MEDICAL BILLING
Elara Associates handles charge entry, claim submission, payment posting, denial management, and patient billing for medical practices. Our billing team works inside your systems, follows documented workflows, and reports on the numbers that show whether your revenue is healthy.
Coding reviewed before submission
Denials tracked to root cause
THE PROBLEM
Billing has become one of the most demanding parts of running a practice. Payer rules change constantly, coding requirements get stricter, and experienced billing staff are hard to hire and harder to keep.
Practices we speak with usually describe some combination of these issues:
Each of these problems reduces collections. Together, they can quietly take a meaningful share of revenue the practice has already earned.
THE SOLUTION
Elara Associates becomes your billing department, or supports the one you already have. We start by measuring your current performance, then fix the processes that cause denials and delays.
Our approach is built on three principles:
Because Elara also manages credentialing, contracts, and marketing, your billing team can flag problems that other vendors wouldn’t see, such as a new provider billing under a payer where enrollment isn’t finalized.
SERVICES INCLUDED
01
Patient demographic and insurance entry review
02
Insurance eligibility and benefits verification
03
Charge entry and charge lag monitoring
04
CPT, ICD-10-CM, and HCPCS coding review by AAPC-certified coders
05
Modifier and E/M level review
06
Claim scrubbing and electronic claim submission
07
Secondary and tertiary claim filing
08
ERA/EOB processing and payment posting
09
Underpayment identification against fee schedules
10
Denial management, corrected claims, and appeals
11
A/R follow-up and aging clean-up
12
Patient statements and balance follow-up
13
Monthly financial and KPI reporting
14
Billing support in your existing EHR/PM system
BENEFITS
Front-end verification and claim scrubbing catch the most common causes of rejection before submission.
Clean claims and consistent follow-up help shorten the time between visit and payment.
Underpayments and aged claims are worked instead of written off.
Your front office stops chasing claim status and payer phone calls.
Billing staff turnover, training, and coverage gaps become our responsibility.
Monthly KPIs show exactly how your revenue cycle is performing.
Coding reviews and documented processes reduce audit risk.
OUR PROCESS
01
We analyze recent billing reports, denial patterns, A/R aging, and payer mix to set a baseline and identify quick wins.
02
You receive a written transition plan covering system access, BAA execution, workflow documentation, payer setup, and a go-live date.
03
We coordinate with your team (and your previous vendor, if applicable) so claim submission continues without a gap. Existing A/R is assigned for follow-up as agreed.
04
Charges are entered, reviewed, scrubbed, and submitted. Payments are posted and reconciled. Denials are worked on a defined timeline.
05
Your account lead walks through KPIs, denial root causes, and recommended changes to front-desk or documentation workflows.
FREE REVENUE REVIEW
Send us recent billing reports and we’ll prepare a free revenue review showing denial trends, A/R aging, and the areas with the most recoverable revenue.
Please don't include patient health information in this form. Privacy Policy
WHY CHOOSE ELARA ASSOCIATES
who knows your practice, your payers, and your providers.
not just resubmissions.
Billing insights inform credentialing, contract reviews, and marketing decisions.
with KPIs agreed at onboarding.
such as eligibility checks and claim status monitoring, with staff review on every claim decision.
including a signed BAA and role-based system access.
Team structure: Account Lead · Billing Specialist · AAPC-Certified Coder · A/R and Denials Specialist · Credentialing Coordinator (as needed)
FAQ
Still have questions? Talk with our team.
Most billing companies charge a percentage of collections, a flat monthly fee, or a per-claim fee. Pricing depends on specialty, claim volume, and the services included. Hourly-rate pricing is also available. We provide a written quote after reviewing your practice data.
No. You keep full access to your EHR and practice management system, receive monthly reports, and approve key decisions such as patient balance write-offs and collection policies.
Yes. We work inside your existing system so your data stays in one place.
We review your current A/R during onboarding and agree on which aged claims we’ll work. Many practices recover revenue from older claims that were never followed up.
We support Primary Care (PCP), Internal Medicine, Family Medicine, Mental Health, Cardiology, Substance Abuse Treatment, Behavioral Health, and Pain Management, and many more. Specialty-specific coding and payer rules are reviewed during onboarding.
Send us recent billing reports and we’ll prepare a free revenue review showing denial trends, A/R aging, and the areas with the most recoverable revenue.
