Keep every bill, payment, denial, and patient balance moving toward resolution.
Your teams turn billed revenue into cash while managing payer follow-up, denials, underpayments, payment posting, credit balances, self-pay accounts, and patient questions. We help you stabilize queues, prioritize work by value and risk, and make ownership visible across facility and professional billing.
7 of top 20
U.S. health systems served
32M+
Coding charts processed annually
28M+
A/R claims managed annually
Your business office absorbs every defect that survives the revenue cycle.
Revenue cycle support for patient financial services and business office leaders covers the work that decides whether earned revenue becomes deposited cash: insurance follow-up across every payer's portal, appeals with the documentation to win, posting that reconciles, credits cleared inside compliance windows, and patient billing handled with courtesy. We bring certified capacity and RevAmp prioritization to that grind, with inventory visibility down to the account note.
Aged inventory worked, documented, resolved
Posting and credits that never miss a deadline
Patient billing that protects your reputation
Support for the queues, accounts, and handoffs you manage every day.
Back-office services address the work you own directly. Front-office and mid-office support close the loop where coverage, authorization, documentation, coding, and charge defects create avoidable business-office inventory. Your policies on write-offs, adjustments, and agencies stay exactly where they belong: with you.
Front-office
Upstream financial accuracy - fewer coverage, authorization, registration, and patient-account defects reaching the business office.
- Patient Access Management
- Eligibility and Benefits Verification
- Prior Authorization
- Registration QA and Demographic Accuracy
- Insurance Discovery and Coverage Discovery
- Financial Clearance and Counseling
- Price Transparency and Patient Estimates
Mid-office
Claim-ready clinical and charge integrity - fewer coding, documentation, charge, and compliance defects delaying payment.
- Medical Coding
- Clinical Documentation Integrity (CDI)
- Billing Compliance and Audit Defense
- Revenue Integrity and Leakage Prevention
- Coding Audits and Quality Assurance
- Risk Adjustment and HCC Coding
- Computer-Assisted and AI-Enabled Coding
Back-office
Value-based account resolution - faster movement across claims, payments, denials, underpayments, credit balances, self-pay, and A/R.
- Claim Submission and Clearinghouse Support
- Denials Management and Appeals
- Accounts Receivable Follow-Up
- Credit Balance Review
- Underpayment Recovery and Payer Variance Resolution
- Payment Posting and Reconciliation
- Extended Business Office and Co-Managed Operations
Four outcomes your business office must move together.
Insurance A/R
Accounts Receivable Follow-Up · Underpayment Recovery and Payer Variance Resolution · Claim Submission and Clearinghouse Support - so every payer's inventory stays current, documented, and worked to resolution, oldest risk first.
Denials and appeals
Denials Management and Appeals · Coding Audits and Quality Assurance - so appeals go out with the evidence to win and repeat causes get routed upstream for good.
Posting and credits
Payment Posting and Reconciliation · Billing Compliance and Audit Defense · Credit Balance Review - so cash posts clean, unapplied balances get identified fast, and refunds clear inside their deadlines.
Patient balances
Extended Business Office and Co-Managed Operations · Price Transparency and Patient Estimates - so statements make sense, calls get answered with courtesy, and paying stays easier than ignoring.
One operating model. Three pillars. Every engagement.
Expertise-led
Business-office specialists work inside the billing, payer, posting, denial, recovery, and patient-account workflows they support.
- Certified A/R, denials, posting, and customer service specialists
- A named lead who walks your aging with you, bucket by bucket
- Surge capacity for backlogs, conversions, and agency recalls
Technology-powered
Technology-enabled revenue cycle services make account work more consistent, prioritized, visible, and auditable.
- Accounts ranked by collectability, balance, and filing deadline
- Payer-specific workflows for portals, records requests, and appeals
- Inventory dashboards showing touched, untouched, and why
Operationally-governed
Governance connects business-office performance to ownership, escalation, and corrective action.
- Monthly reviews on cash, aging, quality, and productivity
- Note quality audited, so any account can change hands cleanly
- Root causes routed upstream with owners and dates
Our Vision
Open Accountability: Taking responsibility without taking control.
You keep your systems, policies, payer relationships, patient account standards, and decision rights. We take responsibility for the queues and outcomes we agree to own, whether the scope is modular, co-managed, or broader. Performance stays visible through shared measures, named owners, exception tracking, and corrective action. Renewal is earned through results, not dependence.
Days in A/R
The time billed revenue remains outstanding across payer and patient workflows.
Aged A/R
The share of receivables held in older aging categories under agreed definitions.
Denial resolution
Movement and outcome of denied claims through correction, appeal, payment, or valid disposition.
Net collection performance
Collection of collectible revenue after agreed contractual adjustments.
Cost to collect
The operating cost required to collect each dollar.
Why Us
Replace repeat touches with First-Pass Performance.
When business-office work is managed as disconnected queues, the same account can move through edits, denials, follow-up, rebilling, posting corrections, and escalation without a clear owner. Our first-pass performance focuses the operating model on cleaner claims, value-based prioritization, fewer repeat touches, and visible accountability through final resolution.
Rework-Powered Cleanup Machine
Our First-Pass Performance
Work prioritization
Accounts are worked by queue order or age while value, payer behavior, and next action remain secondary.
Work is prioritized by recovery value, risk, age, payer signal, and the action most likely to move resolution.
Denial resolution
Teams appeal recurring denials while the upstream cause continues to produce new inventory.
Recovery continues while denial causes feed named corrective actions in access, documentation, coding, charging, and billing.
Account ownership
Accounts move across edits, follow-up, rebilling, posting, and escalation without one visible owner.
Each supported account or queue has defined ownership, status, escalation, and a measurable disposition.
Patient balances
Patient accounts enter collections with unclear adjustments, inconsistent communication, or unresolved assistance needs.
Balances, adjustments, assistance pathways, communication, and next steps are validated before collection activity advances.
Accountability
Internal teams and vendors report touches and volume while cash, aging, and resolution ownership stay unclear.
Agreed work has a named owner, shared measures, governance cadence, and visible corrective action.
Extend performance across connected outcomes.
Revenue cycle thinking for leaders who need fewer surprises.
Explore Vee Healthtek perspectives on the forces reshaping revenue cycle performance, healthcare operations, technology adoption, and financial resilience.
Walk one aging bucket with us, account by account.
Schedule a 30-minute working session with our business office leadership. Bring the 90-plus bucket for one payer and your credit balance aging. We will show which accounts still pay, which need appeals, and which deserve honest write-offs, with the reasoning attached.
Frequently Asked Questions
How can Patient Financial Services and business-office support fit into your existing operation?

