MedConverge offers healthcare revenue cycle management, along with consulting, medical billing and coding services.

Health Care

Hospital

Payments

MedConverge

MedConverge's headquarters in Duluth, GA, United States

Sirisha Bommireddipalli

Srikant Bommireddipalli

The Payment Processing team at MedConverge is responsible for ensuring the accurate and timely posting of payments received from healthcare providers and insurance companies. They manage payment reconciliations, investigate discrepancies, and collaborate closely with billing and coding teams to optimize revenue cycle efficiency. By leveraging subject matter expertise and streamlined processes, they help enhance cash flow and financial accuracy for healthcare clients.

Payment Processing

The Medical Billing and Coding team at MedConverge is responsible for accurately translating healthcare services into standardized codes for billing purposes, ensuring timely and accurate reimbursement for medical providers. They handle claims processing, maintain compliance with regulations, and provide training and expertise in coding practices. This team plays a crucial role in optimizing the revenue cycle management process, improving efficiency, and minimizing billing errors.

Medical Billing and Coding

The Accounts Receivable and Denials team at MedConverge is responsible for managing the collection of payments from clients and ensuring that revenue-related processes run efficiently. They handle denial management by analyzing rejected claims, strategizing appeals, and facilitating timely resolution to maximize revenue recovery. Additionally, the team collaborates with other departments to streamline billing, eligibility verification, and authorization processes to enhance overall revenue cycle performance.

Accounts Receivable and Denials

The Patient Relations team at MedConverge is responsible for ensuring effective communication and support for patients throughout the healthcare revenue cycle. They handle patient inquiries, manage authorizations, and assist with eligibility verification, ensuring a smooth experience for patients while facilitating the processing of claims and addressing concerns related to billing and services.

Patient Relations

The Credentialing and Eligibility team at MedConverge is responsible for verifying provider qualifications and ensuring compliance with healthcare regulations, thereby facilitating the credentialing process for medical professionals. They also handle patient eligibility checks and authorization processes to ensure that billing and services align with insurance coverage, maximizing revenue recovery for the company. The team's collaborative efforts help enhance operational efficiency and ensure quality service delivery within healthcare revenue cycle management.

Credentialing and Eligibility

The Charting and Quality Assurance team at MedConverge is responsible for ensuring accurate and compliant documentation of patient records throughout the revenue cycle. This team conducts detailed reviews of charting processes, implements best practices, and assures the quality of medical coding and billing to optimize operational efficiency and maintain high standards in healthcare delivery. By collaborating closely with process associates and trainees, they foster a culture of continuous improvement and adherence to regulatory requirements.

Charting and Quality Assurance

The Human Resources and Support team at MedConverge is responsible for recruiting, training, and nurturing talent to ensure a skilled workforce that aligns with the company’s healthcare revenue cycle management goals. They facilitate communication between team members and clients, oversee employee relations and performance management, and provide essential administrative support to enhance operational efficiency.

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Other teams

Medical Billing and Coding

Accounts Receivable and Denials

Patient Relations

Credentialing and Eligibility

Charting and Quality Assurance

Human Resources and Support