Eligibility verification, benefit verification, verification of benefits, Explaination of benefits, Insurance eligibility,Patient eligibility, authorization,Prior Authorization,Eligibility Tracking,Insurance eligibility, Patient eligibility, Valid coverage,Eligibility

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Clinic Spectrum - Medical Transcription Services, Accounts Receivable Follow-ups, Scanning & Indexing, No-Show Rescheduling & Appointment Scheduling, Eligibility Verification with Payers, Referral Submission & Tracking, Payment Posting, Demographics & Claim Entry, Credentialing, NJ, New Jersey, New York, USA.
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Eligibility
 

ELIGIBILITY VERIFICATION WITH PAYERS

$6.5 per hour* onwards or $2.50 per Benefit Verification based on workflow plan

Eligibility checking is the single most effective way of preventing insurance claim denials. Our service begins with retrieving a list of scheduled appointments and verifying insurance coverage for the patients.  Once the verification is done the coverage details are put directly into the appointment scheduler for the office staff’s notification. 


There are three methods for checking eligibility:
  1. Online – Using various Insurance company websites and internet payer portals we check patient coverage.

  2. Automated Voice system (IVR) – By calling Insurance companies directly an interactive voice response system will give the eligibility status.

  3. Insurance Company Representative Call- If necessary calling an Insurance company representative will give us a more detailed benefits summary for certain payers when not available from either websites or Automated phone systems.

* Price are based on offshore working team member.

Clinicspectrum is a healthcare services company providing outsourcing/back office and technology solutions for 17+ medical billing companies, 600+ medical groups/healthcare facilities including hospitals, and hospital medical records departments.

The company is promoted by technical experts from diversified industries. In a span of 12 years, we have been able to transform several billing companies and healthcare facilities nationwide into efficiency engines. Our strategy is to build productivity through the use of technology, highly trained personnel who deliver results in a timely fashion, and customized consulting services. With resources composed of 52+ employees nationwide and 350+ back office employees overseas, we have found a solution for all the problems in running a medical billing company and medical practice resulting in better clinical records, revenue cycle, and administrative task management.

Services

Our back office expertise is in providing claims follow-up, credentialing, eligibility verification, appointment scheduling, filing of scanned medical records, claims entry, and payment posting.
Due to rising costs for all billing companies, healthcare providers and reduced insurance reimbursement rates offices should not burden their staff with tasks that can be performed by our team for a lesser fee along with better results. We use the strictest auditing methods to insure optimal outcomes for our clients and always guarantee confidentiality.

We are the sole proprietors of the medical billing back office, data entry, and call center services we provide. This allows us to streamline all our respective services into one effective solution for running a medical billing company, medical practice and a hospital billing department.
Products Services
InvoiceSpectrum Account Receivable Follow-Up
CredentialingSpectrum Denials and Appeals Management
ProductivitySpectrum Scanning & Indexing
AutoCollectSpectrum No-show Rescheduling & Appointment Scheduling
SupportSpectrum Referral Submission & Tracking
HRMSpectrum Payment Posting
WorkflowSpectrum Demographics & Claim Entry
ChargeSpectrum Credentialing
mypersonalchart Medical Transcription Services
Clinicspectrum Registry Digital Content Creation
Call 908.834.1608
New Jersey
2222 Morris Ave. 2nd Floor,
Union, NJ-07083
Phone:908-834-1608

Sales
Ph: (908)-834-1608
Email:info@Clinicspectrum.com

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