Remittance Processing Services
Many administrators view payment posting as a simple process of recording payments.
At ACE PRO Health, we recognize that a skilled payment processing team can provide critical insights into the overall effectiveness of your revenue cycle processes.
Our remittance processing professionals do much more than process payments. They provide valuable trends and insights into denial reasons, prior authorization issues, non-covered services, and the effectiveness of your front-end patient collections.
Accurate and Timely Remittance Processing Services Include-
Electronic Remittance Advisory (ERA) Posting: We handle high-volume electronic remittances with precision, loading files into your revenue cycle system and expertly managing exceptions to ensure accuracy.
Manual Payment Posting: Our team captures payment information from Explanation of Benefits (EOB) documents and posts each line item to the respective patient accounts. We develop practice and physician-specific business rules to ensure accurate payments, adjustments, write-offs, and balance transfers.
Posting Patient Payment: We meticulously process patient payments received through various channels, including point-of-service cash collections, checks, and credit cards via patient portals. Our team ensures proper accounting, manages balance transfers to secondary insurers, and resolves credit balances.
We assist in creating clear policies for write-offs and adjustments, flagging unusual contractual adjustments during payment processing.
Denial Management: With in-depth knowledge of ANSI denial codes and payer-specific remark codes, we post denials into your practice management system and take appropriate actions, such as billing secondary payers or routing denied claims to the right work queues.
