MEDICAL BILLING
Medical billing, RCM, credentialing, and payer contract support for practices that want fewer denials, faster payments, and clear reporting.
Eligibility and benefits verification
Claim scrubbing and submission
MEDICAL BILLING
Every denied or delayed claim costs your practice twice: once in lost cash flow and again in staff time spent reworking it. Our billing team focuses on getting claims right before they leave the building.
We verify eligibility, review coding and modifiers, scrub claims against payer rules, and track every submission until it’s paid. When denials happen, we find the root cause and fix the process, not just the claim.
SERVICES
Elara Associates handles charge entry, claim submission, payment posting, denial management, and patient billing for medical practices.
Elara Associates manages every stage of your revenue cycle: patient access, charge capture, coding, claims, denials, and collections.
Elara Associates manages credentialing applications, payer enrollment, CAQH profiles, and re-credentialing deadlines for physicians, advanced practice providers, and group practices.
Many practices operate on payer contracts that haven't been reviewed in years.
WHAT WE HANDLE
Revenue problems rarely start in the billing office. They start at scheduling, registration, or authorization, and show up weeks later as denials.
“Our goal for every client is a higher clean claim rate, fewer days in A/R, and a stronger net collection rate, measured against your own baseline.”
Client result: helped an internal medicine practice increase revenue by up to 56% in 90 days.
Clean claim rate · Denial rate · Days in A/R · A/R over 90 days · Net collection rate
HOW WE WORK
01
We review your current billing reports, payer mix, marketing performance, and workflows to establish a baseline.
02
You receive a written plan with priorities, timelines, and KPIs. We set up system access, sign the BAA, and coordinate the transition with your team.
03
Your dedicated team runs billing, campaigns, and automation according to documented workflows, with regular check-ins during the first 90 days.
04
Monthly performance reviews compare results against your baseline and set the next round of improvements.
Eligibility verification, charge entry, coding review, claim scrubbing and submission, payment posting, denial management, appeals, A/R follow-up, patient statements, and monthly reporting.
Medical billing focuses on claims. Revenue cycle management covers the full financial process, from scheduling and eligibility to coding, claims, payments, and patient balances.
Pricing depends on specialty, claim volume, and services included. Common models are a percentage of collections or a flat monthly fee. Hourly-rate pricing is also available. We provide a written quote after reviewing your practice data.
Typically about 2 weeks, depending on practice size, systems, and payer setup. We plan the transition to avoid gaps in claim submission.
Yes, where agreed. We review your existing A/R during onboarding and prioritize claims with the best chance of recovery.
FREE REVENUE REVIEW
Review of denials, A/R aging, and recoverable revenue.
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Book a consultation and we’ll review your current billing performance, marketing results, and front-office workload. You’ll leave with a clear list of priorities, whether or not you decide to work with us.
