Additional Medical Billing Services That Close the Gaps Your Billing Team Cannot Cover
Most practices do not lose revenue on one big mistake. They lose it in the small tasks nobody has time for: an authorization that was never requested, a payment posted to the wrong line, a patient statement that went out late. Our additional medical billing services take over those tasks so claims get paid and your staff stays on patient care.
Cleaner Claims, Fewer Denials
Certified, Specialty-Trained Team
What Do Additional Medical Billing Services Include Beyond Claim Submission?
Claim submission is only one part of getting paid. Around it sit tasks that decide whether a claim is paid in full, paid late, or not paid at all.
Our additional medical billing services cover those tasks: prior authorization, accounts receivable follow-up, payment posting, charge entry, patient billing, and underpayment review. You can add one service or several. Each one works on its own, and each fits beside the billing support you already have.
How Do Add-On Billing Services Fit Into Your Current Workflow?
You keep your EHR and your front desk routines. We plug into the step that needs help.
- You tell us which task is slowing payments.
- We get access to the data we need, under a BAA.
- We follow your payer list and your internal rules.
- We report on what we worked, what we found, and what is still open.
- You can add or drop a service as your needs change.
Nothing changes for your patients. They still see the same front desk and the same provider. The work happens behind the scenes.
What Our Additional Medical Billing Services Cover
- Prior authorization requests and status tracking
- Accounts receivable follow-up on unpaid and aging claims
- Payment posting from ERAs, EOBs, and patient payments
- Charge entry from superbills and encounter notes
- Patient statements, balance questions, and payment plans
What Unmanaged Back-Office Tasks Cost Your Practice
| Gap | What happens | Effect on the practice |
|---|---|---|
| No authorization on file | Payer denies a service that required approval | Visit is unpaid or heavily delayed |
| Unpaid claims not worked | Claims sit past the payer’s filing or appeal window | Revenue is written off |
| Late or wrong payment posting | Balances look wrong in the system | Patients get incorrect bills |
| Payments below contract rate | Short payments go unnoticed | Revenue is lost without a denial |
How We Handle Prior Authorization, A/R, Posting, and Patient Billing, Step by Step
Each add-on service follows its own path, but the work moves in the same eight stages. You can see where each task starts, who handles it, and when it ends.
We Review What Is Slowing Your Payments
We start with a short look at your recent claims, open A/R, and unposted payments. This shows which service will help first.
We Map Your Payers and Their Rules
Authorization lists, filing limits, and posting formats differ by payer. We build a simple reference for your top payers so the work follows their rules, not a guess.
We Start the Task Queue
For prior authorization, we pull upcoming scheduled services that need approval. For A/R, we sort open claims by payer and age. For posting, we load the latest remittances. For patient billing, we list balances ready to send.
We Work Each Item Through to a Result
An authorization ends with an approval number or a documented denial. An unpaid claim ends with a payment, a correction, or an appeal. A payment ends with a posted line and a reconciled balance.
We Flag Problems Back to You
If a provider note is missing, a payer asks for records, or a payment looks short, we tell you the same day we find it, with what we need to fix it.
We Report and Review Trends
You receive a regular report showing items worked, items resolved, and items open. Each month we look for patterns, such as one payer that keeps pending authorizations, and we adjust the process.
What We Need From You to Get Started
Having these ready before you start is the single biggest thing you can do to speed up coding.
Access
- Read and write access to your billing system, or a daily export
- Payer portal logins, shared through a secure method (never by email)
- A signed BAA
Information
- Your payer list and contracted fee schedules
- Your authorization rules by service, if you track them
- A contact person for questions
Common Back-Office Errors and the Add-On Service That Prevents Each One
| Error | Where it starts | Service that catches it |
|---|---|---|
| Service done without approval | Scheduling | Prior authorization |
| Claim stuck with no one working it | After submission | A/R follow-up |
| Payment applied to wrong claim line | Remittance entry | Payment posting |
| Charge missing from the claim | Encounter to billing handoff | Charge entry |
| Patient billed for an amount the plan should cover | Statement stage | Patient billing review |
Real-World Situations Where Practices Add These Services
These are typical situations, not client results.
A Small Practice Without an Authorization Person
A front desk staff member requests approvals between check-ins, and some are missed. A dedicated team tracks each request to an answer.
A Practice With Growing Aging A/R
Claims over 90 days pile up because staff only work new claims. A follow-up team works the oldest balances by payer first.
A Group Adding Providers
Volume rises faster than the posting team. Outsourced posting keeps balances current while hiring catches up.
A Practice With Confused Patients
Patients call about statements they do not understand. Clear statements and a staffed billing line cut the repeat calls.
A Practice That Suspects Short Payments
Payers pay, but the amounts feel low. An underpayment review compares payments to contracted rates and lists the gaps.
Should You Hire Staff, Buy Software, or Outsource These Billing Tasks?
The right choice depends on your volume and how much time your team can give to each task.
| Category | In-house staff | Software only | Outsourced add-on services |
|---|---|---|---|
| Setup | Hiring and training | Install and learn | Onboarding with our team |
| Coverage during absences | Gaps | Runs, but needs someone to act | Team covers |
| Payer-specific knowledge | Built over time | Limited | Included |
| Cost pattern | Salary and benefits | License fee | Pricing based on percentage |
Steadier Payments, Fewer Loose Ends
When each back-office task has an owner, claims stop falling between teams. Payments post on time, patients get clear bills, and open items get worked. Tell us which task is the problem and we will show you how we would handle it.
- Small practices without a dedicated billing team
- Specialty practices with frequent authorization requirements
- Groups with rising A/R over 60 days
- Practices adding providers or locations
- Practices with high patient balance call volume
- Practices with staff turnover in the billing office
- Practices that suspect payers are paying below contract rates
If you recognize your practice in this list, one of these services can likely help.
Free Billing Consultation on Your Back-Office Workflow
Tell us which tasks take the most time and we will suggest where to start. By submitting this form you agree to be contacted about your request. Do not include patient information in this form.
At Mediflows, we are dedicated to delivering exceptional billing support for over 18 years, we have been a offering comprehensive medical services in USA
FAQ's About Additional Medical Billing Services
Can I add just one service instead of full billing?
Do you work with our existing billing system?
How long does onboarding take?
How do you protect patient information?
How is pricing set?
Do you guarantee that every authorization will be approved?
About Us
Mediflows has been offering comprehensive billing and revenue cycle solutions across a wide range of specialties all over USA.
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