While managing Revenue Cycle Management (RCM) for the Healthcare industry, Prior Authorization, a
crucial back-end process, involves obtaining approval from insurance providers before certain medical
services or treatments. Insurance prior authorization ensures that healthcare services meet specific
criteria outlined in initial authorization Requirements. Healthcare providers often use
Pre-authorization (PA) Forms to submit comprehensive information, adhering to prior authorization
Guidelines. This procedure helps streamline Electronic Prior Authorization (EPA), facilitating quicker
and more efficient approval. By navigating the intricacies of previous authorization, healthcare
professionals ensure optimal patient care while aligning with insurance protocol.
Why Choose RND Softech for payment posting
solutions?
RND Softech stands out as a leader in the field of healthcare and financial technology, offering comprehensive
payment posting solutions that are tailored to meet the unique needs of our clients. Our commitment to
excellence, coupled with cutting-edge technology, positions us as the preferred choice for organizations seeking
efficient and accurate payment reconciliation services.
With a team of experienced professionals with voice and non-voice expertise and a proven track record in
developing robust payment posting solutions, RND Softech stands at the forefront of innovation. We prioritize
client satisfaction, ensuring that our solutions align with the evolving landscape of payment processing in both
the healthcare and financial sectors.
How RND Softech transforms new-age payment posting
processes?
RND Softech employs state-of-the-art technology to revolutionize payment posting processes. Our solutions
are
designed to automate repetitive tasks, reduce errors and enhance overall efficiency. Through advanced machine
learning algorithms and artificial intelligence, RND Softech ensures that payment data is accurately matched,
posted and reconciled in real time.
Our payment posting solutions seamlessly integrate with existing systems, providing an organized
and
holistic approach to financial management. RND Softech's commitment to customization ensures that our clients
can adapt our solutions to their specific workflows, facilitating a smooth transition and minimizing
disruptions.
Unlocking the back office support, advantages
Selecting RND Softech forpayment posting
Accuracy and efficiency:
RND Softech's payment posting solutions significantly enhance accuracy by automating mundane tasks,
reducing the risk of human error. This efficiency leads to faster processing times and improved
financial reconciliation.
Cost-effectiveness:
By automating labour-intensive payment posting tasks, organizations can realize cost savings. RND
Softech's solutions contribute to a more streamlined workflow, allowing staff to focus on higher-value
tasks.
Customization:
RND Softech understands that every organization has unique requirements. Our payment posting solutions
are highly customizable, ensuring they align seamlessly with existing systems and workflows.
Compliance and security:
In the ever-changing landscape of healthcare and financial regulations, RND Softech ensures that its
payment posting solutions adhere to the latest compliance standards. Additionally, robust security
measures are in place to safeguard sensitive financial data.
Real-time visibility:
RND Softech's payment posting solutions provide real-time visibility into financial transactions,
empowering organizations with actionable insights for strategic decision-making.
Services - modes of payment posting
Merchant services
With our advanced point of sale (POS) solutions, we bring convenience to your business
transactions. Whether
you operate online or have a physical store, our modified merchant services provide reliable and secure
payment solutions. Revolutionize your revenue cycle management (RCM) with our cutting-edge merchant
services.
Our comprehensive payment processing services guarantee a seamless financial transaction experience. Trust
us
to handle your merchant account precisely, ensuring secure and efficient credit card processing. Experience
the ease of handling credit card processing and online payments with our dedicated services, contributing to
a
robust financial workflow for your business.
Payment gateway
As an industry opener, our online payment gateway ensures secure transactions for
seamless
e-commerce
payments. Trust us to provide a reliable and efficient payment processing gateway, facilitating digital
payment solutions adapted to meet the unique needs of your business. Our secure gateway integrates
seamlessly
into your revenue cycle management (RCM) strategy, whether handling online transactions or managing digital
payments. Transform your experience of ensuring security and efficiency of your digital payment solutions,
contributing to a robust and streamlined financial workflow for your business.
Online payments
Optimize your revenue cycle management (RCM) with the future of digital payments with
our
secure and
efficient platform, customized for seamless e-commerce transactions. We prioritize the safety of online
payments, providing a range of secure online payment methods to meet the diverse needs of your business.
Trust
us to handle electronic funds transfers precisely, ensuring a reliable and hassle-free financial transaction
experience. Whether you're managing e-commerce transactions or facilitating digital payments, our dedicated
services seamlessly integrate into your revenue cycle management (RCM).
Transaction processing
Experience the speed and efficiency of real-time transactions as our cutting-edge
financial
transaction
systems handle each billing & payment with precision. Trust us to provide seamless transaction verification,
ensuring the accuracy and security of every financial transaction. Whether dealing with payment processing
or
managing complex financial transactions, our dedicated services integrate seamlessly into your revenue cycle
management (RCM) strategy. Experience the ease of managing transactions with our dedicated services,
designed
to meet the unique needs of your healthcare revenue cycle management business.
