Falkor Consulting, Billing You Can Trust

 Insurance company verification enabling healthcare providers to participate in their networks. 

 Verifying a patient’s insurance coverage prior to care to help avoid claim denials and rejections. 

 A process where an insurer or plan approves a service, treatment, or medication prior to it being provided. 

The process of identifying, correcting, and resolving outstanding accounts receivable issues to improve cash flow and reduce aging balances.

A crucial billing step where healthcare services are recorded and translated into charges to ensure accurate, complete claims for insurance.

The process of sending a healthcare claim to an insurer, including service details, patient info, provider data, and billing codes.

Monitoring submitted claims, addressing denials, and resolving issues to ensure timely reimbursement and reduce lost revenue opportunities.

Entering received payments and making necessary adjustments to patient accounts to ensure accurate balances and financial recordkeeping.

A focused process where billing specialists track and resolve outstanding claims to ensure timely reimbursement by addressing denials and delays.

 Provide patient statements with summaries of services, payments, and balances. 

Reconciliation, reporting, and analytics ensure accurate records, organized data, and insights that drive informed decisions and optimize performance.

Tailored reports that present key metrics and performance insights, helping stakeholders make informed decisions and optimize operations.