Finding such accounts within a massive pool of health insurance claims is a tedious and challenging task that often requires manual inquiry of each claim’s status. The process becomes even more complicated and tedious when it comes to out-of-network claims, where the rules and conditions of reimbursements are mostly unwritten. As the claims process continues to get more complex, healthcare providers need an expert on their side to level the playing field with payers.
Functioning as a leading RCM company since 2006, Collect Rx specializes in helping in and out-of-network providers manage claims and maximize their reimbursements. The company manages their AR and enhances their cash flow, allowing clients to focus on their core operations—delivering the best patient care.
Collect Rx achieves all these with its proprietary business tool CRXIS, which helps maximize reimbursement among providers. By reviewing thousands of accounts and identifying claims that require immediate attention, the company is able to zero in on claims that are likely to result in additional dollars for their providers. The company’s robust CRXIS solutioncalculates the minimum waiting time before declaring an insurance claim as default and identifies claim denials and underpayments, triggering their revenue cycle experts to spring into action.
“What we have created here is a game-changing solution in the claims space. Being able to quickly identify the accounts that require attention, our solution eliminates the need for sifting through every single account, and improves revenue cycle performance,” says Kristina Donahue, VP of Collect Rx.
What we have created here is a game-changing solution in the claims space. Being able to quickly identify the accounts that require attention, our solution eliminates the need for sifting through every single account, and improves revenue cycle performance
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Being able to quickly identify the accounts that require attention, our solution eliminates the need for sifting through every single account, and improves revenue cycle performance
Committed to aligning with the growing need for establishing a balance between in and out-of-networkclaims, Collect Rx continues to hire experts who are adept at seamlessly navigating between a providers’ network participation status. Consequently, the organization is among the best at managing the full receivables of both in and out-of-network providers.
“We serve as a one-stop shop provider, capable of offering unrivaled services to healthcare organizations, regardless of their network participation status,” states Donahue. To that end, Collect Rx continues to find the claims and streamlines the transactions between healthcare providers and insurance companies, saving them money and time.
