Medical Billing
Services for U.S.
Healthcare Providers
Claim denials, delayed reimbursements, and weak A/R follow-up quietly drain your practice revenue. GenMediTech provides HIPAA-compliant medical billing services and revenue cycle management solutions for healthcare providers across all 50 U.S. states. Our workflows are built around your specialty, payer mix, and operational process to reduce denials, improve collections, and accelerate reimbursements.
Send Us a Message
Our billing specialists respond as quickly as possible.
98%+
Clean Claim Rate
30 Days
Average A/R Days
15-20%
Revenue Improvement
40+
Specialties Supported
Where Your Revenue Is Leaking And How Do We Stop It?
Most billing problems begin before claim submission. Our revenue cycle management workflow addresses the front-end, coding, payment-posting, denial, and A/R gaps that cause the most leakage in small and growing practices:
Full outsourcing or targeted RCM consulting — we build the engagement around your practice.
Our Medical Billing Process
Five steps. No gaps. From practice audit to monthly KPI reporting, every stage is handled.
Practice Assessment
We audit your current billing workflow, payer mix, and denial patterns to identify exactly where revenue is leaking before we touch a single claim.
Revenue AuditCredentialing & Access Setup
Provider enrollment is confirmed across all required payers. EHR access, ERA setup, and billing credentials are configured before any claim is touched.
Payer EnrollmentCoding & Workflow Alignment
We align your CPT, ICD-10-CM, and HCPCS coding to specialty-specific standards. Documentation gaps that cause denials are flagged and corrected upfront.
Coding GovernanceClaim Submission & Active Follow-Up
Clean claims go out on schedule. Our A/R and denial management services track submissions, work aging balances, and appeal recoverable denials without waiting for your team to chase payers.
A/R & AppealsMonthly KPI Reporting & Optimization
You receive a structured performance report every month — clean claim rate, denial overturn rate, A/R aging, and a clear action plan for continuous improvement.
KPI Reports
Expert Billing Across All
Major EHR Platforms
Seamless integration with the most widely used practice management and billing platforms.
What's Included in Our Medical Billing Services?
Every engagement includes the full billing stack — no à la carte fees, no hidden gaps.
Eligibility and Benefits Verification
We confirm patient coverage, benefits, and cost-sharing before any claim is submitted. Accurate insurance eligibility verification helps prevent avoidable downstream denials before care is billed.
Prior Authorizations
We manage prior authorization requests and referral documentation from initiation to approval. Every service is billed with required documentation in place. Nothing gets rejected on a technicality.
Medical Coding Compliance
Our billing specialists align coding to CPT Editorial Panel standards, ICD-10-CM guidelines (NCHS/CDC), and HCPCS Level II. NCCI edit awareness applied at the claim level — bundling conflicts caught before submission, not after denial.
Clean Claim Submission
Every claim goes through completeness checks before it leaves. Clean claim rate is tracked and reported monthly — because first-pass resolution determines how fast your practice gets paid.
ERA & Payment Posting
We post and reconcile every ERA and EOB against contracted payer rates. Underpayments are flagged and escalated. They don't get quietly absorbed.
A/R & Denial Management
We work aging A/R with a defined priority cadence, targeting high-impact buckets first. Denials are tracked by reason code, appealed where supported, and traced back to upstream cause. The same denial won't repeat month after month.
No hidden fees, no surprise gaps. Everything your practice needs to get paid — handled.
Get Full Service DetailsInsurance Payers We Work With
We work with federal, commercial, and government-sponsored plans using payer-specific billing rules. For Medicare claims, our workflow follows the official CMS Medicare Claims Processing Manual.
