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USI Healthcare Services

End-to-End Revenue Cycle Support

USI Healthcare supports healthcare organizations across multiple stages of the revenue cycle. From activities that take place before the patient encounter to claims, payments, denials, and accounts receivable follow-up, our objective is to create better control across the revenue cycle.

Our Services

End-to-End Revenue Cycle Support

USI Healthcare supports healthcare organizations across multiple stages of the revenue cycle.

From activities that take place before the patient encounter to claims, payments, denials, and accounts receivable follow-up, our objective is to create better control across the revenue cycle.

Front-End Revenue Cycle Services

Building a stronger revenue cycle starts with accurate information before the claim is ever submitted.

Healthcare professional reviewing patient information
Front-End Revenue Cycle Eligibility & Benefits Verification
Eligibility & Benefits Verification

Eligibility & Benefits Verification

Start the Revenue Cycle With Accurate Information

Many reimbursement problems begin before a claim is ever submitted.

Accurate insurance eligibility and benefits verification helps healthcare organizations identify coverage information, patient responsibilities, and potential billing issues before services are rendered.

Our team supports eligibility verification workflows by reviewing available insurance information and helping ensure relevant coverage details are properly documented within the client's workflow.

Service Scope

  • Insurance eligibility verification
  • Primary and secondary insurance review
  • Coverage status verification
  • Effective date verification
  • Copayment review
  • Coinsurance review
  • Deductible information review
  • Benefit information review
  • Patient responsibility identification
  • Demographic and insurance information validation
  • Documentation and system updates according to client workflow
  • Identification of missing or inconsistent information

Business Value

  • Reduce avoidable front-end errors
  • Improve billing readiness
  • Identify patient responsibility earlier
  • Support cleaner downstream claims
  • Reduce rework caused by incorrect insurance information
Strengthen Your Front-End Revenue Cycle
Healthcare authorization workflow
Front-End Revenue Cycle Prior Authorization
Prior Authorization

Prior Authorization

Reduce Authorization-Related Delays

Prior authorization can be time-consuming, payer-specific, and operationally demanding.

Missing or incomplete authorization can lead to delayed care, additional administrative work, and reimbursement challenges.

USI Healthcare supports provider teams with structured prior authorization workflows designed to improve visibility and follow-up.

Service Scope

  • Authorization requirement verification
  • Payer guideline review
  • Required information gathering
  • Authorization request preparation
  • Request submission support
  • Status follow-up
  • Authorization number documentation
  • Escalation of pending or problematic requests
  • Communication of authorization status
  • Documentation within client-approved systems

Business Value

  • Reduce administrative workload
  • Improve authorization visibility
  • Minimize preventable authorization-related issues
  • Improve communication between billing and clinical teams
  • Support smoother downstream billing
Talk to Our Prior Authorization Team
Patient registration and healthcare administration
Front-End Revenue Cycle Patient Registration & Demographic Support
Patient Registration & Demographic Support

Patient Registration & Demographic Support

Better Claims Begin With Better Data

Incorrect patient demographics and insurance information can create unnecessary claim rejections and billing delays.

Our patient registration support services focus on improving the quality and completeness of the information entering the revenue cycle.

Service Scope

  • Patient demographic review
  • Insurance information validation
  • Data completeness review
  • Identification of missing information
  • Correction workflows according to client instructions
  • Patient account updates
  • Insurance sequencing support

Business Value

Clean information at the beginning of the revenue cycle helps reduce avoidable downstream work.

Mid-Revenue Cycle Services

Structured billing, charge capture, and coding workflows help maintain accuracy through the middle of the revenue cycle.

Healthcare revenue cycle billing team
Mid-Revenue Cycle Medical Billing
Medical Billing

Medical Billing

Experienced Medical Billing Support From Claim Creation to Resolution

Medical billing is more than submitting claims.

A healthy billing operation requires accuracy, timely action, payer knowledge, documentation discipline, follow-up, and visibility across every stage of the claim life cycle.

