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Pharmacy Billing Services

Pharmacy Billing Services

Optimize your administrative functions to improve cash flow with our Pharmacy Billing Services

Is the constantly evolving, fast-paced healthcare industry presenting new and complex challenges for your pharmacy business? Are you battling challenges such as underqualified staff, incorrect drug documentation, and legacy billing systems? Optimize your processes for accurate invoice generation and timely order dispatch with our pharmacy billing services.

Outsourcing pharmacy billing adds agility and precision to your billing functions. As an experienced pharmacy billing services company, we deliver advanced solutions that address your administrative and operational challenges. Our pharmacy billing solutions are devised to enhance accuracy, improve third-party relationships, manage contracts, and complete reconciliations. Leverage our pool of skilled and certified staff, advanced, modern-day billing systems, and well-established documentation procedures to deliver value and improve your bottom line.

Pharmacy Billing Solutions We Offer

We take care of the entire pharmacy billing cycle from start to finish. this includes everything from patient authentication to payment postings. Our well-structured and comprehensive pharmacy billing solutions include -

  1. Patient Onboarding Data Capture

    Patient Onboarding Data CaptureAccurately record patient details such as medical history, medical reports, previous prescriptions, doctors visited, and more with our specialized patient onboarding data capture systems.

  2. Enumeration and Statistic Update

    Enumeration and Statistic UpdateAccurately document patient diagnosis and treatment summary, patient discharge summary, doctor's contact details, and other necessary documents to speed up the medical claims process with our enumeration services.

  3. Pre-authorization Services

    Pre-authorization ServicesEfficiently manage drug classification and pharmacy codes and lower medical claims delay or denial with precise pre-authorization services.

  4. Medication Refill Management

    Medication Refill ManagementProcess refills without delay, assist patients and repeat customers with quick and efficient meds refill, and send timely reminders for refill checks with our medication refill management services.

  5. AR Follow-up

    AR Follow UpBill pharma services are provided to clients correctly and on time, and follow up with patients and providers to ensure on-time payment collection with our AR follow-up services.

  6. Charge & Payment Posting

    Charge and Payment PostingCut the time spent on data entry with automated payment postings and appropriately capture end-of-day reimbursements with our charge and payment posting services.

Pharmacy Billing Process We Follow

We follow separate processes for generic drugs, brand-name drugs, and non-preferred drugs to minimize delays in payment postings and rejections. When you outsource pharmacy billing services to us, we follow a structured billing workflow, which involves -

 

01. Documentation

Our experts will work with your team to complete the documentation of medicines ahead of pre-authorization

 

02. Eligibility Verification and Billing

We effectively check the eligibility of your clients by verifying their healthcare and payment records before billing Medicare, Medicaid, or commercial insurers of your client

 

03. Plan Review & Authentication

After billing, we verify the Medicare part D to ensure the patient is covered under the right plan and communicate to the patient eligibility requirements and corrections if any

 

04. Billing Statements

In this step, we provide comprehensive electronic billing statements on pharma services availed by the patient and update records on billing services

 

05. Refill Management

During this stage, we service the refill needs of patients and even dispatch timely reminders to them on refill

 

06. Payment Capture & Posting

The payment released by insurers is posted into the client's account on a day-to-day basis so that the payment process stands captured correctly at the end of the day

Pharmacy medical Billing Software We Leverage

We bank on several automated tools to swiftly perform less critical and repetitive tasks like data capture. The software we use for billing management include -

NextGen Healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing

Why Should You Choose Our Pharmacy Billing Services Company?

We are an ISO-certified company backed by 23 years of experience in pharmacy billing services. Get reliable services that transform your revenue generation with our compliant billing techniques. Some of the unique benefits of choosing us are -

  • HIPAA Compliance

    We are an ISO-certified, HIPAA-compliant, and RBMA Corporate Partner. This ensures high-quality billing solutions and complete data security for sensitive patient information.