Support can begin with one payer, queue, facility, billing stream, backlog, or work type. You retain your systems, policies, staffing decisions, payer relationships, and patient-account standards. The engagement defines the work we own, the inputs we depend on, the exceptions you control, and the measures used to govern performance.
Do you work the hard accounts or just the ones that pay quickly?

The whole inventory, sequenced deliberately. RevAmp ranks accounts by collectability, balance, and deadline so high-return work happens first, and low-probability accounts still get a documented disposition rather than silent aging. Recommended write-offs come to you with the reasoning, and your policy makes the call.
Which Patient Financial Services and business-office functions can you support?

Approved services include Claims Editing and Clean-Claim Validation, Claim Submission and Clearinghouse Support, Payment Posting and Reconciliation, Accounts Receivable Follow-Up, Denials Management and Appeals, Underpayment Recovery and Payer Variance Resolution, Credit Balance Review, Self-Pay, Charity Care and Medicaid Screening, Complex AR Recovery, and Extended Business Office and Co-Managed Operations.
Can you clear our credit balances and keep refunds inside compliance deadlines?

Yes, and with the urgency the deadlines deserve. Credits get researched to true cause, patient and payer refunds move on documented timelines, and recurring sources, duplicate payments, estimate overcollection, posting errors, get reported so the balance stops rebuilding. Aging by deadline shows in every monthly review.
How do you manage follow-up across dozens of payer portals and processes?

With payer-specific playbooks rather than generic worklists. Portal steps, records request handling, reconsideration windows, and escalation contacts are documented by payer and kept current, so follow-up moves the claim rather than confirming it still exists. Payer behavior gets tracked and reported, which strengthens your escalations and your contracting conversations.
Which billing systems and clearinghouses do you work in?

Yours, without exception. Work happens in your patient accounting system, Meditech, Epic, Oracle Health (Cerner), athenaOne, and comparable platforms, and in the clearinghouse and payer portals you already use. RevAmp layers prioritization and inventory reporting over them. Nothing converts, and no work ever leaves your system of record.
Which business-office KPIs can we govern together?

Measures can include days in A/R, aged A/R, net collection performance, denial inventory and resolution, clean claim performance, payment-posting accuracy and turnaround, underpayment recovery, credit-balance resolution, patient collections, productivity, quality, and cost to collect. Definitions, baselines, targets, data sources, and timelines should be agreed at kickoff.
How do you approach patient balances and self-pay accounts?

Patient-account work should begin with an accurate balance, complete adjustments, available coverage or assistance pathways, clear communication, and an appropriate next step. Support can include Self-Pay, Charity Care and Medicaid Screening, payment-related account work, patient communication, and escalation under your policies and governance.