Aqkode Healthcare Solutions is a strategic Healthcare Process Outsourcing (HPO) Company. We have been passionately serving Providers (physicians) since 1986, and Payers (health Insurances) since 2007. Our offices are in Florida, USA, Ahmedabad, GJ. and Pune, MH.
We hold ourselves to uncompromising ethical and legal standards, that includes our day-to-day business conduct, our employee policies, and our social responsibility. Our core values were created by our employees and really do resonate in our regular business activities.
Review and/or input all charges related to the assigned client’s professional services into EMR software system including office and related charges in accordance with client protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting
File all charge, payment, and adjustment batches in the appropriate format by batch date for quick reference.
Review the physicians coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 1 business day to ensure maximum patient satisfaction.
Verify all demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to clients and supervisor to ensure timely reimbursement.
Follow-up on all outstanding insurance claims 30-days from the date of service to start with and in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
Follow-up on all outstanding patient account balances at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers, and subordinates.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
Submit primary and secondary insurance claims electronically each day and to HCFA to ensure timely reimbursement.
Process refunds to insurance companies and patients in accordance with client protocol.
Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.
Provide cross coverage for Account Managers in their absence as required to ensure efficient and professional practice operation.
Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
Adhere to all practice policies related to HIPAA and Medicare Compliance.