Working with BillerBay
Know who is on it. Know what happens next.
A good billing relationship should make your working day clearer. You need to know where to go with a problem, which decisions need your attention, and what is being done about the revenue that has not come through.
Start with your operation.
We discuss your organization, payer mix, systems, current responsibilities, and the problems you want to solve. If a closer review is useful, we agree what information is needed and how it will be shared. The result is a practical scope of work and a clear view of what needs to happen first.
Set the responsibilities before the handoff.
We document the work BillerBay will own, the information your team will provide, and any third parties involved. That includes how documentation questions, payer requests, patient billing questions, and approvals move between teams. Everyone should understand the route an issue will follow.
Give open work a next action.
A queue only becomes useful when someone acts on it. The work is prioritized by factors such as urgency, age, value, filing limits, and what is needed to move it forward. An unresolved item should have a reason, an owner, and an agreed next step. Items that cannot progress are escalated for a decision.
Make the review useful.
We review what changed, what contributed to it, and what requires action next. The agreed measures connect to the work behind them: delayed submissions, payer denials, aging balances, payment differences, and information still needed from your organization.
- What moved during the period, with comparable definitions.
- Where work remains blocked and what is causing the delay.
- What BillerBay is doing next.
- What needs a decision or information from your team.
Address the repeat problem.
An appeal can resolve one claim. A recurring issue may also require a change to information capture, documentation, enrollment records, or a system workflow. We discuss those patterns with your team and agree the changes that fit your operation.
Keep the scope aligned as you grow.
New providers, locations, services, and systems change the workload. We review the implications with you and make any proposed changes to responsibilities, resources, and fees clear before additional work begins.
Questions you may have.
Who remains responsible for clinical decisions and documentation?
Your clinical team retains responsibility for clinical decisions and the accuracy and completion of its documentation. BillerBay coordinates billing questions and the supporting information needed for the agreed work.
How often will we meet or receive reports?
The reporting and review schedule is agreed for your engagement. We also establish how time-sensitive questions and unresolved issues will be raised between scheduled reviews.
Will we see what remains unresolved?
The reporting approach should make open work and its next steps visible, including items waiting on your team, a payer, or another party. We agree the level of detail and the appropriate method of access during setup.