- Patient eligibility verification and benefits check
- Charge entry and claims submission
- Payment posting and reconciliation
- Denial management and appeals follow-up
- Insurance provider and patient communication
BPO Services For
Long-Term Care Pharmacies
Back-office outstaffing for long-term care (LTC) pharmacies provides numerous benefits that contribute to improved efficiency, cost savings, and enhanced service quality. LTC pharmacies face unique challenges in managing their back-office operations, which involve tasks such as medication dispensing, billing and claims processing, inventory management, and regulatory compliance. By leveraging the advantages of outstaffing with Pharmbills, LTC pharmacies can address these challenges effectively.
Pharmacy Outsourcing Solutions We Offer
- End-to-end billing operations within your existing systems
- Coding accuracy and compliance review
- Claims tracking, reporting, and follow-up
- Integration with your practice management platform
- Health insurance billing
- Aging
- Bank Reconciliation
- Resident payor source tracking
- Census, payments processing
- Invoice receipt, processing, coding, and payment
- Statement and Profit & Loss report review
- Bank statement, credit card, and petty cash reconciliation
- Vendor and client communications
- License, permit, and insurance submission and renewal
- Authorization request submission
- Supporting documentation and clinical evidence
- Payer portal navigation and management
- Ongoing payer communication and follow-up
- Daily transaction recording and journal entries
- Bank and credit card reconciliation
- Practice expense and revenue cycle monitoring
- Financial statement and balance sheet preparation
- Compliance support for audits and healthcare regulations
Benefits of Back-Office Outstaffing for
Healthcare Providers
We offer accurate and timely accounts payable services to healthcare providers throughout the US
Cost savings
Pharmbills services allows LTC pharmacies to reduce overhead costs associated with hiring and training full-time employees. Instead of maintaining an in-house team for back-office operations, pharmacies can outsource these tasks to Pharmbills. This eliminates the need for additional office space, equipment, and employee benefits, resulting in significant cost savings.
Streamlined processes and improved efficiency
Pharmbills employ standardized processes and advanced technology solutions to streamline back-office operations. By leveraging these optimized workflows and systems, LTC pharmacies can benefit from improved efficiency, reduced errors, and faster turnaround times for medication dispensing, billing, and claims processing. This can lead to improved operational performance and better adherence to regulatory requirements.
Access to specialized expertise
Pharmbills provides LTC pharmacies with access to a pool of skilled professionals who specialize in pharmacy operations. These experts have in-depth knowledge of industry best practices, regulations, and technology solutions. By partnering with Pharmbills, LTC pharmacies can tap into this expertise and benefit from improved efficiency and accuracy in their back-office processes.
Scalability and flexibility
Pharmbills offers healthcare billing companies the ability to scale their operations up or down based on their current needs. During periods of high demand, such as when there are new client acquisitions or increased workload, Pharmbills can quickly provide additional resources to handle the increased volume. Conversely, during slower periods, the company can scale back its outsourced staff, ensuring optimal resource allocation and cost-efficiency.
Focus on core competencies
By outsourcing back-office functions, healthcare billing companies can free up their internal resources and focus on their core competencies. Instead of spending time and effort on administrative tasks, companies can direct their attention towards strategic initiatives, business development, and improving client relationships. This enables them to enhance their competitive advantage, innovate, and stay ahead in the dynamic healthcare industry.
Risk mitigation and compliance
Compliance with complex healthcare regulations is of utmost importance in the billing industry. By partnering with Pharmbills, companies will reduce their compliance risks and ensure adherence to all relevant regulations, such as HIPAA (Health Insurance Portability and Accountability Act). Pharmbills has a deep understanding of compliance requirements, data security measures, and privacy protocols, minimizing the risk of penalties, legal issues, or data breaches.
Pharmbills Services To Meet Your Business Process Outsourcing (BPO) Needs
At Pharmbills we provide all-in-one staffing solutions for your business to elevate your back office management while saving money across the HR function.
Pricing Models for Outsourced Medical Billing Services
Simple, predictable pricing:
Flat hourly rate
Simple, predictable pricing
We cover payroll taxes, benefits, and HR
Reliable oversight built in
No additional or hidden fees
You only pay for work delivered
One-time start-up desk fee
No surprises down the line
90-day satisfaction guarantee
Try it, risk-free
We work seamlessly in the same systems your team already uses
No new software to install, no integrations to manage. We work directly in your existing platforms, including Waystar, Tebra, CollaborateMD (CMD), MedEvolve, Inovalon, AMP, PTS, Assurance, Zunta, and others. All while fully adhering to industry-standard security protocols.
What Our Clients Say
See what Pharmbills partners have to say about their experience.