Secure payment methods
Secure your revenue cycle management process with our advanced solutions for payment
security. We prioritize
the safety of your financial transactions by implementing robust encryption methods, ensuring secure
transactions at every step. We can handle payment security precisely, incorporating cutting-edge fraud
prevention measures to safeguard your transactions. Our innovative tokenization techniques add a layer of
protection, providing peace of mind in an ever-evolving digital background. Whether dealing with online
transactions or day-to-day financial activities, our secure payment methods seamlessly integrate into your
revenue cycle management (RCM) strategy. Rely us for a transformative experience that prioritizes the
security
and integrity of your financial transactions, offering a reliable solution.
The vital check-points in payment posting
Accuracy and timeliness
Precision is the principal in Payment Posting. Efficient systems ensure that payments are accurately
recorded and promptly updated in the patient's financial record.
Verification and cross-checking
Payment Posting involves verifying the received payments against the billed amounts. Any discrepancies
must be identified and rectified promptly to maintain financial transparency.
Adjudication and denial management
Payment Posting includes the critical task of adjudication for insurance payments—interpreting the
insurance company's decision on the claim. Managing denials effectively is crucial to optimize
reimbursement.
Cash flow optimization
Timely and accurate Payment Posting accelerates the revenue cycle, enhancing cash flow for healthcare
providers. This, in turn, allows for improved financial stability and operational efficiency.
Reducing accounts receivable (AR) days
Efficient Payment Posting reduces accounts receivable days by promptly closing outpatient accounts.
This shortens the time between service delivery and revenue realization.
Enhancing financial transparency
Accurate Payment Posting fosters transparency in financial reporting, enabling healthcare
organizations to make informed decisions based on real-time economic data.
Mitigating compliance risks
Adherence to regulatory and compliance standards is paramount in healthcare. Proper Payment Posting
practices help mitigate compliance risks by ensuring accurate reporting and adherence to billing
regulations.
RND Softech stands as a trusted partner in revolutionizing payment posting
processes. With a focus on
innovation, accuracy and client satisfaction, we continue to be at the forefront of delivering
cutting-edge solutions that transform the way organizations manage their financial transactions.
The business world is being flattened by economics,
technology,
demographics and regulations. To win in this flattening world, companies must transform
their way of working to seek and convert new opportunities wherever those opportunities
may be. This means acquiring the ability to disaggregate your operations, people and
resources across time zones, geographies, cultures and sourcing and delivering.
Why should I
outsource to RND Softech?
By outsourcing to RND Softech, you will experience an immediate reduction of
up
to 60% in your manpower costs. We provide staff to take care of your
front end and backend operations. This will enable you to focus on
growing your business without having to worry about increasing
operational costs, employee attrition, etc.
What are the
services you offer?
We offer entire Revenue Cycle Management - a few of them being, data entry, insurance verification, authorization, Doctor's office followup, intake, order processing, billing, denial management, payment posting, inbound and outbound patient calling, 24 x 7 customer support, scheduling processes etc.
Do you have
experience of working in the healthcare industry?
Yes, we have more than 22 years of experience working in the US
healthcare industry. We have been providing medical transcription
services to hospitals across the United States since 1999 and DME/Home
care back office services since 2012.
What is your
onboarding period for a new employee/customer?
Anywhere between 1 to 14 days.
What would
be the FTE's working hours?
The FTE would work the US working hours, in the time zone of your
choice.
Is the
contract obligatory? Is there a minimum or maximum contract period?
Yes, but it is a no-obligations contract and is non-binding and there is no minimum contract period. The contract simply states that the two companies are entering into a partnership for the providing and receiving services. You can terminate the contract if you are not satisfied with the services. A notice period of 1 month is appreciated but not mandatory.
Are you
HIPAA compliant?
Yes, we are certified for HIPAA and Information Security Management
Systems.
Is there any
contract to be signed before getting started?
No, the contract is not obligatory and there is no minimum contract
period. The contract simply states that the two companies are entering
into a partnership for the providing and receiving services. You can
terminate the contract if you are not satisfied with the services. A
notice period of 1 month is appreciated but not mandatory.
Do you
follow FTE based billing or percentage of revenue generated billing?
We follow an FTE-based billing. One FTE (full time employee) works 8
hours a day, 5 days a week - a total of 40 hours a week.
How will I
be billed?
You will be sent an invoice each month mentioning the number of FTEs
agreed upon and the services provided.
How can I
make payments?
You can make payments through Paypal using your credit card or make a
wire transfer.
Are the
FTEs your own employees or do you subcontract to other smaller companies?
All our FTEs are employees of RND Softech and are dedicated to each client,
the
agent will not be shared with other clients
Where are you located?
We are located in Southern part of India.
Do you follow US holidays or
local?
Yes, We follow US holidays.
Are You Certified?
Yes we are one ISO 9001, ISO 27001, HIPPA and SOC2 Certificates.
Let us know Who you are !
Pricing Enquiry
RND Softech, is a 25 year old Pioneer Off-shore BPO staffing partner servicing the US , UK, Canada &
Australian
markets across 15+ Back office support domains.