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Online Medical Consultant  | Medical Billing Services in San Jose, California.

REVENUE CYCLE MANAGEMENT

We have the experience and skills necessary to tackle just about every type of job that comes our way. With Zen Medical Services, clients know exactly what to expect - professionalism, efficiency and exceptional results.

Eligibility Verification

Ensure every patient’s insurance eligibility, coverage, co-pay, deductible, and benefits are verified before services are provided to reduce claim denials and payment delays.

Charge Entry

Accurately capture dates of service, ICD-10, CPT, HCPCS codes, modifiers, provider details, and supporting documentation to create clean, error-free claims.

Payment Posting

Post ERA and EOB payments accurately, reconcile insurance reimbursements, adjust contractual write-offs, and identify outstanding patient balances.

Appeal on denied claims

Prepare detailed appeal letters with supporting medical documentation and resubmit denied claims to maximize reimbursement and recover lost revenue.

Patient Statement Generation

Generate accurate patient statements with clear balance information, payment options, and timely communication to improve patient collections.

Authorization

Obtain prior authorizations for procedures, diagnostic tests, and specialty services before claim submission to ensure compliance with payer requirements.

Workman Compensation Billing

Manage workers' compensation claims by submitting complete injury details, authorization information, claim numbers, and required documentation for timely reimbursement.

Denials and Rejection Follow Up

Analyze denied and rejected claims, identify the root cause, correct errors, submit appeals when required, and follow up until payment is received.

Secondary Insurance Billing

Submit claims to secondary insurance after primary payment by attaching EOB information and ensuring accurate coordination of benefits.

Daily Appointment Reminder

Send automated appointment reminders and verify outstanding balances before visits, helping improve attendance and increase point-of-service collections.

Account Receivables Recovery

We help recover the old account, prioritise A/R based on insurance, and take up claims that require timely filling on a priority basis.
We have specialised templates for appeals on medical necessity, credentialing, and contracting. The Medicare (PECOS) Enrollment Process ensures that the CAQH profile is accurate before the credentialing process and provides help with the PECOS enrollment. PPO-Credentialing: Cigna, Aetna, UHC, BS, Anthem, etc.

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