In the era of service reform, you need a partner that can help you compete efficiently while lowering the cost of claims processing and increasing settlement productivity and customer satisfaction levels.
At Josoft Technologies, we deliver the best operational figures in the business. With team members that have worked as claims processors, we know the 'ins' and 'outs' of Claim Process systems and know how to improve their operation and efficiency. We are a leading claim processing company based in India.
Timely and precise claims processing is critical to the success of healthcare payer organizations. When claims processing is handled efficiently and cost-effectively, payers can achieve significant reductions in administrative costs, enhance relationships with providers and improve the quality of care offered to members.
A claim processing in Medical Billing refers to the overall work of submitting and following up on claims. When you’re not interfacing with the three Ps — patients, providers, and payers — you’ll be doing the “meat and potatoes” work of your day: coding claims to convert physician- or specialist-performed services into revenue.
Here in a nutshell is the general process of claims submission, which begins almost as soon as the patient enters the provider’s office.
Many insurance claims are that simple, though sometimes you may find yourself dealing with a stubborn or unreasonable claims adjuster. If that's the case, you must resort to more determined negotiation tactics -- or perhaps consult an experienced personal injury lawyer.