduling invoices, setting recurring invoices, accepting payments, medical coding, accounts receivable, and claims transmission. While there are free billing software options, outsourcing the process to medical billing companies helps streamline the operations.

· Boosts Productivity

The medical billing team uses a purposeful approach to save time and effort and ensure productivity for startups. If you want to improve your practice workflow, associating with medical billing service provider will help.

Medical billers will perform the entire billing tasks for a medical practice – from translating information into codes to sending claims to patients. This allows medical staff to focus on providing the best healthcare services to patients. They also use the best billing software to ensure accuracy.

· Increases Savings

A medical billing service can save money on both ongoing and capital expenses for medical practices. Best software for invoicing, furniture, hardware, and office space are some of the capital expenses that will be reduced for your medical practice once you hire a billing team. 

You can also save big bucks on hiring, training, and getting employees to work if you plan to set up an in-house billing department. It also helps you save on expense tracking.

· Eliminates Billing Errors

Billing policies and codes can be changed at any time. The medical billing team gets ongoing training to stay updated with the industry changes. Leveraging the services of certified medical coders helps avoid errors and mistakes in the process and ensures an increase in revenue.

· Ensures HIPAA Compliance

hipaa. Health Insurance Portability and Accountability Act

Third-party medical billing services for micro-enterprises are HIPAA compliant. They offer a transparent process and give you access to the billing information. Since they follow HIPAA guidelines, your patients’ information is also secure and safe with them. Not only will this help you get accurate results, but it will also help you avoid penalties.

·  Boosts Patient Satisfaction

Associating with the best medical billing services can boost performance, productivity, and employee morale by reducing pressure and workload. Since the entire billing task will be handled by the experienced, qualified, and skilled team, your patients will get accurate information and stay updated with what services and procedures can get covered. This improves patients’ satisfaction rate, eventually leading to patient flow.

· Provides Consistent Support

When you outsource medical billing services, they will be responsible for all your denial management, billing needs, unpaid claims, and aging recovery. They will support you and your team throughout the process and eliminate your workload.

The healthcare practice can get any medical billing help if they need it. Also, they don’t need to worry about the medical billing tasks and entirely focus on their work. They have the right software for startups to help with their billing process.

· Provides Flexibility to Hire the Best Talent

Flexibility boosts growth, so hiring someone capable of managing your job helps improve your facility’s efficiency. The top billing companies allow you to get the support of the best medical billers that are qualified and trained to effectively carry out every associated task of medical billing, such as unlimited invoices and other invoicing features. This will make you confident of getting the desired results due to prior experience and test skills.

· Eliminates the Overhead Cost of Hiring

If you consider creating an in-house billing department, you need to hire experts, train them regularly, need a dedicated workplace, and invest in tools and equipment that require great money. On the other hand, if you hire the right medical billing service, you will be able to save money by avoiding all these mentioned expenses.

The best medical billing services also have the latest medical billing software to help you with your revenue cycle management. They have the latest software for invoicing programs that will help you boost your performance and productivity.

Steps in the Medical Billing Process

Medical billing requires billers to go through several steps to successfully reimburse them. Each step requires great attention, knowledge, and experience to avoid making mistakes. Additionally, the entire process of submitting a single claim needs time and effort. The staff of a startup might not have enough time and resources to invest in every claim. This is why the medical billing industry is on the rise.

Doctor using computer Document Management System (DMS)

Doctors, nurses, and other medical teams have several other responsibilities that divert their attention while filling claims, leading to mistakes and errors. Note that the mistakes can result in penalties, fines, and denied or unpaid claims.

Therefore, hiring a specialized and certified team for medical billing services is the best way to grow and expand your business. The billing services for the small business you choose will follow the below-mentioned steps to offer you better results.

1.      Patient Registfration

This is typically the first step any biller does when assigned to your practice’s billing task. Patient registration involves gathering basic demographic information about a patient, such as birth date, name, health condition or reason to visit, etc.

Biller will collect insurance information like the patient’s policy number and the name of the insurance provider and verify them. This information will be included in the patient file, which will help in the medical billing process.

2.      Patient’s Insurance Checkup

The billing team will determine the financial responsibility for the patient’s visit. Hence, they will check the patient’s insurance details to understand which medical services and procedures can be covered by their insurance. In case the treatment methods or services are not covered, the practice will inform the patient that they will have to pay for those treatments.

