A backlog without an owner
Assign eligibility checks, rejected claims, and follow-ups to a defined team rather than fitting them between front-desk tasks.
MEDICAL BILLING & ADMINISTRATIVE SUPPORTMedical billing support.
Medical billing support.
Clear ownership.
NexBee provides administrative medical billing support for agreed insurance verification, claims follow-up, payment posting and patient account workflows. Before access is granted, confirm the task scope, approval rules, data safeguards and any required agreements with your responsible team.
Define access · Agree on safeguards · Confirm required agreements
NNexBee / Medical billing
YOUR BUSINESS. OUR PEOPLE.
Care for every billing detail.
- 01Verify & prepareAligned to your priorities↗
- 02Submit & track claimsWorking in your systems↗
- 03Follow up on accountsWith clear ownership↗
Medical billing administrationPatient data protection firstClear reporting & accountability
WHEN ADMINISTRATIVE WORK STARTS TO PILE UPYour team should not have to choose
Your team should not have to choose
between patients and paperwork.
Unanswered payer calls, incomplete claim details, and overdue follow-ups compete for the same hours. We help turn those queues into assigned tasks with documented next steps.
Denials that keep returning
Record the reason, coordinate the required correction, and flag repeated issues so your team can address the underlying workflow.
Staffing pressure as you grow
Add scoped billing capacity and management support without making every new hire another responsibility for your practice manager.
SUPPORT THROUGHOUT THE REVENUE CYCLEFrom the first verification
From the first verification
to the next follow-up.
Choose one area of support or a connected billing workflow. Your scope defines what our team handles, what requires review, and when to escalate.
01
Patient registration & insurance verification
Start with a more complete patient account.
- Validate demographics and insurance details
- Check eligibility, benefits, copays, and deductibles
- Track prior authorization requests and missing information
- Document payer responses for your team
02
Coding assistance & charge entry
Support accurate, documented charge capture.
- Enter charges from approved documentation
- Support ICD-10, CPT, and HCPCS workflows within agreed qualifications
- Flag missing information and coding questions
- Route coding decisions to your authorized reviewers
03
Claim preparation & submission
Keep claims moving through your billing workflow.
- Review required fields and payer-specific submission details
- Submit approved electronic claims through your system
- Track clearinghouse acknowledgments and rejections
- Correct administrative errors and coordinate resubmission
04
Denial management & A/R follow-up
Give unresolved balances a clear next action.
- Review denial reasons and prioritize aging accounts
- Contact payers for claim status and next steps
- Prepare appeal documentation for approved review and submission
- Flag underpayments and recurring issues for investigation
05
Payment posting & reconciliation
Keep account balances aligned with payment records.
- Post electronic remittance advice and explanation of benefits data
- Apply approved payments and adjustments
- Coordinate secondary billing and balance follow-up
- Escalate discrepancies for reconciliation
06
Patient billing & account support
Make billing conversations easier to navigate.
- Prepare statements and follow up on account questions
- Explain recorded balances using your approved information
- Coordinate payment arrangements under your policies
- Escalate disputes and complex account questions
Eligibility checks and prior authorization tracking support the billing process; they do not guarantee coverage or payment. Coding and clinical questions follow your approved review process.
A CLEAR NEXT STEP FOR EVERY ACCOUNTKeep the details connected.
Keep the details connected.
Keep the work moving.
We coordinate the administrative handoffs between your front desk, billing team, payers, and patients. Account notes and follow-up activity stay in the approved system, giving your practice a clearer view of outstanding work.
- 1
Check what is needed
Review the queue, account status, and missing information.
- 2
Take the approved action
Submit, follow up, post, or route the item for review.
- 3
Document and follow through
Record the response, owner, and next follow-up date.
BILLING SUPPORT FOR YOUR TYPE OF PRACTICEDifferent specialties.
Different specialties.
The right operational support.
We review your payer mix, documentation process, billing volume, and required qualifications before matching the team to your work.
Primary care & medical groups
Recurring eligibility checks, high-volume patient accounts, and coordinated follow-up across providers.
Specialty clinics
Specialty-specific documentation handoffs, authorization tracking, and payer follow-up.
Behavioral health providers
Benefits verification, authorization status tracking, and routine account follow-up.
Telehealth organizations
Patient account checks, virtual-visit billing workflows, and payer status updates.
Urgent care centers
High-volume registrations, charge entry queues, and rejected-claim follow-up.
Ambulatory surgery centers
Pre-service administrative checks, authorization coordination, and post-service account follow-up.
Physical therapy & rehabilitation
Visit-related benefits checks, authorization tracking, and outstanding balance follow-up.
Dental practices
Patient billing and insurance administration tailored to dental workflows and required expertise.
WORK WITH THE TOOLS YOU ALREADY USESupport inside
Support inside
your billing environment.
Keep your existing EHR, practice management platform, and payer workflow. We review access, required training, and the responsibilities of each role before work begins.
Discuss your platform with us during onboarding. Relevant team experience, compatibility, and any integration work are confirmed during onboarding; listing a platform does not imply a partnership.
EpicathenahealtheClinicalWorksNextGenAdvancedMDDrChronoPractice FusionMedisoftWaystarAvailityOffice AllyYour existing platform
OUR TOP PRIORITY: PROTECTING YOUR DATADefine the safeguards.
Define the safeguards.
Patient data protection
at every step.
