Our Process
How We Work
From onboarding to reporting, our streamlined 5-step process ensures your revenue cycle runs smoothly and efficiently. We handle the complexity so you can focus on delivering excellent patient care.
- Step 1
Onboarding
We start by understanding your practice, specialties, payer mix, and specific needs. Our team conducts a thorough assessment of your current billing operations to identify areas for improvement.
- Comprehensive practice assessment and workflow analysis
- Dedicated account manager assigned to your practice
- EHR/PM system integration and setup
- Staff training on documentation best practices
- Custom billing workflow tailored to your specialty
- Step 2
Coding & Billing
Our certified coders review all clinical documentation and apply accurate ICD-10, CPT, and HCPCS codes. We prepare clean claims daily, ensuring every charge is captured and coded correctly before submission.
- Certified coders with multi-specialty expertise
- Charge capture review to prevent missed revenue
- Code auditing for compliance and accuracy
- Modifier selection and bundling optimization
- Documentation feedback to improve future coding
- Step 3
Claims Submission
We submit claims electronically to insurance payers within 24 hours of receiving documentation. Our 99.9% acceptance rate means fewer denials, faster payments, and more revenue for your practice.
- Electronic claim submission within 24 hours
- Pre-submission scrubbing for error prevention
- Timely filing compliance across all payers
- Batch processing for high-volume practices
- Real-time claim status tracking
- Step 4
Follow-Up & Collections
Our team performs daily follow-up on all billed claims. We handle denials, appeals, and negotiations aggressively to maximize your reimbursement and reduce your days in accounts receivable.
- Daily follow-up on all outstanding claims
- Denial management with root cause analysis
- Appeal preparation and submission
- Out-of-network negotiation for maximum reimbursement
- Patient billing and statement management
- Step 5
Reporting & Analytics
We provide real-time reports and analytics so you always know where your revenue stands. Transparent dashboards give you full visibility into your financial performance, trends, and opportunities.
- Real-time financial dashboards and KPI tracking
- Monthly performance reports with actionable insights
- Denial trend analysis and prevention recommendations
- Payer performance comparison and contract analysis
- Revenue forecasting and benchmarking
What to Expect
Your Experience with Simplify Billing Services
When you partner with us, here is what you can expect from day one.
Seamless onboarding completed in 1-2 weeks
Dedicated account manager available during business hours
99.9% claim acceptance rate from day one
Revenue increase of 10% or more within the first year
24/7 access to real-time financial reports and dashboards
Monthly strategy meetings to review performance and goals
Full HIPAA compliance and data security at every step
Transparent pricing with no hidden fees — billing starts at 2.49%
Ready to Get Started?
Let us streamline your billing process and boost your revenue. Our team is ready to onboard you in as little as 1-2 weeks.