Innovative Healthcare Financial Solutions
Select a Follow-Up Solution:
Managed Care &
Commercial Insurance
Insurance Follow-Up Solutions
HBCS’ Insurance Follow-Up solutions are designed to increase cash, lower adjustments and reduce days in accounts receivable. Our Insurance Follow-Up services utilize the latest technology allowing us to manage accounts by exception. We provide a variety of options that include performing insurance follow-up on accounts at any age, for one or more financial classes, or any combination of accounts based on an individual healthcare organizations needs.
Healthcare organizations often know where issues reside within their revenue cycle and partner with HBCS to help resolve those issues. Our approach is an extended business office model utilizing innovative protocols, advanced technology, sophisticated reporting, and highly trained professionals.
HBCS’ solutions allow our highly trained patient account representatives to follow-up by exception, thereby adjudicating claims as quickly and accurately as possible. Some examples of servicing options include:
Governmental Insurance Follow-Up
HBCS’ Governmental Insurance Follow-Up solution is focused on ensuring clean, compliant claims were submitted and accepted by governmental programs. Follow-up is performed using a variety of tools including web-sites and governmental program systems. Where HBCS bills the primary claim for Medicare, our solution consists of direct connect capabilities to the Medicare intermediaries which results in taking days off the process for adjudication. Our highly trained staff is well versed in governmental program billing and reimbursement and compliance is embedded throughout our processes.
Managed Care & Commercial Insurance Follow-Up
Our Managed Care and Commercial Insurance receivable experience is extensive. We have a proven track record of collecting over a billion dollars a year for our healthcare organization clients. Our integrated solution utilizes the most up to date technology and processes available to adjudicate claims timely and effectively including the latest in electronic claim statuses to drive workflow. Our highly skilled staff work accounts by exception and provide immediate focus to problem accounts while allowing clean claims to pay through the normal processing cycle.
Our advanced tickler system alerts us to accounts that are in need of follow-up and prevents accounts from aging unnecessarily. Advanced global payor reconciliations are also utilized to adjudicate large volumes of claims with insurance carriers as necessary. Our sophisticated reporting capabilities provide healthcare organization clients with the data they need to improve their revenue cycle. The end result is accelerated cash, lower days in accounts receivable and a better accounts receivable aging.
Workers' Compensation / Auto Insurance
HBCS has over 25 years of experience managing Workers' Compensation and Auto Insurance receivables for healthcare organizations. We utilize our advanced technology and a disciplined approach to this often manually intensive process. Our highly trained staff is skilled at working directly with employers, Workers’ Compensation carriers, commissions and review boards to successfully expedite claims. HBCS can serve as your partner in dealing with these often complicated and litigious claims.
Clean-Up Projects
Accounts Receivable Clean-up Projects can seem overwhelming to healthcare organizations, especially when resources are limited. HBCS provides a focused solution that includes analysis, advanced technology and highly trained staff to identify problems with aged receivables and expedite the adjudication of these accounts. While cash and improved accounts receivable aging are key outcomes of our solution, HBCS also provides root-cause analysis and reporting to help healthcare organizations understand the reasons for the accounts receivable aging deterioration.
Select a Solution:
Corporate Office
118 Lukens Drive
New Castle, DE 19720
(302) 552-8000
Massachusetts Office
701 Edgewater Drive
Wakefield, MA 01880
(781) 279-8465
Maryland Office
NorthGate Building 3
2424 Northgate Drive
Salisbury, MD 21801
(410) 219-5229