Government Payers
- Medicare Part A & B
- Medicare Advantage
- Medicaid — FFS & Managed Care
- CHIP
- TRICARE
- VA Community Care
Commercial Payers
- UnitedHealthcare
- BlueCross BlueShield — all regional plans
- Aetna
- Cigna / Evernorth
- Humana
- Molina Healthcare
- Centene / WellCare
- ACA Marketplace Plans
Specialty Payers
- Workers' Compensation
- No-Fault / Personal Injury
- Behavioral Health MCOs
- IPA / ACO / PHO Networks
- EAP Networks
RCM Support Built for Small Practices and Growing Clinics
Built for practices with lean teams and tight cash flow, not enterprise hospitals with full billing departments.
We also serve multi-provider clinics that need standardized workflows, structured RCM reporting, and specialty-specific billing governance.
Claims Management Across All 50 U.S. States
HIPAA-compliant remote billing workflows — including multi-state telehealth practices managing providers across multiple state licenses.
50
U.S. States
Geography is never a barrier to getting paid.
Whether you're a single-state practice or a multi-state telehealth provider, our HIPAA-compliant remote billing workflows cover every payer, in every state. No local office required — just compliant, consistent billing wherever you're licensed to practice.
Specialty-Specific Medical Billing Services
Generic workflows produce specialty-specific denials. We build billing governance around each specialty’s documentation, modifier rules, authorizations, payer contracts, and the current CPT code set.
Revenue Cycle Management Reporting
You shouldn't have to guess where your revenue went. GenMediTech delivers structured monthly RCM reports aligned with HFMA-recognized performance standards.
Clean Claim Rate
98.6%
2.1% vs last monthAvg. Days in A/R
<28
4 days fasterDenial Rate
3.2%
Industry avg 9%Net Collection Rate
96.4%
On targetA/R Aging Distribution
Monthly Report Structure
No black-box billing. You see exactly what's happening — and what to do about it.
Get Your Free RCM AnalysisWhy Healthcare Practices Choose GenMediTech
Billing + Credentialing Together
Provider credentialing included free. The same team manages both, so your first clean claim goes out the moment payer enrollment is confirmed. No miscommunication. No delays between departments.
Root-Cause Denial Management
We don't just rework denied claims. We trace every denial back to documentation, coding, or eligibility — and correct the upstream issue so the denial rate actually falls over time.
Structured Coding Governance
Our medical coding services apply CPT, ICD-10-CM, HCPCS, and NCCI guidance across claims using current published standards rather than shortcuts or outdated code sets.
Monthly KPI Reporting
Structured KPI reports with real numbers. You know exactly what's improving and what needs intervention — every single month.
Flexible RCM Support
One-time billing audit, ongoing RCM consulting, or fully managed billing. We structure the engagement around your goals and your team's capacity.
Frequently Asked Questions
Common questions about our medical billing services, credentialing, and RCM process.
Which states do you provide medical billing services in?
All 50 U.S. states, including multi-state telehealth providers. We operate through HIPAA-compliant remote workflows so geography is never a barrier.
Which insurance payers do you bill?
All major payer types — Medicare, Medicaid, TRICARE, UnitedHealthcare, BCBS, Aetna, Cigna, Humana, Molina, Centene, regional commercial plans, workers' compensation, and behavioral health networks.
Is credentialing really free with your billing services?
Yes, completely free — no hidden fees, no separate contract. Provider credentialing and payer enrollment are included when you sign up for billing services. One team manages both.
How do you handle claim denials?
We track every denial by reason code and payer, identify the root cause, file appeals where supported, and fix the upstream issue. Denial overturn rate is reported in your monthly KPI report.
What specialties do you support?
50+ specialties — primary care, cardiology, behavioral health, orthopedics, urgent care, telehealth, pain management, and more. Every billing workflow is built around your specialty's coding and payer requirements.
How long does onboarding take?
Most practices are fully onboarded in 7–14 business days. You receive a structured onboarding checklist and a dedicated point of contact from day one.
Ready to Reduce Denials and Increase Revenue?
Whether you need full-cycle medical billing, targeted RCM consulting, or just a free practice audit, we're ready to start.
Credentialing is free when you partner with us for billing. One team. No gaps.
Book a Free Consultation
Our billing & revenue cycle specialists typically respond within 1 business day.