A Solutions Based Approach that drives achievement of our vision through a value proposition in solving important business priorities of healthcare organizations.
Improve Service Quality
We develop constancy of purpose in every process, resource, and system investment. We understand actionable data, performance measures, and gain data driven insights.
Increase Operational Efficiency
We deliver expertise in increasing throughput yield and collecting revenue faster and fuller. We operationalize Revenue Integrity across the end-to-end service cycle.
Reduce Cost to Collect
We drive leaner processes, optimize resource utilization, and avoid costly errors and risks. We are keen in making your business profitable so you can focus on creating premier patient experiences.
Revenue Cycle Management Operating Drivers
- Repeatable processes
- Understanding and creating operating procedure
- Structured operational workflow between multiple facilities
- All SLA’s / KPI’s in accordance with MGMA standards
- Robust internal workflow tool to carry out the daily workflow, capacity, and efficiency
- A comprehensive Plan B in place for business continuity
Revenue Cycle Management Solutions
We provide the following services to promote efficiency and accuracy in your billing.
Credential Management
Gentek Provides complete physician credentialing services adhering to guidelines determined by state regulations, private and government payers, and hospitals. Gentek monitors these guidelines on behalf of our clients to ensure individual physician files remain accurate and up to date.
Includes:
- Retrieval of all information needed for the credentialing and contracting process
- Records maintenance in our secure database
- CAQH, PECOS, data reformatting to accommodate various forms used by carriers, hospitals, and other healthcare organizations
- Submitting the applications and renewals in a timely manner
- Inform about upcoming renewals
- Assistance with re-negotiating current contracts
Eligibility and Benefits Verification
The Electronic Eligibility Verification allows instantly verifying insurance benefits with more than 200 payors. Apart from e-elgibility, we verify the information via relevant insurance portals online as well as live follow-up with insurance representatives to deliver the best outcome for our clients.
Referrals and Preauthorization
We provide full phone, fax, and email support to obtain the prior approval necessary to acquire reimbursement.
Our precise methodology produces consistency and eliminates the risk of errors. Every step included in the process is accomplished with perfection to ensure that an accurate and error free claim is submitted to the insurance carriers the first time.
Includes:
- Detail medical documentation review
- CPT coding
- ICD-10 coding
Bill
We provide an end-to-end, reliable billing process that pays for itself. Our dedicated and professional staff are experts in your specialty which promotes efficiency and accuracy in billing.
- Charge posting/entry
- Claim review and approval
- Claim submission – Electronic
- Claim submission – paper
- Scans/Charge reconciliation
- Rejections management
- Secondary & tertiary insurance billing
Payment Posting
Gentek provides thorough process of posting paper and electronic remittances.
Payment posting includes:
- Payor enrollments (EDIs, ERA, EFT Management)
- Manual posting (EOB)
- ERA posting
- Daily/Monthly cash reconciliation
- Denial & cash application
- Denial posting
- Credit balance resolution
Denial Management
Gentek team analyze, resolve and implement corrective actions across the revenue cycle through the root cause analysis of any denial condition or nonpayment scenario.
Account Receivable (Collections)
We provide assurance to our clients that unpaid claims are touched and more importantly fixed during the collection process to maximize the profitability of our clients.
Account receivable includes:
- Insurance collections (30+, 60+, 90+, 120+ AR)
- Appeals
- Old AR collections
- Cash acceleration programs
- Micro balance projects
We provide exceptional leadership to ensure outstanding customer service and client satisfaction via dedicated CASH team. We will assess the overall level of service and quality while ensuring financial performance objectives are met. CASH team ensures customer success, onboarding, support services, service adoption and improvement, retention and outcomes.
- Onboarding
- Reporting (daily/weekly/monthly/Quarterly/Annual reports)
- Client weekly/monthly/Quarterly calls
- Practice performance analysis
- Root cause analysis and solutions
- Client Dashboards and actionable insights
Patient statement
We have a dedicated team to handle patient statements and mail patient statements immediately after posting their insurance payments.