3.      Creation of Superbill

The healthcare practice will ask the patient to fill out their forms during the visit. After receiving valid insurance cards, I.D., and co-payments, the job of the billing team begins. They need to check this information and translate this medical report into procedure and diagnosis codes.

The experts will comply with a report from the given data, known as superbill. It will carry clinical and provider information, medical history, the patient’s demographic information, the applicable procedure and diagnosis codes, etc.

4.      Generate Claims

Now comes the most important part, which requires training, experience, and great attention. The billing team will use the superbill to create a medical claim that needs to be submitted to the insurance agency.

When they create a claim, the experts also recheck the information to ensure there is no chance of mistakes. Also, they need to check if it meets HIPPA compliance and payer standards. Lastly, they need to ensure it is formatted and coded appropriately.  

5.      Claims Submission

Once the biller gets satisfied with the claim and verifies its compliance and accuracy, they start the submission process. In general, billing services transmit claims electronically to a clearinghouse, a third-party organization. However, some insurance companies with many customers, such as Medicaid, usually accept claims directly from healthcare practices.

6.      Adjudication Process

In this process, the payers or insurance providers evaluate submitted claims to determine whether they are compliant and valid. If the medical claims are right, they will determine the reimbursement the healthcare practice will get. The claims can be denied, rejected, and accepted during the adjudication process.  

A denied claim indicates that the insurance agency has refused to cover medical services. A rejected claim has a few errors and mistakes that you need to correct and resubmit the claim. Lastly, in case of an accepted claim, the insurance provider gets ready to pay for the coverage according to the signed agreement between the insurer and the agency.

7.      Generating Patient Statement

When the claim gets approval, the patient is asked to cover any additional charges not covered by the insurance business. The healthcare practice will offer this bill even if their insurance agency offers full coverage.

The statement will include detailed information and a list of medical services and procedures provided,  the amount due from the patient, the amount paid by insurance, and the cost of the entire medical care.

8.      Follow-Up Statement

The medical billing team also needs to ensure that the practice receives full online payments for its services. Therefore, they follow up with patients who haven’t paid their bills. If the patients don’t respond accurately, the billers will send bill statements and other information to collection agencies. They accept online payments on your behalf and ensure none of them are left unpaid.

Bottom Line

In a nutshell, a business that seeks medical billing services offers great benefits. This includes streamlining work, reducing workload, higher revenue generation, a great patient satisfaction rate, and accurate medical billing operations. With expert help, a health practice can grow in the industry.

If you are looking for the help of a professional billing team, we are here to help you. Portiva has a trained expert team who can make the billing process seamless. We use cutting-edge technology and modern accounting features to submit claims and stay updated with the current billing trends to provide optimal patient support. we aim to be one of the best medical billing services. So, if you need any help, contact us!

General Questions For You

Frequently Asked Questions

A small business have a variety of options for managing their billing and payments. A small business uses accounting software to create and send invoices to clients and customers, track payments, and manage their business finances. Some popular ones options for a small business included QuickBooks, FreshBooks, and the Medical Billing Services of Portiva.

Other small businesses may use free or low-cost invoicing and billing software like Wave, which provides basic invoicing and payment tracking features at no cost. Additionally, some companies may qualify for small loans that can be used to help manage expenses and cash flow.

Regardless of the specific billing software or service chosen, a small business needs to consider the unique needs and circumstances of their business when choosing a billing solution. Factors such as the company’s size, the types of payments accepted, and the volume of invoicing and payments processed can impact the billing software or service choice.

Ultimately, the goal for any small business is to efficiently manage billing and payments while maintaining the company’s financial health. With a wide range of options available today, a small business can choose the billing software, service, or plan that best fits their needs and budget, allowing them to spend more time focusing on their product or service and less time worrying about its payments and accounting.e

Setting up business billing can be daunting, but it is crucial for any small business looking to grow and succeed. Payment processing is an essential service that every company needs to provide its customers, and finding the right billing software can help streamline the process and keep your business running smoothly.

There are many options for a business when choosing a bill software or service. One crucial factor to consider is whether the software offers the features you need for your specific business needs. Some software options may have some required elements, while others may be too complex for your business average.

If you need help knowing where to begin, research the market and read product reviews to predict user satisfaction. You can also talk to other businesses in your industry and ask for their recommendations. Look for free plan options or trials to test the software before committing to a paid plan.

