While many administrators focus on coding and clinical documentation as the key elements of effective medical billing, payment posting is often overlooked. However, a proficient payment processing team can provide crucial insights into the overall effectiveness of your revenue cycle processes.

Zephyr Health Management Service’s remittance processing professionals do more than just process payments. They provide insights into trends and reasons for denials, prior authorization issues, non-covered services, and the quality of your clinical documentation and coding processes, as well as the effectiveness of your front-end patient collections.

Our Remittance Processing Services Include:

Electronic Remittance Advisory (ERA) Posting

Electronic remittances typically contain a high volume of payment transactions. The ERA batch processing involves loading the files into the revenue cycle system, handling exceptions from the batch runs by making necessary corrections using the system’s functionalities.

Manual Payment Posting

Payment information from scanned images of Explanation of Benefits (EOB) documents is captured, and each line item is posted to the respective patient accounts. By developing practice and physician-specific business rules, we ensure accurate payments, adjustments, write-offs, and balance transfers.

Denial Posting

Our staff is proficient with ANSI denial codes and remark codes used by various payers. We post denials into the customer’s practice management system and take actions such as billing secondary payers, transferring balances to patient accounts, making adjustments/write-offs per defined policies, and routing denied claims to appropriate work queues.

Patient Payment Posting

Properly accounting for patient payments is essential to close claims and avoid inflated AR. We process payments received from patients via various channels like POS cash collections, checks, and credit cards (patient portals). Our professionals account for patient payments, decide on transferring any pending balances to secondary insurers, and resolve any credit balances.

Automated Tools for Payment Posting

Intelligent Payment Processing Platform

Our OCR-enabled payment processing platform reads printed EoBs in each payment batch, presenting all transactions in a tabular format for instant processing. The application can interface and synchronize with any third-party revenue cycle platform.

Zephyr Health Management Service’s Value Proposition for Payment Posting Services

• Analytics: We provide production and quality reports on our performance and offer insights on trends in denials, non-covered services, prior authorization, and deductible or co-payment collection issues at the point of service.
• Policy Development: We help develop clear policies for write-offs and adjustments, reporting any unusual contractual adjustments during payment processing.
• Denial Handling: We route denied claims to the appropriate coding and denial management team for rework and timely re-submission to payers.
• Secondary Payer Claims: Identify claims with secondary payers and process claims for any remaining balances.
• Knowledge Management: Our knowledge management tool, .Knol, stores organized business and process rules, helping track updates and providing effective service.
• Dashboards: Our dashboards offer instant access to process health indicators and support continuous improvement.

Contact Us

Learn more about how Zephyr Health Management Service’s Remittance Processing Services can enhance your revenue cycle and improve your financial outcomes.