Frequently Asked Questions
Hiring someone to do your billing and credentialing can be a big decision, and you want someone who cares as much about your practice as you do. Here are the answers to some questions I get a lot from new clients. Feel free to reach out directly and let me know a little about your practice for more details.
FAQ
Why should I hire a biller?
Recent reports show that an average of 15% of claims submitted to major insurance companies are initially denied with that statistic rising as high as 33% for some insurances. Simply put, hiring a biller could save you money by having a dedicated professional to verify and follow up on your claims. Also, you’ll never have to be on hold with Anthem again.
Why choose Billing Clarity instead of Headway or Alma?
Billing Clarity exists to fill the need for ethical, personal billing services. With me, you don’t have to worry about data mis-use, incomprehensible charges, or endless hours on hold trying to get to the right department. I’m a real person, and I respond to all inquiries personally so that I can offer the services right for you, your practice, and your clients.
How much do your services cost?
I charge a flat rate minimum of $250/month or a percentage of paid claims between 4-8%, whichever is higher. The percentage is based on the money collected from paid claims.
Do I still pay you if the claim is rejected or denied?
Nope! Beyond the monthly minimum, you only pay for claims insurance pays.
Is Billing Clarity HIPAA compliant?
Yes! I am trained in HIPAA compliance and use only HIPAA compliant software. We'll sign a business associate agreement (BAA) as part of the onboarding paperwork.
How long before I receive insurance payments?
I submit your claims within the week I receive them, most of them within 48 hours.
Different insurances can take different amounts of time to pay out on claims, but I work
hard to get you paid as soon as possible.
What happens if a claim is rejected or denied?
I’ll follow-up with the insurance agencies to determine the validity of that denial and what needs to be done to correct it. Most of the time, this involves a client whose insurance has changed but who hasn’t let you know. I avoid this by proactively verifying services ahead of sessions and regularly checking policy renewals.