Credentialing & Medical Billing for U.S. Providers
Hand off the billing work that slows your team down, and keep your focus on patients. We handle charge entry, claims, payment posting and denial follow-up, and report back so you can see the results.
If several of these sound familiar, outsourcing is worth a conversation.
Charges sit for days before a claim goes out, and payment slows down with them.
The same denial reasons repeat and appeals fall behind.
Older claims are not being worked, so money sits unpaid.
Hiring and training replacements takes time and puts revenue at risk.
Billing volume and payer enrollment needs grow faster than your team.
Front-desk and office staff are doing billing on top of everything else.
A fair look at what changes when billing moves out of your office.
Outsourcing is not right for every practice. If your in-house team is stable and performing well, we will tell you so on the first call.
Hand us the whole billing cycle, or only the pieces that slow you down.
Eligibility and benefits checked before the visit, to avoid surprise bills.
Patient demographics, procedures and diagnoses entered and coded accurately.
Claims checked and sent electronically, with rejections fixed and resubmitted.
Insurance and patient payments posted and reconciled.
Unpaid and aging claims worked until they are resolved.
Denial causes tracked down, corrected and appealed.
Clear statements sent to patients for the balance they owe.
Regular reports on claims, denials and collections.
Four steps from first call to ongoing work.
We learn about your specialty, payers, systems and current billing results. No obligation.
We confirm system access, payer details and enrollment status, and agree how the handover will work.
We review open claims and A/R, then take over new charges, claims and follow-up.
We submit, follow up and appeal claims, and send regular reports so you can see the results.
Handing over your billing is a big decision, and it is your revenue. Tell us about your practice and we will give you an honest view of whether outsourcing makes sense, and what it would involve.
You can also call (307) 300-9272 or email hello@alpharcmsolutions.com, Monday to Saturday, 8 am to 8 pm.
It means a billing company handles some or all of your billing work, such as charge entry, claims, payment posting and denial follow-up, instead of your own staff. You remain the owner of your practice and your payer relationships.
No. You keep ownership of your practice, and we report on claims, denials and collections so you can see what is happening. We take on the billing work, not the decisions about your practice.
Yes. You can hand over the whole cycle, or only the parts that slow you down, such as denials or A/R follow-up. We can also work alongside your in-house staff.
Pricing depends on your specialty, claim volume and the services you need. See our pricing page or book a free consultation for a quote.
It depends on your systems, payers and how much work is being handed over. We confirm the timeline with you on the discovery call.
We support many specialties, from primary care to surgery, behavioral health and DME. See the full list on our specialties page.
We follow HIPAA privacy and security requirements when handling protected health information, and we can sign a business associate agreement. Ask us on the first call.