USI Healthcare provides experienced medical billing professionals to help healthcare organizations maintain structured billing workflows.

Service Scope

  • Charge entry support
  • Claim preparation
  • Claim review
  • Claim submission
  • Clearinghouse rejection review
  • Corrected claim workflows
  • Claim status monitoring
  • Billing issue identification
  • Follow-up support
  • Payment reconciliation support
  • Revenue cycle reporting support

Our Approach

Every claim represents revenue earned through patient care.

Our objective is to help ensure that claims move through the revenue cycle with the attention and follow-up they require.

Healthcare documentation and charge review
Mid-Revenue Cycle Charge Entry & Charge Review
Charge Entry & Charge Review

Charge Entry & Charge Review

Protect Revenue at the Point of Charge Capture

Missing, delayed, or inaccurate charge information can affect the entire revenue cycle.

Our team supports accurate and timely charge entry using client-established workflows and documentation.

Service Scope

  • Charge entry
  • Charge information validation
  • Demographic and insurance cross-checks
  • Identification of incomplete charge information
  • Workflow-based charge review
  • Pending charge follow-up
  • Exception reporting

Business Value

  • Improve billing accuracy
  • Reduce avoidable processing delays
  • Support timely claim generation
  • Improve visibility into charge-related exceptions
Healthcare coding and clinical documentation
Mid-Revenue Cycle Medical Coding Support
Medical Coding Support

Medical Coding Support

Accuracy Matters at Every Code

Medical coding sits at the intersection of clinical documentation, reimbursement, payer requirements, and compliance.

Our approach emphasizes experience, accuracy, documentation awareness, and consistent processes.

Service Scope

Depending on engagement requirements, support may include:

  • Diagnosis coding support
  • Procedure coding support
  • Coding review
  • Coding quality checks
  • Documentation review workflows
  • Coding-related claim issue review
  • Coding audit support
  • Provider query workflow support

Important

Specific coding specialties and certifications should be displayed on this page based on the verified credentials of the USI Healthcare coding team.

Discuss Your Coding Requirements

Back-End Revenue Cycle Services

Payment posting, A/R, denial management, and credit balance support help move outstanding revenue toward resolution.

Healthcare financial operations
Back-End Revenue Cycle Payment Posting
Payment Posting

Payment Posting

Turn Remittance Information Into Revenue Visibility

Accurate payment posting is essential for understanding the true financial status of patient accounts.

Our team supports structured posting of payments, adjustments, and remittance information according to client-approved workflows.

Service Scope

  • Electronic remittance posting
  • EOB payment posting
  • Insurance payment posting
  • Patient payment posting
  • Adjustment posting
  • Denial code capture
  • Unapplied payment identification
  • Payment variance identification
  • Exception handling
  • Reconciliation support

Business Value

Accurate posting provides cleaner account balances and gives downstream A/R teams better information for follow-up.

Healthcare revenue cycle team reviewing accounts
Back-End Revenue Cycle Accounts Receivable Management
Accounts Receivable Management

Accounts Receivable Management

Don't Let Earned Revenue Sit Unresolved

Aging accounts require consistent attention.

Our A/R professionals analyze outstanding claims, identify the reason for non-payment, determine the appropriate next action, and follow the account through the resolution process.

Service Scope

  • Insurance A/R follow-up
  • Claim status review
  • Aging account analysis
  • Payer follow-up
  • No-response claim follow-up
  • Rejected claim review
  • Corrected claim coordination
  • Documentation request follow-up
  • Underpayment identification support
  • Account escalation
  • Appeal workflow support
  • Aging trend reporting

Our A/R Philosophy

We do not believe A/R management should simply mean making more calls.

Effective A/R management begins by understanding why a claim remains unpaid and what action is most likely to move it forward.

