Medical Billing Services That Get Your Claims Paid
Alpha RCM Solutions handles claim submission, payment posting, denial follow-up and reporting for U.S. practices, so your team can focus on patients while cash flow stays steady. One dedicated account manager and one simple rate.
- Accurate claims submitted on time to every payer
- Denials and unpaid claims followed up until resolved
- Clear reports and a dedicated account manager
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Medical Billing, Done End to End
Billing is more than sending claims. Every step between the patient visit and the final payment affects how much you collect and how fast. We manage the whole cycle, so nothing falls through the cracks.
Before the claim. Coverage is checked and charges are captured and coded correctly, so claims start clean.
At submission. Claims are checked for errors and sent electronically to the right payer, which cuts rejections.
After submission. Payments are posted, denials are corrected or appealed, and unpaid claims are followed up until resolved.
Our Medical Billing Services
Everything it takes to get a claim from the visit to the payment.
Claim Submission
Accurate, timely claims sent electronically to Medicare, Medicaid and commercial payers.
Medical Coding
Coding that supports the visit and follows payer rules, so fewer claims come back denied.
Payment Posting
Payments and adjustments posted promptly, with ERA and EFT reconciled to your deposits.
A/R Follow-Up
Open and aging claims worked steadily, so money doesn’t sit unpaid with payers.
Denial Management
Denials reviewed, corrected and appealed, with the causes tracked so they don’t repeat.
Eligibility & Authorizations
Coverage checked and prior authorizations tracked before the visit, to avoid billing surprises.
Patient Billing
Clear patient statements and balances, with follow-up on what is owed after insurance pays.
Reporting & Analytics
Billing, A/R aging and denial reports, so you always know where your revenue stands.
Credentialing & Enrollment
Providers enrolled and in network, so claims are payable from day one.
How Our Billing Process Works
A clear, trackable path from your first visit data to money in your account.
1Onboarding & review
We review your payers, systems, fee schedule and current billing results, then build a plan around your practice.
2Eligibility & charges
Coverage is verified and charges are captured from your encounters, so claims start with correct data.
3Coding & scrubbing
Charges are coded and every claim is checked for errors before it goes out the door.
4Claim submission
Clean claims go electronically to the right payer, and any rejections are fixed and resubmitted quickly.
5Posting & follow-up
Payments are posted, denials are worked, and unpaid claims are chased until they are resolved.
6Reporting & review
Regular reports and check-ins with your account manager show what is working and what to fix.
Claims are only payable once your providers are in network. If they are not enrolled yet, we can handle that as part of the same engagement.
Reports You Can Count On
- Charges, payments and adjustments
- Accounts receivable aging by payer
- Denials and the reasons behind them
- Collections summary
- RVU reporting for provider productivity
- A dedicated account manager to walk you through the numbers
Where Practices Lose Revenue
Most lost revenue is small and avoidable. These are the usual causes:
- Eligibility or demographic errors at registration
- Missed or incorrectly coded charges
- Rejected claims that are never resubmitted
- Denials that are not appealed
- Aging claims that nobody follows up
- Underpayments that go unchecked
Why Practices Outsource Medical Billing
Billing takes constant attention, and payer rules keep changing. A dedicated team handling it every day keeps your staff with patients. Because we also handle credentialing, enrollment and billing work together from the start. Read more about outsourcing medical billing.
- One dedicated account manager who knows your practice
- Less staff time on claims, phone queues and paperwork
- Fewer errors and denials from clean, checked claims
- Steady follow-up so aging claims actually get worked
- Clear reporting on every claim and payment
- Credentialing and billing handled by one team
Specialties We Bill For
Each specialty has its own coding and payer rules. We adapt our billing workflow to yours.
See the full list of specialties we support.
Simple, Transparent Pricing
One rate for medical billing. Credentialing is quoted to your providers and payers. See full pricing details.
Medical Billing
Full billing support at one simple rate
3.5% of collections
- Accurate claim submission
- Timely payment posting
- Steady follow-up on open claims and denials
- Transparent reporting
- Dedicated account manager
Credentialing & Enrollment
Scoped to your providers and payers
Custom quote
- Medicare, Medicaid and commercial payer enrollment
- CAQH setup and upkeep
- State licensing support
- EDI, ERA and EFT setup
- Revalidation and recredentialing
Medical Billing FAQs
Straight answers to the questions practices ask us most.
Claim submission, coding support, payment posting, A/R follow-up, denial management and regular reporting, with a dedicated account manager. We can also handle eligibility checks and patient billing.
Medical billing is a single rate of 3.5% of collections. Credentialing and enrollment are quoted separately based on your providers and payers. See pricing details or request a quote with the form above.
Medicare, Medicaid and commercial insurers. We submit claims electronically and follow each payer’s rules and filing deadlines.
Denials are reviewed, corrected and resubmitted or appealed. We also track the reasons so the same errors don’t repeat. Learn more about our denial management service.
Regular reports on charges, payments, denials and accounts receivable aging. Your dedicated account manager can walk you through them and answer questions.
Yes. Accurate coding keeps claims clean and reduces denials. See our medical coding service for details.
Yes. Claims can only be paid once your providers are in network, so we also handle credentialing, payer enrollment and EDI, ERA and EFT setup. See our credentialing services.
Primary care, specialty practices, behavioral health, urgent care, therapy and hospitals, among others. We tailor the workflow to each specialty’s coding and payer rules.
Explore Related Services
Revenue Cycle Management
End-to-end revenue cycle support for your practice.
Medical Coding
Accurate coding that keeps claims clean and payable.
Denial Management
Fix denials, appeal what is owed and prevent repeats.
Credentialing
Get providers enrolled and in network with payers.