DME Service Solutions

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Discover how we will ensure your success through our efficient accounts receivable management.

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Take Control of Your Account Receivable Process and Achieve Maximum Results

We understands the complexities and challenges healthcare providers face when it comes to revenue collection and ensuring proper compensation for their services. That’s why we leverage our experts to streamline the process, minimize denials, and optimize cash flow. Our goal is to ensure that healthcare providers are paid appropriately for the valuable services they provide, while adhering to the highly regulated healthcare industry standards.

Our Account Receivable Process Steps

  • STEP 1: FILING OF CLAIMS

    Our accounts receivable specialists will file claims with the appropriate insurance provider as the first step.

  • STEP 2: CLAIMS TRACKING

    To ensure smooth processing of claims, we regularly monitor their status and promptly address any rejections or denials.

  • STEP 3: PAYMENT POSTING

    We receive payments from insurance companies, patients, or other payers. We verify payment matches the expected reimbursement.

  • STEP 4: AGING ANALYSIS

    To track outstanding claims, we generate aging reports and categorize them by the number of days overdue (e.g., 30 days, 60 days, 90 days). This will help us prioritize follow-up efforts.

  • STEP 5: IDENTIFY DENIAL CLAIMS

    We investigate and determine reasons for denials. We take corrective actions, including resubmitting claims with corrections.

  • STEP 6: FILE AN APPEAL

    If a claim is unjustly denied, we initiate an appeals process to challenge the decision with supporting documentation.

  • STEP 7: REVIEW CHARGES

    First, we send patient statements for any remaining balances after insurance payments. Then, we implement a collections process for overdue patient accounts.

  • STEP 8: GENERATE REPORTS

    We generate performance reports, including key metrics such as Days Sales Outstanding (DSO), collection rates, and revenue cycle efficiency. We use these reports to identify areas for improvement.

Our Comprehensive Accounts Receivable Services

Enhance collection process and send fast follow-ups and reminders as early as 14 days

Checking the explanation of benefits (EOB) and observe strict documentation methods to facilitate financial reconciliation

Validate the Certificate of Medical Necessity (CMN) within 24 hours

Build your back-office outsourced team and start streamlining business performance and increasing your customer satisfaction.

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Why Choose Our Accounts Receivables Services

Expertise And Specialization

Our healthcare BPOs specialize in revenue cycle management and AR processes. We have dedicated teams with expertise in healthcare billing, claims management, and insurance, and HIPAA compliance.

Cost Savings

We have the capabilities and expertise in AR services to help reduce costs for staffing, training, and maintaining an in-house team. Our commitment is to deliver exceptional services that will enhance your bottom line and free up more resources for critical business functions.

Improved Cash Flow

By optimizing billing, claims submission, and follow-up, we can streamline transactions for faster and more accurate results. This improved workflow enhances cash flow and provides the necessary financial stability for your company’s success.

Reduced Administrative Burden

Outsourcing your AR processes to us as capable experts gives you the advantage of focusing on your core medical services, while we take care of your financial aspects.

Reduction In Ar Aging

Our dedicated teams track and follow up on aging accounts receivable. This helps reduce the number of overdue accounts and improves collections.

Data Security

As a reputable healthcare BPO, we prioritize data security and compliance with privacy regulations such as HIPAA, SOC 2, PCI-DSS, and ISO 27001. Our capabilities include safeguarding patient information from breaches and unauthorized access.
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DME Service Solutions - The Leading Service Provider in the Healthcare Industry

At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.

+347%

Maintained support for Increase in call volume

~15

Days average TAT for hiring

+94%

Consistent service level results

97%

Avg attendance rate

95%

Schedule adherence

+17%

Decrease in avg handling time​

Build your outsourced team to streamline your business performance and increase your customer satisfaction.

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