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I'm very thankful for Portiva who I know is looking after my practice while I'm gone the virtual assistants can manage prescription refills, documents they can triage patients and just kind of answer administrative questions and they can handle a lot on their own. But also, they're very good about contacting me if there's any emergency or anything I need to attend to. So I'm very thankful for Portiva they can help almost any provider almost anywhere and it really allows for some good work-life balance as I'm getting to experience right now at my family farm so I'm very thankful for Portiva and I'm very happy to use their services"

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Mohammad Ashori, M.D.

Board Certified Family Medicine Physician

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Medical Billing Outsourcing Company: Things You Need to Know

medical billing outsourcing

Outsourced medical billing services have become important in recent years. It can bring a dramatic change in any company. So, to ensure business expansion, you need to opt for an outsourced medical billing company.

What are Medical Billing Outsourcing Services?

Outsourcing medical billing means hiring a third-party billing company to perform your coding and billing tasks. With a medical billing team, you don’t need to do any billing work at your healthcare practice, as every billing work will be the responsibility of your billing provider. You don’t need to create a billing department or have additional employees in your administrative department. Since you will not be responsible for your billing tasks, you can focus on the growth of your business. Outsourcing medical billing services is ideal for clinics, hospitals, and healthcare businesses.

Reasons to Choose Outsourcing Medical Billing Services:

Increased Revenue


Medical billing companies specialize in maximizing revenue for medical practice. They ensure that claims are accurately coded, submitted promptly, and followed up on unpaid claims. This can result in increased revenue for the provider.

Reduced Administrative Burden

Billing can be a time-consuming and complex process. By outsourcing medical billing to a third-party company, healthcare providers can reduce the administrative burden on their staff and free up more duration to focus on patient care.

Improved Billing Accuracy

Medical billing companies have expertise in coding and billing regulations. They ensure that all claims are accurately coded and submitted in compliance with federal and state regulations, reducing the risk of denied claims, audits, and billing errors.

Access to the Latest Technology

Medical billing companies invest in the latest billing software and technology, which helps them to process claims faster and more accurately. Providers who work with medical billing companies can benefit from these technological advancements without investing in them themselves.

Reduced Costs

Hiring a medical billing company can be more cost-effective than hiring and training in-house staff. The cost of salaries, benefits, and ongoing training can add up quickly. Outsourcing billing to a medical billing company can reduce these costs.

Skills to Look for in an Outsource Medical Billing Company

doctors operating a petient

Knowledge of Medical Billing Regulations

One of the most important skills to look for in an outsourced medical billing company is their knowledge of medical billing guidelines and requirements. These guidelines constantly change, so choosing a group that stays up-to-date with the latest requirements is important. This ensures that claims are submitted accurately and on duration, reducing the risk of denied claims and audits.

Experience In a Particular Specialty

Another important skill to look for in an outsourced medical billing team is experience with your expertise. Each medical expertise has its own unique billing requirements and challenges. For example, billing for mental health services differs from billing for surgical services. Look for a billing team with experience working with providers in your specialty.

Familiarity with Medical Billing Software

Medical billing software is an essential tool for billing teams. Look for a group that is familiar with the latest medical billing software. This ensures that claims are processed quickly and accurately.

Attention to Detail

Medical billing requires a high level of attention to detail. A single mistake can lead to a denied claim or a delay in payment. Look for a billing team that pays close attention to detail and thoroughly understands medical terminology and coding methods.

Effective Communication Skills

Communication is important for a successful billing team. Look for a team that communicates clearly and promptly with your practice, providing regular updates on the status of claims and responding quickly to any questions or concerns you may have.

Excellent Customer Service

Finally, look for a billing team that is committed to customer service. They should be responsive, friendly, and dedicated to helping your practice grow and prosper in the healthcare industry. Choose a team that takes time to understand your practice and unique needs and will work with you to develop a customized billing solution.

Why Hire a Medical Billing Company Instead of Building an In-House Department?

a doctor holding a pen and a paper board

Cost Savings

One of the most significant benefits of outsourcing medical billing is cost savings. An in-house billing department requires dedicated office space, staff salaries, benefits, and ongoing training. These expenses can quickly add up, and it can be impossible for smaller practices. Outsourcing medical billing allows practices to eliminate many of these costs and pay only for the needed services. By outsourcing medical billing, practices can save money on staff salaries, benefits, and training expenses and can redirect those resources toward other areas of the practice.

Enhanced Billing Precision

Another key advantage of outsourcing medical billing is improved billing accuracy. Medical billing is a complex process that requires a high level of expertise and attention to detail. A single mistake can result in a claim being denied or delayed, leading to lost revenue and wasted time. Outsourced billing companies specialize in revenue cycle management and have extensive knowledge of medical billing guidelines and requirements. They also have access to the latest billing software and technology, which allows them to process claims quickly and accurately. This results in fewer denied claims and faster payments, improving the practice’s cash flow.

Increased Efficiency

Outsourcing medical billing can also lead to increased efficiency for medical practices. Billing is a time-consuming process that requires staff to spend hours on paperwork and follow-up on unpaid claims. By outsourcing medical billing, practices can free up staff time to focus on patient care and other important tasks. Additionally, outsourced medical billing companies can process claims more quickly and efficiently than an in-house billing department, resulting in faster payments and improved cash flow.

