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OUR BILLING PROCESS

Orion Medical Billing tailors our services to provide you with the knowledge and tools you need to be a successful professional and provides you with comprehensive billing solutions to ensure your practices success. Every aspect from software training and support services, collection solutions and provider credentialing. You'll have the ability to focus more on your patients while we generate and maintain your revenue cycle.

 

OVERVIEW

Orion Medical Billing works with you to design a billing system for your office that will get us the information to process your billing in a more streamlined and efficient way. We work with you to tailor the entire medical billing process to suit your practices needs while making it as smooth and painless as possible.

 

INFORMATION SHARING

There are several options for sharing the data. We are very flexible about how we exchange information with you and we want to do it in a easy but secure HIPAA compliant manner. Options include cloud-based file sharing software, electronic transmissions, US mail, fax and Remote connection software. We customize information exchange to suit your practices needs.

 

CLAIMS PROCESSING AND FOLLOW-UP

One of the main points of outsourcing and using a billing service is that we do all the processing and the follow-up on claims. You are relieved of the burden of worrying about which claims were paid, how to resolve denied and rejected claims, and checking claims that were processed but never paid. We have a very thorough system which ensures all claims are processed in a timely manner. We contact the insurance companies immediately on any denied claims and claims that have not been adjudicated. We also review claims that are paid at a lower rate than we expected.

 

HOW DO PAYMENTS WORK

There are a couple options for you to choose from, you just need to decide what makes the most sense for your practice. Checks can be sent directly to your practice mailing address or office. The second option is to have payments made by direct electronic fund transfer via ACH directly from the insurance companies into your bank account. We can discuss which of these options works best for your practice. 

 

PAYMENT POSTING

For many insurance companies, we receive an electronic remittance advise which shows the payment received, and we input this data directly into the system. If a payer sends out a paper EOP, which accompanies the check, when you receive the payment you will need to send us a copy. Whether the claim is paid electronically or by paper check, as soon as the payments are posted, we immediately follow-up on any denials, unpaid claims or claims paid lower than the regular allowable rate. 

 

BILLING INQUIRIES AND PATIENT PHONE CALLS

We can arrange for billing inquiries or patient billing questions to be directed to one of our team members if you do not want to manage it in-house. 

 

BILLING COMPENSATION

We charge a percentage of the amount you receive on each claim which includes insurance payments, co-insurance and copays. We do not get paid until you do, and our payments are based only on the amounts you receive, not the amounts billed. We send you an invoice each month along with the report of all the payments received and showing the amount owed to us. The amount owed to us is due upon receipt.

 

CUSTOMER SUPPORT

We pride ourselves on offering top tier customer service. We custom tailor your practice's billing package and when you or your patient's call, they will be directed to the current team member who manages your account. You will have HIPAA compliant communication and data retention on our part. We do our best to respond to inquiries via phone and email as promptly as possible. We believe that top tier customer service and clear communication are two of the most important aspects of good billing service.

BECOME OUR CLIENT

Whatever your current billing situation is, we will work with you to make sure that there is a smooth transition into our service. The initial setup and onboarding process can take several weeks depending on the size and complexity of your practice. In that time we work with you or an assigned agent to get physically and remotely integrated into your environment and setup the necessary systems to be as efficient as possible. Our client spots are limited as we work to maintain a high level of customer service. As such, we limit how many clients we take on at any given time to be able to maintain a high level of customer service. We would love to work with you or put you on our waiting list should our client load fill up. If you are interested in working with Orion Medical Billing, please feel free to reach out to us via email or phone and we will talk with you and see if we are a good fit.

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