Remittance Processing Services for Healthcare System Providers

While many administrators look at coding and clinical documentation as the key anchors for effective medical billing and consider payment posting to be just the process of posting payments, a good payment processing team can provide critical insights into the overall effectiveness of your revenue cycle

ZX Healthcare Solutions remittance processing professionals don’t just process payments but provide you with trends and reasons for denials, prior authorization, non-covered services, quality of your clinical documentation and coding processes, and effectiveness of your front-end patient collections.

We process the following types of remittance transactions with an exceptional degree of accuracy and timeliness:

  • Electronic Remittance Advisory (ERA) Posting. Electronic remittances typically contain a high volume of payment transactions. The processing of ERA batches involves loading the files into the revenue cycle system and processing exceptions from the batch runs by making due corrections using the functionality available on the revenue cycle system.
  • Manual Payment Posting. Payment information from scanned images of Explanation of Benefit (EOB) documents is captured and each line item is posted to the respective patient accounts. By developing practice and physician-specific business rules along with our team, you will be able to ensure accurate payments, adjustments, write-offs, and balance transfers.
  • Denial Posting. Our staff is conversant with ANSI denial codes as well as the remark codes used by different payers. We post denials into the customer’s practice management system and take actions such as billing the secondary payer, transferring the balance to the patient account, making adjustments/ write-offs as per defined policies, and routing the denied claims to appropriate work queues.
  • Posting Patient Payment. Patient payments should be accounted for to properly close the claim and avoid any inflated AR. We have extensive experience in processing payments received from patients via different channels like POS cash collections, checks, and credit cards (patient portals). Our payment processing professionals account for patient payments, make decisions on transferring any pending balances to secondary insurers, and resolve any credit balances.

Our team specializes in efficiently processing remittance advice, including electronic and paper-based formats. We ensure accurate posting of payments, adjustments, and denials, allowing you to quickly reconcile accounts and identify revenue trends.

In addition to payment processing, we offer comprehensive revenue management services, including claims reconciliation and analysis. Our solutions help healthcare system providers identify reimbursement trends, reduce payment discrepancies, and optimize revenue cycle performance.

By partnering with us, you can improve cash flow, reduce administrative burdens, and enhance financial transparency. Our solutions are customizable to meet the unique needs of your organization and can be seamlessly integrated into your existing workflows.

Experience the benefits of our remittance processing services today. Contact us to learn more about how we can support your healthcare system operations and optimize your revenue management.

Get In Touch

info@zxhealthcaresolutions.com

+1(716)-791-7037

(716) 791 - 2105

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