Our Success
We have a proven track record of success.
13+
Finished Projects
25+
Issues Solved
95%
Revenue Increments
8
Awards
Finished Projects
Issues Solved
Revenue Increments
Awards
Our comprehensive range of services caters to cyclists of all levels, whether you're a casual rider, a commuter, or a seasoned enthusiast.
This process involves collecting crucial patient data and verifying their insurance eligibility well in advance of any scheduled medical services Accurate and complete information gathered during pre-registration ensures that subsequent billing and reimbursement processes are conducted with precision, reducing administrative errors and minimizing the risk of denied claims .
Charge capture is a pivotal phase in revenue cycle management where healthcare providers record and document the services, procedures, and supplies provided to patients.Efficient charge capture ensures that all billable services are accounted for, leading to appropriate billing and reimbursement.
Claim submission where healthcare providers compile and send claims to insurance payers for reimbursement. This process demands precision, as any errors or omissions can lead to claim denials and delayed payments. Effective claim submission involves accurate coding, thorough documentation, and adherence to payer-specific guidelines.
Claim adjudication is a vital process where insurance payers assess and make determinations regarding submitted claims. During this stage, payers review claims for accuracy, completeness, and compliance with policy terms. They then decide on payment or denial and the amount to be reimbursed. Timely and accurate claim adjudication is vital for healthcare providers to receive the revenue they are entitled to, ensuring financial stability and enabling them to continue delivering quality care.
Payment posting is a major step where received payments from insurance companies, patients, and third-party payers are recorded and applied to patient accounts. This process demands precision to ensure accurate tracking of payments, adjustments, and patient balances.Efficient payment posting not only minimizes errors but also aids in revenue reconciliation and financial reporting.
Denial management is a critical component of healthcare revenue cycle management, focusing on identifying, analyzing, and resolving denied insurance claims. Denied claims can lead to significant revenue loss if not addressed promptly and effectively. This stage involves investigating the reasons for denials, correcting errors, and resubmitting claims to ensure reimbursement. A robust denial management process not only improves revenue where operational improvements can reduce future denials and enhance financial performance.
Our commitment to excellence is evident in every project we undertake, ensuring that you receive nothing but the highest quality services from us.
our A/R workflow solution. Classifying claims is now simplified, with access to real-time monitoring of productivity, quality, aging, and trend analysis. This flexible and configurable tool supports role-based workflows, dashboards, and access controls. On-demand audits help improve quality and visibility into real-time status and progress.
We leverage Payments posting team to assist with payment posting and reconciliation. Payments posting team uses AI-based OCR technology and a business rules engine to transform EOB images to electronic text, and to create 835 payment transactions. Payments posting team’s comprehensive review, audit and reconciliation workflow reduces the staff time and improves efficiency and accuracy.
Our Batch Management System helps monitor batch-based work inventory at all stages for coding, demo charges and payments functions. In addition, our manual Coding and Billing Interface (CBI) assists with both coding and charge entry functions, including a customized instance for HCC coding.
our revenue intelligence platform, because it uses the power of AI to reduce revenue leakage, effectively manage operations, and optimize revenue. This powerful, easy-to-use guided analytics platform requires virtually no IT infrastructure or resources and answers your business questions with actionable insights. This ongoing surveillance of operational performance informs your business decisions and supports the important work you do.
Embyzz Rcm Solution is a leading provider of risk adjustment coding services to plans with Commercial ACA, Medicaid, and Medicare Advantage lines of business. We can quickly understand a payer's operations and collaborate with them to deliver measurable operational efficiency via reliable and high-quality risk adjustment coding services.
We help provider improve financial accuracy and comply with HIPAA and CMS guidelines. Key services include claim data capture, adjudication, and the ability to manage dual eligibility claims. Claims audit services evaluate 100% of processed claims and predictive algorithms flag claims based on error propensity, improving quality scores. Embyzz Rcm Solutions payer claims management services harness the power of AI and RPA technologies to improve claims resolution rate and drive better cash flow.
We help payers with member satisfaction and retention. Membership management services include member enrollment and disenrollment, Medicare advantage services, and premium billing administration. Our services leverage an artificial intelligence-driven back office to help payers efficiently manage their operations, achieve higher STAR ratings and increase member satisfaction.
Our provider data and network management services include credentialing, provider contracting, provider / facility update and maintenance, contract loading and fee schedule maintenance, and provider out-reach communication. Payers see improvements in provider data and process reporting, resulting in reduced costs, improved quality and accuracy.
We're always on the lookout to work with new clients. If you're interested in working with us, please get in touch in one of the following ways.
Mon - Fri
3PM - 5AM
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We were so impressed with the work invirment they did for us. They were able to take our vision and turn it into a reality. We would highly recommend them to anyone looking for a reliable and professional job come and join with us.
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It is one of the best medical billing i heard many of my friends, was that true it is shifted in Noida location..? i have more then 3 years in medical billing working on denial and end to end process, let me know when it going to start?
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Very bad experience waste of time energy & money they only called me for interview and I went there 2 rounds were completed they said next round will be virtual but it never happened they are so irresponsible I am not their servant to waste my time hopeless company very very small company also u will feel like u are inside a tent. Don't even go there for interview 4 .
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"Embyzz is one of the best places to work, offering a supportive and low-pressure environment. If you possess the ability and curiosity to learn and demonstrate your skills, you will receive Sample support from management. The leadership team is very encouraging, and the colleagues at HealthCell are highly cooperative. Additionally, it is one of the growing companies in the medical billing sector.".
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