PJ&A Medical Billing process will help increase your revenue. PJ&A A\R and Denial Management Specialists receive extensive training in AR follow-up. Follow-up starts in a timely manner after claims are submitted. Our Specialists are chosen for their analytical skills and are provided with access to all the documentation required to make sure that the claim is paid on the first call.
Example: When the Insurance rep says that the claim is “Not in system”, PJ&A Specialists are taught to immediately retrieve the confirmation from our database and fax it while still on the call to ensure it is completed on first attempt.
Benefits of Third-Party Billing
- Allowing our customers to focus on Patient Care
- Superior Service
- ROI
- Increased revenue
- Reduced AR Days
- Lower Bad Debt Write-offs
- Reduced operational cost
- On-time Delivery
- Faster turnaround time
- Accuracy
- Process Compliance
- Information Security Compliance
- Trend Analysis for Continuous Improvement
Why Choose PJ&A Over In-House Billing?
- Corporate Approach:
Specialization, individual accountability, and emphasis on reporting and metrics - Flexibility and Scalability:
Predictable cost component regardless of growth or seasonality - Professional Qualifications:
Heavy concentration of certified coders, trained in an environment that crafts expertise with all specialties - Total Focus, No Distractions:
No site-level distractions due to compound duties
Summary of Services
- Insurance and Eligibility Verification
- Patient Demographics entry/validation, Coding and Charge entry
- Payment Posting and Reconciliation
- Electronic and Paper Claim Filing
- Secondary Carrier billing
- Denial/Rejection Analysis
- Insurance follow-up and Appeals
- Practice Process Analysis and Continuous Improvement
Additional Billable Services
- Patient Statements, Collection Notices, Reminder Calls
- Correspondence, Credentialing and Re-Credentialing
- HIPAA Compliance and Consulting
