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Our RCM Team

Our RCM Team

At Enhance RCM, we pride ourselves on having dedicated and skilled teams to manage every aspect of the revenue cycle process. From front-end tasks such as patient eligibility verification to back-end functions like denial management, our teams work tirelessly to ensure optimal financial performance for our clients. Here's an overview of the different teams and their responsibilities.

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Front-End Revenue Cycle Teams
    • Revenue Cycle Analytics Team: Analyzes revenue cycle data to identify trends and areas for improvement.
    • Patient Demographic Entry Team: Captures and maintains essential patient demographic information accurately.
    • Charge Entry Team: Inputs and manages charges for medical services rendered.
    • Pre-authorization and Pre-certification Services Team: Obtains pre-authorizations or pre-certifications from insurance companies.
Mid Revenue Cycle Teams
    • Medical Coding Services Team: Assigns appropriate medical codes to diagnoses, procedures, and services.
    • Claim Submissions Team: Prepares and submits claims to insurance companies.
    • Rejection Management Team: Identifies and resolves issues with rejected claims.
    • Compliance Audits and Monitoring Team: Conducts regular audits and monitoring to ensure compliance.
Back-End Revenue Cycle Teams
    • Payment Posting Services Team: Records and reconciles payments received from insurance companies and patients.
    • Accounts Receivable (AR) Management Team: Manages outstanding accounts receivable efficiently.
    • Denial Management Services Team: Addresses claim denials promptly and effectively.
    • Provider Credentialing and Enrollments Team: Facilitates provider credentialing and enrollments with insurance companies.
    • ERA, EDI, and EFT Enrollments Team: Sets up electronic data interchange, electronic funds transfer, and electronic remittance advice enrollments.
    • Patient Statement Services Team: Generates and sends patient statements for outstanding balances.
    • Contract Management Team: Manages contracts with insurance companies, including negotiation and renewal.
Cross-Cutting Functional Teams
    • Revenue Cycle Analytics Team: Analyzes revenue cycle data to identify trends and areas for improvement.
    • Patient Financial Counseling Team: Provides financial counseling services to patients.
    • Quality Assurance and Performance Improvement Team: Implements processes for continuous quality assurance and performance improvement.

Let’s enhance & simplify your performance

Let us manage your billing for you so that you can get back to doing what you do best and we look in the future.

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