Custom Tailored Medical Billing Services Company

Partner with an expert team that will drive digital & transformation through deep-rooted practical experiences The healthcare provider’s partner in revenue growth, efficiency optimization, and peace of mind.

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+1 (307) 323-4014

Who We Serve?

Edge RCM is a recognized medical billing company serving different organizations ranging from large healthcare centers to small practices.

Healthcare System

Elevate your healthcare practice with our expert Medical Billing and Credentialing services.

Hospitals

Elevate hospital billing for faster payments and increased reimbursement.

Emergency Rooms

Preferred nationwide for efficient emergency room billing solutions.

Urgent Care

Your expert partner for streamlined and optimized urgent care billing in the USA.

Private Practices

Tailoring insurance contracts for maximum revenue in diverse medical specialties

All Specialties

A small river named Duden flows by their place and supplies it with the necessary

WHY CHOOSE US

For Medical Billing Services

As your medical billing service provider, we are an extension of your staff. A part of your team. You heal. Leave the revenue management to us. Your team of doctors, nurses, front-desk staff and techs all serve a purpose in your organization. That purpose is to work together as a team and provide the absolute best care for your patients.

As hospital leaders, you have a whole team of professionals who ensure your patients are given proper care from the moment they walk in the door. We will be part of that!

Choose EDGE RCM

for your IT needs, where innovation meets reliability. Our comprehensive IT services ensure a seamless digital experience, driving success in every aspect of your business journey."

Building Excellence, Fostering Trust

"At Edge RCM, trust is our cornerstone. We believe in forging relationships built on transparency, reliability, and unwavering commitment. Your confidence fuels our dedication to excellence – your success, our mutual triumph."

Experience excellence with EdgeRCM Solutions.

Elevating your credentialing journey, our meticulous services ensure a seamless accreditation process, fostering trust and success in healthcare partnerships. Choose EdgeRCM for unparalleled reliability and excellence.

Trust EdgeRCM for seamless and reliable accreditation. Benefit from rapid responses for efficient medical billing and credentialing. We're more than a service—your committed healthcare ally. Count on our comprehensive expertise for expert management.

MEDICAL BILLING SERVICES WE OFFER

Medical Billing & Coding

The single most important element to guarantee reimbursements is proper medical billing and coding. Even the smallest mistake can result in a delay of payment. Edge RCM has a dedicated team of billers and coders that ensure patients and payers of reimburse healthcare facilities for the services that they deliver.

Accounts Receivable Management

Edge RCM aggressively manages your practices accounts receivable by pinpointing any outstanding payments that the provider or healthcare facility should be expected to receive, then pusues the pateint or payor for the unpaid balance. We post payments in a timely manner to ensure an optimal billing process.

Credentialing & Contracting

Credentialing and Contracting are the basis of starting a healthcare facility. They also lay the foundation for your relationships with insurance companies as well as pateints. ERCM will negotiate contracts with insurance are up to date so you can attain the highest reimbursement rates.

Out of Network Negotiation

Edge RCM billing negotiates out-of-network claims aggresively with pricing vendors such as Multiplan, Zelis, Viant and GCS. Our negotiation and settlement team have decades of experties. Out-of-network billing is the trickiest aspect of billing, and we are well-known in this industry as the experts in the field.

Eligibility and Benefits

Eligibility and Benefits Verification are critical to receiving accurate information about insurance coverage and reimbursement. Healthcare facilities need to verify each patient’s eligibility and benefits to ensure that they will receive payment for services rendered. Consider us a part of your team in this process.

Information Technology (IT)

Elevate your business with our comprehensive IT services. From cutting-edge solutions to proactive support, we empower your digital journey. Our seasoned team ensures seamless integration, robust cybersecurity, and scalable infrastructure, delivering innovation with reliability. Trust us for tailored IT solutions that drive efficiency and success in today’s dynamic technology landscape.

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OPTIMIZE WITH OUR RELIABLE BILLING SERVICES

Medical Billing

Our Billing Teams go beyond just getting the job done like drones. We form meaningful long-term relationships as valued advisers.

Credentialing

Credentialing involves verifying a healthcare provider’s credentials like qualifications, experience, etc to ensure their ability to provide quality.

Contact Negotation

Edgercm specializes in providing comprehensive insurance contract negotiation services to medical providers.

IT Services

IT services refers to the application of business and technical expertise to enable organizations in the creation.

Opening Hours

Unlocking Possibilities: Our Doors Are Open to Serve You! Discover our extended opening hours for a seamless experience.

Mon-Fri

Sat-Sun

Mastering Medical Billing and Credentialing

YOUR ESSENTIAL Q&A GUIDE

How can your medical billing services benefit my practice financially?

Our tailored medical billing services are designed to maximize your revenue by reducing billing errors, optimizing coding, and ensuring timely reimbursement, ultimately boosting your financial health.

How do you stay abreast of ever-changing healthcare regulations to keep my practice compliant?

Our dedicated team is committed to ongoing training and continuous monitoring of healthcare regulations. We adapt swiftly to industry changes, ensuring your practice remains compliant and avoids penalties.

Can you customize your services to meet the specific needs of my practice?

Absolutely. We understand that every practice is unique. Our services are flexible and can be tailored to meet the specific requirements and challenges of your practice, ensuring a personalized and effective solution.

How does your company handle denials and appeals in the billing process?

We have a proactive approach to minimize denials, utilizing advanced analytics and experienced staff. In the rare event of a denial, our team excels in appeals, ensuring you receive the maximum reimbursement.

What measures do you have in place to protect sensitive patient information and maintain HIPAA compliance?

Security is paramount. We strictly adhere to HIPAA regulations, implementing robust data encryption, regular audits, and staff training to safeguard patient information, ensuring the highest standards of confidentiality.

How does your pricing structure work, and are there any hidden fees?

Our pricing is transparent and tailored to your specific needs. We believe in clear communication, and there are no hidden fees. We work closely with you to create a cost-effective plan that aligns with your practice's budget.

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Imagine expanding your organization overnight to include experts in specific operations of your medical organization, but without having to deal with the headaches and costs associated with recruiting.

Hagerstown, MD

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