  • Secure Data Exchange

    We use VPN and secure FTP to facilitate the smooth exchange of project files without interruption and chances of data breaches.

  • High Quality

    We follow stringent quality measures to ensure accurate billing, document management, and optimization of other administrative tasks.

  • Modern Infrastructure

    Our process is driven by modern-day infrastructure that guarantees safe and fast operations without any downtime to improve operational efficiency.

  • Short Turnaround

    Our pharmacy billing solutions are designed to deliver under tight deadlines to give you faster and quality results with guaranteed 35% savings on time.

  • Easy Scalability

    Our services are highly scalable and can assist you to scale up your service by 85% and getting the best return on investment.

  • Experienced Team

    Our team consists of experienced pharmacy billing specialists and medical coders with deep knowledge of pharmacy medical billing and compliance audits.

  • Round the Clock Availability

    We work from different time zones across the globe and so make ourselves available round-the-clock to meet your needs.

  • Customized Pricing Options

    We offer our clients diverse pricing options that can save close to 35% of costs without impacting the quality of services.

Additional Services You Can Benefit From

Medical Transcription Services

Convert dictated reports from physicians and healthcare professionals into accurate text documents with our quality and time-bound transcription services.

Medical Billing Services

Get error-free medical bills generated and submitted to insurance companies for complete and on-time reimbursements with our end-to-end medical billing services.

Revenue Cycle Management Services

Our end-to-end revenue cycle management services are designed to eliminate coding errors and submit clean bills for timely and complete reimbursements from insurance payers.

Healthcare Claims Adjudication Services

Eliminate your claims settlement worries as we take care of claims adjudication services such as claims value determination, explanation of benefits, and more.

EMR Services

Maintain an electronic record of every patient and keep records updated for quality care with our EMR services for physicians, clinics, and hospitals.

Telehealth Services

Optimize telehealth services by streamlining video visit scheduling, on-demand visit scheduling, after-hours teleradiology services, and more.

Medical Animation Services

Get top-class and immersive medical animations developed with our advanced 2D and 3D solutions to address various healthcare needs.

Pharmacy Business Services

Manage your pharmacy processes efficiently with our end-to-end solutions such as pharmacy billing, order refills, order reminders, and more.

Customer Success Stories

Charge and Demographic Entries by Using the Kareo Software

Charge and Demographic Entries by Using the Kareo Software

A Houston-based client contacted Outsource2india to outsource charge and demographic entry. They faced a cash crunch along with employee turnover resulting in delayed claims submission. By proving a customized solution, we helped the client rake up 45% profits and the claims were verified with an accuracy of 98-99%.

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Provided patient Demographics and Charge Entry to a top US Medical Billing Company

Provided patient Demographics and Charge Entry to a top US Medical Billing Company

Outsource2india handled the complete medical billing process for a large medical billing company based in the US, improving productivity by 30% with error rates below 2%. We processed 150 files a month with an error rate of just 2%.

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Testimonials

I wanted to inform you of what a great job O2I is doing for our firm. Vinoth Kumar and his team have done amazing work & are extremely reliable. We definitely consider O2I a part of our strategic plans moving forward. Initially, we needed to get a feel of your services & expertise in order to move forward on other enterprise accounts, & now we have the confidence in doing so.

Managing Director,
Medical Billing Company, USA
More Testimonials »

Outsource Pharmacy Billing Services to Minimize Churn and Boost Revenue

Pharmacy billing is a high-stake job marked by regular misses and slip-ups. The problem gets compounded by challenges like attrition and fluctuating work volumes. As an experienced pharmacy billing services expert, we assist our clients to surmount these challenges by providing -

  • A large pool of qualified professionals to manage fluctuating work volumes, check attrition, and maintain quality customer service.
  • Proper documentation to meet the needs of different drug categories and audit requirements.

Minimize churn, maximize cash flow, and deliver value with our quick and efficient pharmacy billing services.

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Starts @ $1280-1440
per FTE/month

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