Medical Billing Company
All-In-One Medical Billing Services for USA Providers
Edge RCM is the USA’s top medical billing firm – deploying the best practices in medical billing and coding for physicians looking to outsource billing and coding to an expert 3rd party billing agency
Our certified medical coders and billers help healthcare organizations recover Aged Receivables and resolve insurance Claim Denials, as well.
- 1500+ Satisfied Providers
- Serving More Than 75 Specialties
- 70+ Billing and Coding Experts
EDGE RCM Offers Electronic Medical Billing Services
Our leading medical billing company has revolutionized healthcare billing solutions by replacing outdated, error-prone practice management procedures with smart, electronic medical billing services and clinical billing and accounts management solutions for all specialties.
The results? Fast reimbursements, accurate claim transmission, better patient care and smooth cash flow while adhering to HIPAA-compliant patient claims billing principles. EDGE RCM medical billing management services make them the perfect ten for full billing services, including:
Medical Billing Services
Expert patient billers offer the most complete medical billing services that entail handling check-in/out, claims, payments, and denials for health care providers.
Medical Coding Services
Clinical coding officers translate patient services into ICD-10 and CPT codes and generate a clean “super-bill” for the biller to submit to the insurance payer.
Credentialing Services
Provider enrollment services by our credentialing specialists help healthcare providers join the network of desirable payors with maximum privileges
Healthcare RCM Services
Revenue cycle management services are specialty-specific, which means a physician’s bespoke demands are met by a dedicated medical biller.
Medical Claims Billing Service.
We maximize healthcare revenue with fast, full reimbursements.
Safest digital encryption protects sensitive patient data.
Get full payments, without unfair cuts by the insurance networks.
Electronic billing service files claims instantly.
Denied claims are appealed and reprocessed successfully.
The billing firm that does medical claims processing
Management of billing claims poses difficulties for providers pursuing timely submissions and full remittance for care given. But take heart, our niche medical billing services ease the way.
We optimize each invoicing phase, armed with clinical knowledge and zeal for first-class claims processing. Cloud tech validates a patient’s insurance eligibility right away and file claims electronically to quicken payments. Plus, our expert billers ensure every claim reaches the insurer to obtain full provider reimbursements.
When “good enough” isn’t enough, you need a specialized medical billing agency.
As a leading medical billing services provider, our billing firm wrings every last dollar from a provider’s claims via 24/7 billing cycle oversight. We’re experts on the big commercial ones, Aetna and Blue Cross Blue Shield. We know the government plans inside and out, Medicare and Medicaid.
We work hand in glove with the top payers so the provider billing reimbursement forms like CMS-1500, CMS-1450 (UB-04), and CMS-1728-20 are shipshape. EdgeRCM medical transcription and billing company makes claims and repayments happen, period!
Trust Your Billing To The Company That Ranks In
“Top 10 Medical Billing Companies”
Almost 99%
Clean
claim ratio
About 97.35%
1st submission pass rate
Up to 30%
Revenue Increase
The Only Medical Billing Company Uniting Tech & Expertise to Meet Provider’s Vision
Our USA-based healthcare revenue cycle management company helps individual and institutional providers navigate the tight spots of patient billing and coding via modern medical billing services.
- Patient Verification
- Claim Scrubbing
- Claim Submission
- Revenue Cycle Management
- A/R Recovery
- Fast Reimbursement
96%
Based on a 4.8-star rating from 350+ providers across the states.
70+
CMRS, RHIA, CPB certified medical billers and coders for every specialty.
Lets experience our medical billing services for as low as 2.49%
Over 114 medical practices trust Edge RCM medical billing services company. So let's have a chat.
- Patient's insurance coverage verification on the spot.
- HIPAA-compliant medical billing services for data safety.
- 24/7 medical billing services to handle every claim submission.
- 98% claim reimbursement rate for healthy cash flow.
Dedicated Acoount Managers & Expert Medical billers for Health Centers
Our USA-based healthcare revenue cycle management company helps individual and institutional providers navigate the tight spots of patient billing and coding via modern medical billing services.
