Medical Billing & Revenue Cycle Management
- Full-cycle or modular RCM support
- Eligibility to collections, all in one team
- Denial management that fixes root causes
- Transparent AR and collections reporting
Why Medical Billing & RCM with VN Softverg
Revenue leaks happen quietly: a missed eligibility check, a claim submitted with the wrong modifier, a denial that no one follows up. VN Softverg's medical billing and revenue cycle management team plugs those leaks so providers get paid more of what they earn, sooner.
We support the full revenue cycle or the parts you need: insurance eligibility and benefits verification, charge entry, claim submission and scrubbing, payment posting, AR follow-up and denial management. Our team works in your practice management system and clearinghouse, following your payer rules.
You get clear visibility through regular reports on clean claim rates, days in AR, denial trends and collections. All work runs under HIPAA-aligned processes, with secure access and confidentiality controls for every team member.
Everything you need, under one roof
Eligibility & Benefits Verification
We verify coverage, benefits, copays and prior authorization requirements before the visit to prevent front-end denials.
- Verified eligibility records
- Prior authorization tracking
- Patient responsibility estimates
Charge Entry
Accurate, timely entry of charges, demographics and codes into your practice management system.
- Daily charge entry batches
- Charge reconciliation report
- Missing charge alerts
Claims Submission & Scrubbing
Claims are scrubbed against payer rules and submitted electronically, with rejections worked quickly through the clearinghouse.
- Clean claim submissions
- Clearinghouse rejection worklist
- Claim status tracking
Payment Posting
ERA and EOB payments, adjustments and patient payments posted accurately, with underpayments flagged for follow-up.
- Posted payment batches
- Deposit reconciliation
- Underpayment exception list
AR Follow-Up
Our AR team works aged claims by payer and value, calling payers and using portals to move claims to payment.
- Prioritized AR worklists
- Payer follow-up notes
- AR aging report by bucket
Denial Management & Appeals
We categorize denials, correct and resubmit claims, write appeals and report root causes to stop repeat denials.
- Denial trend analysis
- Appeal letters and resubmissions
- Root-cause prevention plan
Measurable from day one
Target share of claims accepted on first submission, agreed per client.
Typical turnaround commitment for charge entry from receipt of documents.
Typical target for average days in AR, depending on specialty and payer mix.
Standard cadence for collections, AR and denial trend reports.
A clear path from kickoff to results
Revenue Cycle Assessment
We review your workflows, AR aging, denial trends and systems to find the biggest gaps.
Onboarding
We set up secure system access, document payer rules and agree SLAs and reporting.
Transition
We take over tasks in phases, starting with a pilot so you can validate quality.
Steady-State Operations
Our team works daily queues for charges, claims, payments, AR and denials.
Review & Optimize
Monthly reviews track KPIs and drive fixes to front-end and coding processes.
The right stack for the job
- Faster reimbursement and steadier cash flow
- Fewer denials through front-end checks
- Lower billing cost than in-house teams
- Recovery of aged AR that would otherwise be written off
- Clear visibility into revenue cycle performance
- More time for providers to focus on patients
Built for teams like yours
Growing Practices
A physician group is adding providers faster than its billing staff can keep up.
Aged AR Cleanup
A practice has a large backlog of claims over 90 days that needs focused follow-up.
Billing Company Capacity
A US billing company needs an offshore team to handle volume across its client base.
High Denial Rates
A provider is losing revenue to repeat denials and needs root-cause fixes, not just resubmissions.
Staff Turnover Cover
A hospital billing office needs reliable support while it fills open positions.
Price your team in under a minute
Both. We can run the full cycle from eligibility to collections, or take on specific functions such as AR follow-up or denial management.
Related services
Medical Coding Services
ICD-10-CM, CPT and HCPCS coding by certified coders, with coding audits and specialty coding for US healthcare providers and billing companies.
Learn moreBack-Office & Data Operations
Data entry, document processing, data annotation and finance & accounting support, delivered by trained teams with built-in QA.
Learn moreCustomer Support & BPO
Voice, chat, email and technical helpdesk support with SLA-driven workflows, trained agents and transparent reporting, available 24/7.
Learn moreReady to start with Medical Billing & RCM?
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