Our Services | Edge Billing Solutions

Medical Billing Services

Our end-to-end medical billing services cover every aspect of your claim lifecycle. From patient demographic entry and charge capture to claim scrubbing, electronic submission, payment posting, and denial management — we ensure accuracy at every step. Our certified billers stay current with payer-specific rules and federal regulations to maximize your reimbursement on every claim.

Revenue Cycle Management

Our comprehensive Revenue Cycle Management (RCM) solution optimizes your entire financial workflow. We manage patient registration, insurance verification, prior authorizations, coding, billing, payment posting, and patient collections. With real-time dashboards and monthly performance reports, you gain complete visibility into your practice's financial health.

Provider Credentialing

Getting enrolled with insurance networks is essential for any practice. Our credentialing specialists manage the entire process — from initial application and document collection to follow-up and re-credentialing. We track deadlines, monitor CAQH profiles, and ensure your providers remain in-network without interruption.

Medical Coding Services

Accurate coding is the foundation of proper reimbursement. Our AAPC and AHIMA certified coders provide precise ICD-10-CM, CPT, and HCPCS coding for all specialties. We conduct regular audits, identify documentation gaps, and educate your clinical staff on coding best practices to ensure compliance and optimize revenue capture.

AR Recovery & Denial Management

Old accounts receivable can significantly impact your cash flow. Our AR recovery team aggressively follows up on aged claims, identifies denial patterns, appeals unjustified rejections, and recovers revenue you thought was lost. We provide detailed aging reports and actionable insights to prevent future AR buildup.

Practice Consulting

Sometimes your practice needs strategic guidance beyond billing. Our consulting services include workflow optimization, front-desk staff training, compliance audits, fee schedule analysis, and technology integration advice. We help you build efficient processes that reduce administrative burden and improve patient experience.

Prior Authorization Services

Prior authorizations can delay patient care and create administrative headaches. Our dedicated prior authorization team handles the entire process — from verifying requirements and submitting requests to tracking status and resolving issues. We work directly with payers to secure approvals quickly and keep your schedule running smoothly.

Patient Billing & Collections

Patient responsibility collections are more important than ever. We manage patient statements, payment plans, online payment portals, and follow-up communications with professionalism and sensitivity. Our approach balances compassionate patient relations with effective collection strategies that protect your revenue.