Before work begins, confirm the required agreements, individual system access, approved communication channels and incident escalation process. Your responsible team should review how the proposed safeguards meet the requirements of the specific engagement.
Discuss your requirements ↗BAAs & confidentiality commitments
Business associate agreements are available, supported by confidentiality agreements and documented data handling responsibilities for your engagement.
Secure systems & controlled access
Secure IT infrastructure and controlled access help protect patient records. Access permissions and approval responsibilities are defined for each role.
Encrypted communications
We use encrypted communications and approved channels for sensitive information. Patient records and billing details stay out of public inquiry forms.
Ongoing compliance training
Ongoing compliance training and data protection procedures reinforce careful handling of patient information, with oversight aligned to your billing workflow.
MANAGED SUPPORT, WITH VISIBILITYKnow what is being worked.
Know what is being worked.
Know what needs your attention.
Agree the reporting that matters to your practice. Results depend on your starting position, documentation, payer decisions, and the scope of the engagement.
Queue progress
Track work completed, unresolved items, and upcoming follow-up actions.
Claim & denial trends
Review rejection reasons, denial categories, and issues that need a workflow change.
Accounts receivable
Review aging balances, payer responses, and accounts requiring your decision.
Quality & escalation
Check record accuracy, handoff quality, and exceptions against agreed standards.
A PLAN THAT FITS YOUR PRACTICEReduce the administrative load.
Get my medical billing quote ↗Reduce the administrative load.
Choose the support you need.
Build capacity around one queue, a backlog, or a broader revenue cycle function. Your quote reflects your specialty, provider count, volume, systems, coverage, and required expertise.
GETTING STARTEDA structured handover.
A structured handover.
A shared plan.
- 01
Understand the workload
Share practice-level information about your specialty, systems, volume, and bottlenecks.
- 02
Agree the scope
Confirm responsibilities, pricing, qualifications, coverage, safeguards, and approval rules.
- 03
Prepare the team
Complete the agreed access setup, workflow training, and handover process.
- 04
Launch & review
Monitor queue progress and quality, then refine the process with your practice lead.
MEDICAL BILLING FAQClear answers.
Clear answers.
Before you begin.
Let’s define a billing workflow that fits your practice.
What is included in NexBee medical billing services?
Your plan can cover patient registration, insurance verification, authorization tracking, charge entry, claims submission, denial follow-up, payment posting, accounts receivable support, and patient billing inquiries. We confirm the responsibilities, systems, and approval boundaries before launch.
Can we outsource one billing task instead of the whole revenue cycle?
Yes. You can discuss a defined queue such as eligibility checks, claim rejections, payment posting, or aging accounts. We can also scope a broader revenue cycle support team around your practice’s needs.
Which healthcare providers do you support?
Our medical billing support can be scoped for primary care, specialty clinics, behavioral health, telehealth, urgent care, multi-provider groups, ambulatory surgery centers, dental practices, and physical therapy clinics. Staffing and workflows are matched to the specialty, payer mix, systems, and qualifications required.
Is NexBee fully HIPAA compliant?
HIPAA responsibilities and safeguards must be confirmed for the specific engagement before patient information is shared. Discuss the required business associate agreement, approved systems, access limits and incident reporting process with your responsible team. Do not submit patient information through this website’s general inquiry form.
Does NexBee provide medical coding support?
Coding assistance and charge entry can be included where the assigned team has the qualifications your workflow requires. Documentation questions and clinical or coding decisions are routed to the appropriate authorized reviewers. Required credentials and review responsibilities are agreed before the work starts.
Can you work with our EHR or billing software?
We review your existing systems during onboarding, including access, workflow, training needs, and any integration requirements. Platforms to discuss include Epic, athenahealth, eClinicalWorks, NextGen, AdvancedMD, DrChrono, Waystar, Availity, and Office Ally. Compatibility and staffing experience are confirmed for your engagement.
Can you help with denied claims and older accounts receivable?
Yes. We can organize accounts by age, status, and priority; follow up with payers; document denial reasons; and prepare the next administrative action. Appeals, corrections, and adjustments follow your approval process. Payment outcomes depend on coverage, documentation, payer decisions, and other case-specific factors.
How much do medical billing services cost?
Pricing depends on your specialty, provider count, billing volume, payer mix, backlog, systems, coverage, and the skill level required. We prepare a tailored quote with clear scope and responsibilities. Medical billing pricing is confirmed separately from general support starting rates.
Do you guarantee collections or faster reimbursement?
No fixed reimbursement, collection increase, or denial reduction is guaranteed. The team works toward agreed process goals such as timely follow-up, accurate records, backlog progress, and clear escalation. Performance is reviewed using the measures defined for your engagement.
What do you need to prepare a proposal?
Share your specialty, number of providers, approximate billing workload, current systems, service hours, and the bottlenecks you want to address. Use non-patient operational information for the initial inquiry. Sensitive information is handled only through the channels agreed during onboarding.
LET’S BUILD YOUR TEAMYour next step
Your next step
starts with a conversation.
Tell us about your medical billing and revenue cycle needs. Share the work you want to delegate, your preferred coverage, and the outcomes that matter to your business.
- A service plan tailored to your workload
- Coverage aligned to your time zone
- Clear scope, pricing, and next steps
What should you prepare before outsourcing?
Bring your recent workload, required coverage hours, current tools and the decisions your team needs to retain. Use this guide to turn those details into a clear starting scope.
Remote Healthcare and Insurance Support: A Handoff Checklist ↗