Take Control of Your Aging A/R
Healthcare professionals reviewing claim issues
Back-End Revenue Cycle Denial Management
Denial Management

Denial Management

Resolve Today's Denials. Learn From Tomorrow's.

Claim denials are not simply unpaid claims.

They are signals that something in the revenue cycle may require attention.

USI Healthcare approaches denial management through both resolution and root-cause awareness.

Our team reviews denied claims, determines the appropriate course of action, follows payer requirements, supports corrections or appeals, and helps identify recurring denial patterns.

Service Scope

  • Denial identification
  • Denial categorization
  • Root-cause review
  • Payer guideline review
  • Corrected claim coordination
  • Appeal preparation support
  • Appeal follow-up
  • Authorization-related denial review
  • Eligibility-related denial review
  • Coding-related denial workflow support
  • Filing limit review
  • Documentation-related denial follow-up
  • Recurring denial trend reporting

Business Value

  • Improve visibility into denial causes
  • Recover appropriate outstanding reimbursement
  • Reduce repeated manual rework
  • Identify preventable denial patterns
  • Help strengthen upstream revenue cycle processes
Let's Review Your Denial Workflow
Healthcare financial account review
Back-End Revenue Cycle Credit Balance & Refund Support
Credit Balance & Refund Support

Credit Balance & Refund Support

Maintain Cleaner Patient and Payer Account Balances

Credit balances require careful review to identify the reason for the credit and determine the appropriate resolution.

Our team can support credit balance review and refund workflows based on client policies and applicable payer requirements.

Service Scope

  • Credit balance identification
  • Account research
  • Duplicate payment review
  • Overpayment review
  • Adjustment validation support
  • Refund workflow support
  • Documentation
  • Exception escalation

Consultative & Administrative Support

Structured administrative support and meaningful reporting help healthcare organizations maintain visibility and accountability.

Healthcare provider enrollment and credentialing
Administrative Support Provider Enrollment & Credentialing
Provider Enrollment & Credentialing

Provider Enrollment & Credentialing

Keep Provider Participation Moving Forward

Provider enrollment and credentialing involve multiple payers, documentation requirements, follow-ups, and deadlines.

USI Healthcare supports healthcare organizations with structured coordination of provider enrollment and credentialing activities.

Service Scope

  • Provider information collection
  • Application preparation support
  • Payer enrollment coordination
  • Application submission support
  • Status follow-up
  • Missing information follow-up
  • Revalidation tracking
  • Credentialing status reporting
  • Documentation management
  • Escalation support
Simplify Provider Enrollment
Healthcare revenue cycle reporting dashboard
Operational Visibility Revenue Cycle Reporting & Operational Visibility
Revenue Cycle Reporting & Operational Visibility

Revenue Cycle Reporting & Operational Visibility

Visibility Creates Accountability

Outsourcing should not mean losing control.

USI Healthcare believes clients should understand what is happening within their revenue cycle operations.

Our engagement model emphasizes meaningful reporting, workflow visibility, exception tracking, and regular communication.

Depending on the scope of the engagement, reporting can focus on areas such as:

  • Work volumes
  • Productivity
  • Turnaround time
  • Aging
  • Claim status
  • Denial trends
  • Pending inventories
  • Escalations
  • Process exceptions
  • Operational observations

Our Goal

You should never have to wonder what your RCM partner is working on.

Let's Strengthen Your Revenue Cycle

Whether you need support with front-end workflows, billing, coding, payment posting, A/R, denials, provider enrollment, or operational visibility, USI Healthcare can help you evaluate the right operational approach.

RCM ASSESSMENT

Start With a Conversation.

Let's first understand whether USI Healthcare is the right operational fit for your organization.

Share a few details about your organization and revenue cycle needs. Our team can review the information and understand where support may be appropriate.

No generic sales pitch. The first step is simply understanding your operational requirements.

RCM Assessment

Tell us a little about your organization.

No generic sales pitch. Let's first understand whether USI Healthcare is the right operational fit for your organization.