Provides Access to Expertise

Outsourced billing companies specialize in revenue cycle management and have extensive knowledge of medical billing rules and requirements. They also have access to the latest billing software and technology, which allows them to process claims quickly and accurately. By outsourcing medical billing, practices can benefit from this expertise without investing in training or software.


Outsourcing medical billing also offers scalability, which is particularly important for growing practices. As a practice grows, its billing needs will increase, and an in-house billing department may be unable to keep up. Outsourced billing companies can quickly scale up their services to meet the needs of a growing practice, ensuring that billing is handled accurately and efficiently at all times.

General Questions For You

Frequently Asked Questions

Outsourcing medical billing to an external billing service can benefit your practice’s revenue management in several ways. Outsourcing frees up valuable time for your billing office staff to focus on patient care and other critical tasks. An outsourced medical billing company can provide a wide range of services, such as claims management, collections, credentialing, reporting, and analytics, to help streamline your revenue cycle and ensure timely payments. They can also handle appointment reminders, patient portal support, and CPA medical billing, so your practice can focus on providing quality healthcare to patients.

Outsourcing your billing services means you also have access to a team of experts specializing in medical billing and coding. They can keep up with the latest billing regulations, coding standards, and clinical resources to ensure your practice is always up-to-date. Moreover, they can offer pricing based on a percentage of collections or flat fees, which can lower your billing costs and boost your potential revenue.

An outsourced billing company can help minimize claim denials by improving your coding accuracy, reducing billing errors, and using cloud-based software to streamline the billing process. They can also provide resources to train your staff on best billing practices, so they can better understand how to tackle denials.

In conclusion, outsourcing your billing services can be a game-changer for medical practices looking to improve their revenue management. By partnering with a reliable billing company, you can free up your staff’s time, improve billing accuracy, and reduce denial rates, all while providing quality healthcare to your patients.

Managing claims can be overwhelming for a healthcare company or medical practice. With the house billing companies, physician practices, and medical centres all having unique challenges, it’s no wonder many need help with claims management workload. However, there are solutions available that can help ease this burden.

One solution is to outsource support for billing and collections to a reputable third-party service based on coding and analytics. These companies provide numerous benefits, including credentialing, revenue cycle management, patient billing, and coding. By entrusting these tasks to experienced billing companies, physician practices can focus more on patient care and less on administrative work.

Additionally, implementing an EHR system can significantly improve overall claims management. These systems provide powerful analytics tools that can help identify areas for improvement, resulting in better billing practices. Moreover, EHRs offer features such as automated billing and collections, taking some pressure off staff and streamlining the entire process.

Pricing is also a concern for many practices. However, by partnering with the right billing companies, methods can find cost-effective solutions that fit their needs. Outsourcing services such as revenue cycle management can even result in an increase in revenue for the practice.

While managing claims can be complex, plenty of solutions are available to streamline the process. From outsourcing support services to implementing EHR systems, physician practices can find the help they need to manage their workload effectively. By finding the right company that offers medical billing and coding services, trials can concentrate more on patient care, leading to a more successful healthcare business in the long run.

Outsourcing billing can be an excellent solution for medical practices looking to free up valuable time and resources. Many methods need help with administrative tasks related to billing, such as coding, collections, and revenue cycle management, which can take away from patient care. By outsourcing billing to a reputable third-party service, practices can focus on providing high-quality healthcare while leaving administrative tasks to the experts.

Many house billing companies and support outsourcing services offer a range of solutions that cater to the unique needs of physician practices and medical centres. These services can include credentialing, patient billing, coding, analytics, and collections designed to streamline the billing process.

Moreover, implementing an EHR system can also improve billing processes and save time. EHRs provide powerful analytics tools that can help identify areas for improvement, resulting in better billing practices. Additionally, automated billing and collections feature further streamline the process, freeing up staff time and reducing errors.

While some practices may be hesitant about outsourcing due to pricing concerns, many billing companies offer cost-effective solutions tailored to the practice’s specific needs. Outsourcing billing can even increase revenue for the course by optimizing the billing process and reducing denied claims.

Outsourcing billing can be wise for medical practices looking to save time, reduce administrative burden and improve revenue cycle management. By partnering with reputable billing companies or support outsourcing services, courses can focus on delivering high-quality patient care while leaving the administrative tasks to the experts, ultimately contributing to the overall success of the healthcare business.

A professional billing service can help your practice reduce errors and improve cash flow by providing expertise in billing and coding, using advanced software to identify and correct errors, managing collections, and optimizing the revenue cycle.

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Handsome bald doctor man with beard wearing glasses and stethoscope over blue background pointing displeased and frustrated to the camera
dental VA smiling infront of his laptop

Bottom Line

In a nutshell, medical billing outsourcing services are a great option for every type of healthcare business to save time, effort, and investment. They can also help you improve your business and make the billing process seamless. Just make sure to look for a billing company that is credible, promising, and affordable. In this case, opt for Portiva, who can provide you with every billing service to help you expand your medical facility.

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