Eligibility & Authorizations
We identify primary and secondary payers at admission and secure authorizations to catch coverage gaps before they become denials.
Stop leaving cash on the table. Pharmbills revenue cycle management services collect 25% more money in half the time.

The definitive standard in revenue cycle management solutions, from admission to final payment. What we do for you:
We identify primary and secondary payers at admission and secure authorizations to catch coverage gaps before they become denials.
Up to 96% success rate on appeals. We know why claims fail and how to recover what you're owed.
Every patient tracked from admission to discharge, so your census and billing stay aligned.
Every payment tracked, every underpayment caught. Nothing slips through.
Clean claims built for full reimbursement, tracked through payment. Fewer rejections, faster collections.
Tie outs, reconciliation, and reporting on days in AR, denial rates, and collection trends. Clear numbers and no guesswork.
Hiring, training, turnover, repeat? Managing a billing team is a full-time job you didn't sign up for.
We do recruiting, training, and managing so you focus on patient care headache free.
No revolving door and turnover concerns. Our professionals understand your systems and grow with you.
Reliable talent at a fraction of the overhead. Less spend and better results.
No new platforms. No migrations. Weโll work with what you already use.
Need more people? We move fast. New team members sourced in 10 business days.
No risks, you're covered.
No new software to install and no integrations to manage. Pharmbills teams work directly in your existing revenue cycle systems.









HIPAA-compliant RCM services backed by industry-leading certifications:
ISO 27001 and ISO 9001 certified, with full HIPAA compliance across all operations.
All team members complete HIPAA training and follow strict data handling protocols.
We use a major cloud provider for secure, reliable infrastructure.
Get expert support across claims, denials, follow-up, reporting, and day-to-day revenue operations.
The steps to getting you up and running with healthcare revenue cycle management:
We define your goals, build an action plan, and start sourcing your team.
Team members rapidly sourced.
Electronic claim submission and processing means faster payment. 96% of our appeals succeed because we know why denials happen. Real-time tracking means nothing gets lost.
Monthly reports show exactly what's working. Congrats: Your healthcare revenue cycle management company makes collecting what youโre owed quick and simple.
Ready for end-to-end revenue cycle management that cuts denials and AR by up to 30%?
Secure 96% appeal success, faster collections, and clear reporting โ implementation starts in 14 days, results in 12 weeks; fill out the form to begin.
Pharmbills also offers complementary healthcare back-office solutions to support your revenue cycle:
In the world of healthcare, providers lose 5-30% of legitimate revenue to billing complexities, claim denials, and collection failures. Revenue Cycle Management (RCM) services like Pharmbills work to get you paid every dollar owed for the care you deliver, by deploying professional teams to handle insurance verification, medical coding, claim submission, denial appeals, and patient billing. It's the complete service that turns patient visits into cash flow.