Pediatric Billing Solutions optimizes our client’s billing processes to maximize collections and ensure industry leading results.
Comprehensive Quality Controls:
- Tracking every office encounter to make sure that an insurance claim has been generated for every encounter. (Note: Appointments that have missed claims will never be paid and most billing companies will only submit the claims that are given to them by the client; never verify that there are no missed claims.)
- Working with the office to make sure your fee schedule maximizes insurance reimbursement. (Pro tip: Many insurance companies only reimburse 70% of your submitted charge even if that number is less than your actual contracted reimbursement rate!)
- Confirming that any recurrent charge write-offs are discussed with the practice and agreed upon by the principals. (Note: Frequent write-offs can deceptively improve A/R reports but will ultimately decrease collections.)
- Guarantee expedient follow-up for all insurance denials, preventing non-payment due to missing timely appeal deadlines.
- Ensuring that families are immediately notified by a pleasant, customer friendly phone call (rather than from an impersonal letter) when their insurance has been denied. By working proactively with families to fix unexpected coverage denials, Pediatric Billing Solutions can dramatically reduce referrals to collection agencies which often leads to unpaid bills and a breakdown in the office-patient relationship.
- Tracking and rapidly following up on clearinghouse denied claims. These denied claims never reach the insurance company and thus do not receive an official insurance response that would have alerted the practice of an issue.
- Always manually double checking every posted payment for accuracy. Pediatric Billing Solutions knows that billing is complicated and less expensive billing companies that cut corners by only using automatic computer posting without manual reviews are missing critical details.
- Reviewing bank statements monthly to ensure all electronic checks were deposited as expected.
- Designing and implementing strategies to eliminate the potential for theft and embezzlement at all levels.
Core Values
Client-Centered
PBS operates from a client centered position ensuring that every client has their unique billing needs met daily. We work hard to ensure all client questions are answered and concerns resolved as soon as possible. We guarantee service with a smile every time.
Integrity
Honesty is paramount. We will never recommend anything that our founder would be unwilling to implement in his own pediatric office. We believe in transparency and regular check-ins to ensure our clients fully understand their revenue structure.
Flexibility
In today’s world, flexibility is a must. With regular technological upgrades and policy changes it is important to have a billing company that can adapt quickly and effectively. PBS will work with clients to meet their unique and changing needs.
Shared Prosperity
Simply put, when are clients are more financially successful we are more financially successful and therefore our financial goals remain aligned with our clients at all times.
Quality Work
We strive to provide the best possible billing outcomes with every claim every time. We will never sacrifice quality outcomes for expediency.
Patient Focused
Pediatrics is all about the patients. It is our goal to help you help your patients thrive. By simplifying billing processes and maximizing revenue, doctors are free to focus on providing outstanding healthcare to their patients.
Results Oriented
PBS is committed to ensuring our clients receive the highest quality comprehensive billing services at all times. At the end of the day your practice must receive the revenue it earns to ensure the health and safety of your patients. PBS will ensure cash flow does not interrupt patient care.
Teamwork/Collaboration
Our philosophy of collaboration extends not only to how we operate within PBS but how we interact with our clients. Internally, PBS strives to create a cohesive work environment where employees can rely on one another for support. Externally, we work collaboratively with our clients to ensure optimal outcomes.