Consider the payment methods you want to offer your customers and ensure the software supports those methods. Most invoicing software should allow for credit card payments, bank transfers, and other forms of payment. Some companies even offer business loans to their customers, which can be an excellent option for businesses that need extra funding.

Remember that accounting software may also be essential when choosing billing software. You want to integrate your payment processing and invoicing system with your accounting software to ensure seamless financial management. This will enable you to monitor your payments and invoices more efficiently and accurately.

One billing software option that has gained popularity among small businesses is Wave. It offers a range of invoicing features and payment processing services, including credit card payments and bank transfers. They also offer a free plan with limited features, making it an excellent option for small businesses just starting.

Setting up business billing can be stressful but necessary, and finding the right billing software can make a big difference. Consider the needs of your business, market, and accounting software before choosing a plan or service. With the appropriate resources, you may simplify your invoicing process and make payments easy for you and your customers.

Yes, QuickBooks is an excellent billing software for businesses of all sizes, including small businesses. Its impressive features and user-friendly interface ensure efficient and streamlined billing operations for businesses.

QuickBooks offers its customers a wide range of services, including invoice generation, bill payment, and payment processing. All of these services are designed to provide businesses with a seamless experience and allow for smooth operations.

Notably, QuickBooks boasts an impressive invoicing feature that simplifies the billing process. With this feature, businesses can generate invoices quickly, add customized messages and logos, and send them directly to their clients without switching between different software.

Moreover, QuickBooks offers competitive rates, which makes the product more accessible to small businesses with a tighter budget. QuickBooks offers a free plan with essential features such as tracking income and expenses, sending invoices, and scanning receipts.

Despite the fierce competition in the market, QuickBooks remains a top billing software. Its comprehensive features and services, coupled with its user-friendly interface, have made it a top choice for businesses of all sizes. Companies trust QuickBooks for its reliability, accuracy, and ease of use.

QuickBooks is outstanding billing software businesses can trust to efficiently handle their invoicing needs. It’s bank-level security and impressive invoicing features ensure seamless billing operations. QuickBooks is an excellent product with its competitive pricing plans and wide range of features.

However, it is worth mentioning that Portiva’s medical billing services can be an excellent option for small businesses looking for a trusted and cost-effective solution. By partnering with Portiva, companies can streamline their billing operations and reduce costs. Portiva’s medical billing services have been tailored to meet the unique needs of medical practices, and they offer a comprehensive range of services, including claim submissions, payment posting, and accounts receivable management. With Portiva’s medical billing services, small businesses or small business firms can focus on providing quality patient care while leaving billing hassles to the experts.

When it comes to finding the best invoicing software that works for your small business can be a daunting task. However, there is one product that stands out from the market, and that is Portiva’s medical billing services.

Portiva offers startups the perfect solution to their accounting needs by providing top-tier billing software. With their software, companies can easily create invoices, track payments, and monitor their bank account at an average accounting rate.

Portiva’s free plan offers many features that competing services still need. The free plan offers unlimited invoicing capabilities and accepts payments through multiple payment channels, making it easy for businesses to invoice and receive payment fast.

This software is perfect for businesses of all sizes, from small to medium and even large-scale companies. Portiva’s billing software offers many features and services that stand out.

So, if you’re looking for a reliable solution for your small business’s invoicing needs, look no further than Portiva’s medical billing services. Their software offers the perfect combination of features and rates, making it the best billing software on the market.

While Square Invoices, QuickBooks Online, and Zoho Invoice are prominent players in the software for invoicing market, one contender is tailor-made for small business and can help care for all the billing needs right from the start.

Portiva’s medical billing services are ideal for business looking for reliable and efficient billing software to handle their accounting average, regardless of the business size. Using Portiva’s services, companies can save time on invoicing and payments and focus on growing their operations.

Portiva’s software is designed to handle all stages of the billing cycle, from creating invoices to sending out reminders and viewing reports. Our billing software offers a range of features that can help business better manage their finances, such as customizable invoicing, automatic payments, and bank reconciliation.

Moreover, Portiva offers flexible rates and plans for business of all sizes, making it a cost-effective option for those looking to streamline their invoicing process. With Portiva, companies can rest assured that their invoices will be paid promptly, and they will have peace of mind that all their transactions are secure and accurate.

In conclusion, while Square Invoices, QuickBooks Online, and Zoho Invoice may be suitable for some business, Portiva’s medical billing services are an exceptional product for small business looking for a comprehensive and efficient solution for their invoicing and billing needs.

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