Provider Credentialing
Streamlines the complex process of verifying healthcare provider qualifications. Ensures compliance with regulatory standards by obtaining and managing necessary licenses, certifications, and agreements with insurance payers, allowing providers to focus on patient care.
Eligibility and Benefits Verification
Confirms patient insurance coverage and details. Verifies plan eligibility, benefit limits, deductibles, and copayments. Ensures accurate and timely claim submission by validating patient information and insurance details.
Charge Entry
Accurately records patient services and procedures into the billing system. This crucial step in the revenue cycle management process ensures correct claim generation, improves reimbursement rates, and streamlines the overall billing process.
Medical Coding
Translates complex medical records into standardized codes for billing and insurance purposes. Ensures accurate and compliant coding for efficient claims processing and reimbursement. Helps healthcare providers maximize revenue and improve financial performance.
Claims Submission
Suntel Global handles the complex process of submitting medical claims to insurance providers. Our team ensures accurate and timely submission of claims, reducing claim denials and accelerating reimbursement. We streamline the billing process, allowing healthcare providers to focus on patient care.
Clearinghouse and Payer Rejections
Suntel Global offers expert management of healthcare claims through clearinghouses. Their service includes efficient submission of claims and proactive handling of payer rejections to ensure timely and accurate reimbursements, maximizing revenue and minimizing claim denials.
Post closing support service
Comprehensive assistance for lenders after loan closure. Includes document verification, title clearance, lien release, tax certification, and other tasks to ensure loan compliance and minimize risks. Streamlines post-closing operations and reduces potential issues.
Payment Posting
Efficiently processes and records patient payments. This crucial service involves accurately applying payments to patient accounts, updating financial records, and generating necessary reports, ensuring timely and correct revenue cycle management for healthcare providers.
Secondary Claims Filing
Handles the complex process of submitting and managing insurance claims for patients with multiple coverage plans. Ensures timely reimbursement by coordinating with primary and secondary insurers, reducing claim denials, and maximizing revenue recovery for healthcare providers.
Denial Management
Specializes in recovering denied or unpaid medical claims. Experts analyze claim rejections, identify errors, and resubmit corrected claims to maximize revenue. Streamlines the appeals process, reduces financial losses, and improves overall claim reimbursement rates for healthcare providers.
Claims Audits
Thoroughly examine medical claims for accuracy, compliance, and potential overpayments. Identify errors, prevent claim denials, and recover lost revenue. Optimize reimbursement rates and ensure adherence to healthcare regulations.
Patient Statements
Provides clear and accurate patient billing summaries. This service handles the generation, printing, and mailing of patient statements, ensuring timely communication of medical charges and facilitating efficient payment collection.
Quality and HIPAA-Compliancy Reviews
Ensures healthcare providers adhere to strict quality standards and HIPAA regulations. This service scrutinizes medical billing processes, data security practices, and patient information handling to identify potential risks and ensure compliance, protecting patient privacy and minimizing financial losses.
Business Analytics
Leverages data-driven insights to optimize healthcare operations. By analyzing medical claims, patient data, and financial performance, they help providers improve revenue cycle management, identify trends, reduce costs, and enhance patient care.
