From patient registration to final payment — we manage every step of your revenue cycle with certified expertise, advanced claim scrubbing, and relentless follow-up so you get paid faster and in full.
Medical billing is the process of translating healthcare services into standardized codes — then submitting, tracking, and collecting payment from insurance payers and patients. It is the financial backbone of every healthcare practice.
When done correctly, billing ensures that every procedure performed and every service rendered results in accurate, timely reimbursement. When done poorly, it leads to denials, delayed payments, underpayments, and cash flow problems that can cripple even a thriving clinical operation.
Probiz takes ownership of this entire process — from charge capture and coding through claims submission, denial management, and patient billing — so your administrative burden disappears and your revenue flows predictably.
Every service your revenue cycle needs — managed by certified specialists under one roof.
End-to-end financial operations from patient registration to final payment posting. We own the entire cycle and are accountable for every dollar.
Explore RCMComprehensive front-to-back billing management — eligibility verification, charge capture, claims submission, payment posting, and patient statements.
Explore BillingElectronic claim submission through secure clearinghouse connections. Every claim scrubbed against thousands of payer-specific rules before transmission.
Explore ClaimsSystematic, data-driven approach to identifying, appealing, and preventing claim denials. Root-cause analysis ensures the same denial never recurs.
Explore DenialsAggressive follow-up on aging accounts receivable. We recover revenue from claims 30, 60, 90, and 120+ days old that most practices have written off.
Explore AR RecoveryCAQH, PECOS, and commercial payer enrollment handled completely. Get paneled with priority payer networks faster so you can start billing without delay.
Explore CredentialingAAPC and AHIMA certified coders across ICD-10-CM, ICD-10-PCS, CPT, and HCPCS. Specialty-specific expertise ensures maximum accurate reimbursement.
Explore CodingTailored billing solutions for solo providers, multi-provider groups, and concierge practices. E&M optimization and specialty coding expertise included.
Explore Physician BillingInpatient DRG optimization and outpatient HOPD compliance. UB-04 claims, ICD-10-PCS coding, APC assignment, and RAC audit defense — all managed.
Explore Hospital BillingExplore our comprehensive capabilities across specialized billing, technology, operations, and staffing.
Complex care modalities including Laboratory, Imaging & Radiology, Chronic Care Management, and Remote Patient Monitoring.
Explore Phase 1Integrated Practice Management software, clinical documentation systems, and custom claim scrubbing rules.
Explore Phase 2BI Reporting, HL7 Data Integration, Robotic Process Automation (RPA), and Lean Six Sigma QMS implementations.
Explore Phase 3Dedicated remote healthcare staffing solutions, detailed capability overviews, and client satisfaction metrics.
Explore Phase 4Our proven 5-step process turns every clinical encounter into collected revenue — reliably and accurately.
Insurance verified in real time before every appointment. Demographics confirmed, benefits checked, copays identified.
Clinical services translated to accurate ICD-10 and CPT codes by certified coders. No undercoding, no overcoding.
Every claim checked against comprehensive payer-specific rules before electronic submission to the clearinghouse.
ERA/EOB processed and posted. Underpayments identified and disputed. Denials appealed within 24 hours.
Monthly KPI dashboards. Collection rates, denial trends, A/R aging, and payer performance tracked and shared.
In-house billing teams are expensive, hard to train, and vulnerable to turnover. When your biller leaves, your cash flow suffers for weeks. Probiz is the solution.
No salaries, no benefits, no recruitment, no training costs. You pay only for results — on a percentage of collections model that aligns our success with yours.
AAPC and AHIMA certified coders with specialty-specific training. You benefit from deep expertise without spending months recruiting and training staff.
Payer policies change constantly. Our team tracks LCD/NCD updates, fee schedule changes, and coding guideline revisions so you never fall behind.
Real-time dashboards and monthly reports give you complete visibility into your revenue cycle performance. You always know exactly what's happening with your money.
Full BAA executed on day one. Encrypted data handling, zero-trust network access, and a documented compliance program that protects your practice from liability.
Adding a provider, opening a new location, or expanding to a new specialty? Our team scales immediately. No recruitment lag, no training delays — just capacity.
Dedicated specialty pods with deep domain expertise across every major clinical discipline.
Every aspect of our operations is built around regulatory compliance. We don't just meet the minimum — we maintain institutional-grade security and compliance practices that protect your practice and your patients.
Quick answers to the questions practices ask most before outsourcing their billing.
Medical billing refers specifically to the process of submitting claims to payers and collecting payment for services rendered. Revenue Cycle Management (RCM) is the broader, end-to-end financial process — it starts at patient registration and insurance verification and ends only when all balances are fully resolved. RCM includes billing, but also encompasses scheduling, prior authorization, coding, denial management, reporting, and strategic optimization of your entire financial workflow.
In most cases, no. Our team is experienced with all major EHR and PMS platforms including Epic, Cerner, eClinicalWorks, AdvancedMD, Athenahealth, Kareo, and many others. We log in to your existing system via secure, encrypted connections and work within your established clinical workflows — so there's zero disruption to your front-office operations.
Our structured onboarding process typically takes 2 to 4 weeks, depending on the complexity of your practice and your current software environment. We operate in parallel during the transition period — meaning your claims continue going out without interruption while we integrate our processes. By the time the transition is complete, everything is seamlessly in place with no gap in your cash flow.
Our primary model is a percentage of net collections — meaning we only earn when you get paid. This perfectly aligns our incentives with yours. The exact percentage depends on your practice size, specialty, and monthly claim volume. We provide a fully transparent proposal with no hidden fees. Contact us for a custom quote tailored to your specific situation.
Denied claims are reviewed by our denial management specialists within 24 hours of receipt. We identify the root cause, correct the issue, and file a formal appeal with the payer within the required timeframe. Beyond individual appeals, we track denial patterns and implement preventive fixes to reduce future denials from the same root cause — ensuring your first-pass rate improves over time.
Absolutely. We operate under a comprehensive Business Associate Agreement (BAA) as required by HIPAA. All patient data is protected with AES-256 encryption in transit and at rest. We use zero-trust network access, role-based permissions, and multi-factor authentication on all systems. We never download or store ePHI on unauthorized local machines — all access is through secure, logged, encrypted connections to your own systems.
Get a free, no-obligation revenue cycle audit. We'll analyse your current billing performance, identify revenue leakage, and show you exactly what better billing could mean for your practice.
