Full-Spectrum Healthcare Financial Operations

Medical Billing Services

Probiz is not a billing software vendor or a clearinghouse. We are an active, hands-on billing team that owns your entire revenue cycle β€” and is accountable for results.

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Up to 99%
First-Pass Rate
<28d
A/R Cycle
High
Denial Overturn Rate
Hundreds of
Payers Connected
100%
HIPAA Compliant

Our Three Service Pillars

Each pillar represents a distinct phase of your revenue cycle β€” and each is managed by a dedicated team of specialists.

01

Front-End Revenue Integrity

The phase most practices neglect β€” but where A significant portion of revenue leakage originates. We install a rigorous pre-service process that stops billing problems before they start.

  • Insurance eligibility verification
  • Benefits investigation and copay calculation
  • Prior authorization management
  • Referral tracking and authorization follow-up
  • Point-of-service collection strategy
02

Mid-Cycle Processing Excellence

The clinical-to-financial translation layer. This is where the quality of your coding directly determines the accuracy and completeness of your reimbursement.

  • Charge capture and fee schedule review
  • ICD-10-CM/PCS and CPT coding
  • Claim scrubbing (extensive edits)
  • Electronic claim submission to Hundreds of payers
  • Real-time claim tracking and status monitoring
03

Back-End Revenue Recovery

The financial engine that converts submitted claims into actual deposited revenue β€” and fights to recover every dollar that payers withhold or attempt to deny.

  • ERA/EOB payment posting and reconciliation
  • Underpayment identification and appeal
  • Denial management and structured appeals
  • A/R follow-up and aging bucket management
  • Patient balance resolution and collections
The Outsourcing Advantage

Why Leading Practices
Outsource to Probiz

In-house billing teams are expensive, error-prone, and vulnerable to turnover. When a key biller leaves, your cash flow suffers for weeks. When you partner with Probiz, you gain a team that never calls in sick and is always up to date on the latest payer policies.

Zero Staff Overhead

No salaries, benefits, training costs, or turnover replacement expenses.

Continuous Payer Policy Updates

Our team tracks LCD/NCD changes, payer bulletins, and fee schedule updates monthly.

Technology Without the Investment

Enterprise billing platform, clearinghouse connections, and analytics dashboards β€” included.

Performance Accountability

Our fee structure aligns our success with yours β€” we get paid when you get paid.

Medical Billing Services
The Probiz Advantage

Why Leading Practices Partner With Us

We combine certified expertise with proprietary technology to deliver unmatched revenue cycle performance.

Maximized Clean Claim Rates

Our advanced rules-based scrubbing engine runs every claim against millions of payer-specific rules before submission, practically eliminating front-end rejections and accelerating your cash flow.

Certified Specialist Teams

We don't use generalists. Your account is managed by specialty-specific certified coders who understand the nuances of your exact clinical discipline, ensuring maximum compliant reimbursement.

Real-Time Financial Analytics

Stop waiting for end-of-month reports. Our proprietary BI dashboards give you real-time visibility into collection rates, A/R aging, and denial trends.

100% EHR Agnostic & Secure

We work seamlessly within your existing software via secure, HIPAA-compliant VPNs. Zero data migration required, and zero disruption to your clinical workflow.

A Seamless Transition Process

Switching billing partners shouldn't disrupt your cash flow. Our meticulously engineered onboarding process ensures a smooth, parallel transition.

  • 1

    Discovery & Integration

    We establish secure remote access to your EHR/PMS and map your existing workflows without interrupting your current team.

  • 2

    Historical Analysis

    We audit your past claims to identify immediate revenue leakage, coding errors, and systemic denial trends.

  • 3

    Custom Rule Building

    Our rules-based scrubbing engine is programmed with your specific payer matrix and local coverage determinations to prevent future denials.

  • 4

    Go-Live & Optimization

    We take over day-to-day operations, instantly applying our optimized workflows to accelerate your cash flow and reduce days in A/R.

The Cost of Inaction

Every day you wait to optimize your revenue cycle, you are losing money to timely filing limits, unappealed denials, and under-coded encounters. Stop accepting revenue leakage as a cost of doing business.

Stop Revenue Leakage Today

Frequently Asked Questions

Common questions about our process, integration, and security.

No. Our team is fully trained on all major platforms including Epic, Cerner, eClinicalWorks, AdvancedMD, Athenahealth, and Kareo. We log directly into your existing system via a secure, HIPAA-compliant connection. Your front office workflow remains entirely unchanged.

We operate primarily on a percentage-of-collections model. This means we don't get paid until you get paid, perfectly aligning our incentives with your practice's financial success. There are no hidden setup fees or rigid long-term lock-ins.

Absolutely. We are fully HIPAA compliant. We operate under strict Business Associate Agreements (BAAs), utilizing AES-256 encryption, zero-trust network access, and mandatory multi-factor authentication. Patient data is never stored on unauthorized local devices.

Your Revenue Cycle Deserves Expert Management

Connect with our team to discuss your specific practice needs and get a proposal tailored to your specialty, size, and payer mix.

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