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Revenue cycle, worked daily.

We own your billing end to end, from the moment a service is recorded to the moment it is paid, and you stop managing any of it.

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The actual problem

Practices don’t lose revenue on care. They lose it on memory.

Claims sit because nobody owns the queue. Denials pile up because reworking them is nobody’s actual job. Balances age quietly past the deadline the insurer will still accept, and by the time it surfaces in a report the money is already unrecoverable.

None of that is a billing-skill problem. It is an ownership problem, and it is the one thing an outsourced team can genuinely fix, because owning the whole cycle is the entire job rather than the part of the job that gets done last.

9,734
Remittance lines processed in a single month across payers
177
Reason-code patterns mapped and maintained by our billing team
11
Workflows those lines resolve into, everything else routes to a human
US
Hours, so payer calls happen when payers actually answer
What we run

The whole job, not the convenient half.

Anyone can take the easy part. The value is in owning what happens when something does not fit the process, which is where most outsourcing arrangements quietly hand the work back.

Charge entry

Every encounter, coded and submitted clean the first time, with the exceptions flagged rather than guessed at.

Claim submission

Electronic submission across your payer mix, with rejections from the claim-routing service worked the same day.

Insurer payment posting

Automated remittance posting that maps payer adjustment codes to the right workflow. Unrecognised codes go to a person, automatically.

Denial management

Every denial tracked to a reason and an owner. Patterns get fixed upstream instead of reworked forever downstream.

Chasing unpaid balances

Structured aging review, so nothing slips past the deadline the insurer will still accept while waiting for someone to notice it.

Patient billing

Statements and payment reconciliation that tie to the penny.

Reporting

What was collected, what was rejected, and what is still owed. Plain numbers, the same ones, the same day each month.

Escalation

A named owner per queue, and a standing route for anything the process does not recognise.

How it starts

Nobody hands this over on day one.

We take work in stages, each with a written definition of done and a clean rollback point. If we are wrong about something, you find out early.

Weeks 1–4

Map

Your insurers, your codes, your queues, and everything currently unpaid. We keep going until we can describe your billing back to you more accurately than your own documentation does. Nothing moves yet.

Week 5

Take one queue

Usually posting, or a single payer’s denials. Small enough to hand-check, real enough to prove the handover actually works. Your team keeps everything else.

Weeks 6–12

Extend, queue by queue

On a schedule you approve, each with a written definition of done and a clean rollback point. If we are wrong about something you find out in week three, not month six.

Ongoing

Automate what earned it

Only the steps a human has run long enough to know where they break. Everything else stays manual until it proves otherwise.

The people doing your work have names and a shift.

You get the same team, in your working hours, with a named owner per queue. Not a ticket pool that rotates every quarter.

Straight answers

Revenue cycle, specifically.

The questions that come up on every first call about this one.

Do you work in our billing system or your own?
Yours. We operate inside your existing EHR and practice-management system. Moving you off a system is a separate engagement with its own reconciliation plan, doing both at once is two risky projects wearing one budget.
How do you handle denials differently from what we do now?
Every denial gets a reason code and a named owner, and the reasons get counted. When a pattern shows up more than a handful of times, the fix goes upstream, into charge entry or eligibility, instead of being reworked forever downstream. That is the part that compounds.
What does the automation actually touch?
Remittance posting first, because it is high-volume and verifiable. The rule is fixed: it starts as a scheduled job pressing one button the billing software already trusts, on a batch small enough to hand-check. Anything the map does not recognise routes to a person. It earns wider permissions only after a month of being right.
Can you take just the unpaid balances rather than the whole cycle?
Yes, and it is a common way to start, an unpaid-balance project is finite, measurable, and a fair test of whether you want to work with us. We will tell you honestly what is recoverable and what is already gone.
What happens to our current billing staff?
We are usually brought in where a team is underwater, not where one is being replaced. In practice people stop doing the queue-chasing and move to the work that needed a human all along. We will give you a straight read during mapping rather than after signing.

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Data & reporting

One set of operating numbers everyone trusts, re-derived by a second path before anyone hits send.

Automation

Half the value at a hundredth of the risk, then it earns the next permission. This is how we automate other people’s money.