- Traditional agencies have a 50% failure rate with provider credentialing and patient billing.
- Traditional agencies have a 50% failure rate with provider credentialing and patient billing.
Which of these challenges are you facing as a provider?
Specialty Medical Billing
Our tailored medical billing services boost reimbursements through specialty-focused billing teams adept at ICD-10 coding rules and protocols unique to your medical niche. And we customize your EHR to match your specialty’s workflows.
Nationwide Availability
As a top medical billing services company in the USA, EdgeRCM helps US providers succeed financially. Our American workforce has the payer knowledge to maximize billing claims reimbursement in all 50 states.
- Maryland
- Los Angeles
- Alabama
- California
- Indiana
- New york
Affordable Pricing
Save over in-house billing with our affordable 2.49% collections rate, pay-for-paid model, free EMR software, scalability, and free denied claims appeals. Outsource to us for billing optimization with complimentary perks like:
- Billing Software
- Denial Management
- Accounts Management
- Electronic Statements
- Clearinghouse Services
- 1:1 Technical Support
In-House Billing Costs
*calculations based on a medium-scale practice with $100,000 collections
Annual Salary
$30,000
Overheads
$20,000
Total
$50,000
EDGE RCM Full Service Medical Billing Costs
*calculations based on a medium-scale practice with $100,000 collections
Billing Service Rates
as low as 2.49% of the collections
Total
$2,490
Annual Savings with EDGE RCM
$30,000
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Dr. Nicole
Some billing companies bill once they submit a claim, but Edge RCM only bills for claims that are paid. We are very satisfied with the billing services provided to date.
YOUR ONE STOP SOLUTION
Whether you’re a doctor only looking for medical billing solutions or a hospital outsourcing full-cycle RCM, EdgeRC,takes care of everything from billing services to clearinghouse solutions and everything in between. Not to forget, we give you complete freedom to choose medical billing software of your choice or else pick our in-house software that comes with free EHR and other powerful features to streamline your entire RCM cycle.
Quick Answers to Common Billing Questions
FAQs
Why should a healthcare practice outsource its billing to Edge RCM?
Outsourcing to a specialized team reduces administrative burden, significantly lowers operational costs, and minimizes claim denials. It allows healthcare providers to focus entirely on patient care while our experts handle the complete Revenue Cycle Management (RCM) efficiently.
How long does the medical provider credentialing process take?
The credentialing process typically takes between 60 to 120 days, depending on the insurance network, state regulations, and the completeness of your documentation. Our credentialing experts actively follow up with payers to expedite this process and prevent any delays in your reimbursements.
Are your medical billing and credentialing services HIPAA compliant?
Yes, absolutely. We strictly adhere to all HIPAA regulations to ensure that your patients’ Protected Health Information (PHI) is 100% secure. Data privacy, encrypted communication, and security are our top priorities.
How do you handle claim denials and rejections?
We have a proactive denial management strategy. Our team immediately investigates every rejected or denied claim to identify the root cause. We correct coding errors, attach missing documentation, and appeal the claims promptly to ensure maximum revenue recovery for your practice.
Which EMR/EHR software platforms do you work with?
Our billing team is highly adaptable and experienced in working with all major EMR and EHR systems. We seamlessly integrate with your current software workflow, meaning you don’t have to change your system to work with us.
Can I monitor the performance and quality of the medical billing service I hire?
Absolutely. Transparency is a core value at Edge RCM. We provide detailed, easy-to-understand financial reports on a regular basis. You will retain full visibility into your practice’s financial health, allowing you to track claim statuses, collections, denial rates, and overall revenue growth at any time.
How does your team handle aging Accounts Receivable (A/R) and old unpaid claims?
We have a dedicated A/R recovery process designed to clear backlogs efficiently. Our team aggressively follows up on aging accounts, investigates the root causes of unpaid or underpaid claims, and systematically appeals them. We work tirelessly to recover every dollar your practice has rightfully earned, significantly reducing your A/R days.
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