How It Works
A clear path from onboarding to paid claims
We start with a focused discovery, plug into your EHR and workflows, then run a disciplined billing engine with transparent reporting every step of the way.
How we take you from kickoff to cash flow.
Four clear phases. Clear owners. Transparent reporting at every handoff.
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01
Discover & Align
Week 1 – understand your practice
We start with a focused discovery of your specialty mix, payer panel, current denial patterns, and staffing realities. You get a clear picture of gaps, opportunities, and what success should look like.
- Practice & specialty assessment
- Payer mix and denial trend review
- Current workflow and EHR walkthrough
- Goals, KPIs, and reporting cadence
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02
Connect & Configure
Weeks 1–3 – plug into your stack
We secure system access, map charge capture paths, align coding rules to your specialty, and set up enrollment or credentialing follow-ups where needed – without disrupting patient flow.
- EHR / PMS / clearinghouse access setup
- Charge capture and coding rules configuration
- Payer enrollment and credentialing checks
- Secure communication and escalation paths
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03
Launch & Stabilize
Weeks 2–5 – go live with oversight
Claims begin flowing under AllianceMedex ownership. We scrub submissions, post payments, chase early denials, and hold regular check-ins so your team sees progress from day one.
- Live claim submission and rejection repair
- Payment posting and reconciliation
- Denial triage and first-wave AR work
- Weekly status reviews during ramp-up
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04
Optimize & Grow
Ongoing – improve every month
Once steady state is reached, we dig into root-cause denial trends, aging buckets, and underpayments – then tune coding, eligibility, and follow-up playbooks to lift collections over time.
- Monthly performance reporting
- Denial prevention feedback loops
- AR aging reduction plans
- Continuous specialty coding refinement
What we manage every day.
Our RCM engine covers the full billing cycle – so nothing falls between intake and payment.
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01
Patient Scheduling
Keep calendars full and no-shows low with organized appointment workflows.
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02
Eligibility Verification
Confirm coverage, benefits, and patient responsibility before care is rendered.
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03
Authorization Management
Secure prior and retro authorizations so treatment is not delayed by paperwork.
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04
Medical Coding
Apply ICD-10, CPT, and HCPCS accurately for cleaner first-pass claims.
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05
Charge Entry
Turn documentation into complete, quality-checked charges ready for billing.
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06
Claim Submission
Scrub and submit electronically, then repair rejections quickly.
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07
Payment Posting
Post ERA/EOB and patient payments with full reconciliation visibility.
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08
Denial Management
Analyze, appeal, and correct denials before revenue is written off.
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09
AR Follow-Up
Pursue unpaid claims with disciplined aging and payer outreach.
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10
Patient Billing
Clear statements and courteous support that protect collections and reputation.
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11
Reporting & Analytics
Transparent dashboards on clean claims, denials, A/R, and cash flow.
Our goal is to maximize revenue while minimizing administrative burden across every stage of the cycle.
Clarity, cadence, and control.
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Dedicated specialists
You work with billing professionals who understand your specialty – not a rotating call center.
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Defined communication cadence
Regular updates, clear escalation paths, and reporting you can share with leadership.
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HIPAA-aligned operations
PHI is handled under business associate terms with secure access and workforce controls.
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No black-box billing
You always know claim status, denial reasons, and what action we are taking next.
We work inside the systems you already use.
Our team adapts to your EHR, practice management, and clearinghouse stack so onboarding stays smooth and workflows stay familiar.
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Kareo
Full billing and practice management integration.
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Athenahealth
Cloud-based RCM and EHR workflows.
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AdvancedMD
Claims, posting, and reporting support.
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eClinicalWorks
Charge capture and claim workflows.
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NextGen
End-to-end revenue cycle integration.
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DrChrono
Modern EHR and medical billing platform.
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Office Ally
Clearinghouse submission and payer connectivity.
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Availity
Eligibility verification and payer connectivity.