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Medical billing & RCM

We file and follow up on every claim.

Billsen submits your claims to insurance, corrects and appeals denials, and follows up on unpaid balances until they are paid. It is our main service and what most practices hire us for.

  • Eligibility & benefits
  • Charge entry & coding review
  • Claim submission
  • Denials & appeals
  • AR follow-up
  • Payment posting
  • Reporting

What we handle

The full revenue cycle, start to finish.

Revenue usually stalls in the gaps between steps. Every step below has an owner on your team, and you can see the status of each one.

  • Eligibility and benefits checked before the visit
  • Charge entry with coding review against payer rules
  • Claims checked for the errors your payers actually reject
  • Payments posted and remittances reconciled
  • Denials corrected, appealed and followed to resolution
  • AR worked by payer and aging bucket, oldest first
  • Patient balances billed clearly, with follow-up
  • Reporting on collections, AR aging and denial trends

Where revenue leaks

Most lost revenue isn't dramatic. It's routine.

Small gaps in a busy week become the difference between a healthy month and a slow one.

01

Eligibility gaps

Coverage isn't verified before the visit, and the claim is denied for something avoidable.

02

Unworked denials

A denial needs a correction and an appeal. Without a defined process, it never happens.

03

Silent AR

Balances age quietly past 60 and 90 days until they're difficult to collect at all.

How billing runs

A predictable weekly rhythm.

  1. 1

    Verify

    Coverage and benefits confirmed ahead of visits, so avoidable denials never happen.

  2. 2

    Submit

    Charges entered and claims filed on a set schedule, not whenever there's time.

  3. 3

    Reconcile

    Payments posted against expected amounts, and underpayments flagged for follow-up.

  4. 4

    Follow up

    Denials appealed, AR worked oldest first, and the results reported back to you.

Client dashboard

See your billing without asking for a report.

Claims, denials and AR are in your dashboard whenever you want to look. Views shown here are examples.

Your Billsen dashboard

What we're working on right now

Example view

Billing

On track

Credentialing

3 in progress

Tasks for you

1 open

  • Claims submitted this week

    Up to date
  • Denials being worked

    In progress
  • Credentialing — Aetna

    Waiting on payer

Updated as your Billsen team works. No status calls needed.

FAQ

Billing questions.

Free billing review

Find out what your billing is leaving behind.

Tell us your specialty, how many providers you have and who handles your billing today. We will review your denials, unpaid claims and credentialing status and send you a written summary at no cost.