Proven Medical Billing Performance
Clean Claim Rate
Net Collection Rate
Reduction in 120+ Day A/R
Deep Industry Knowledge
Forecast Expected Payer ReimbursementsManifest monitors submitted claims and payer activity to help practices understand expected reimbursement timing, identify delayed claims, and prioritize follow-up. Forecasting views can be organized around 7-, 15-, and 30-day windows for clearer short-term cash-flow visibility.
What Our Medical Billing Services Include
From patient encounter to final payment, our medical billing services cover the entire revenue cycle:
- Eligibility and Benefits Verification: We confirm active insurance coverage and patient responsibility before the visit.
- Charge Entry: We accurately enter all documented services from your EHR or practice management system.
- Medical Coding: Our certified coders assign the correct ICD-10, CPT, and HCPCS codes.
- Claims Scrubbing and Submission: We check claims for errors and payer-specific requirements before submission to reduce denials.
- Payment Posting: We post payments within one business day of receiving them.
- Denial Management and Appeals: We identify, correct, and resubmit denied claims, including accounts receivable balances older than 120 days.
- Patient Billing and Communication: We provide clear, HIPAA-compliant statements and structured payment plans.
- Credentialing and Provider Enrollment: We help providers enroll with insurance payers quickly and efficiently.
- Reporting and Analytics: We provide real-time reports on days in accounts receivable, denial rates, and payer processing times.
Medical Billing Pricing Aligned With Your Practice
Our medical billing fees are structured as a percentage of collections, aligning our incentives with your reimbursement performance. Final pricing depends on specialty, claim volume, payer mix, and the scope of services included.
How Our Medical Billing Process Improves Revenue Cycle Performance
Our medical billing solutions keep claims moving by identifying and resolving issues before they delay reimbursement. We apply NCCI edit checks, payer-specific rules, and coding validations before submission to prevent denials and reduce rework.
Enrollment with Desired Payers
Our credentialing and provider enrollment services get you on insurance panels faster and with less hassle.
Denial Prevention & Write-Off Recovery
We have a proven track record of recovering revenue from A/R balances aged 120 days and beyond.
Clean Claims = Faster Payments
Clinical coding specialists convert documented patient services into accurate ICD-10 and CPT codes, producing a clean superbill for timely payer submission.
When Should You Outsource Medical Billing
Outsourcing medical billing can make sense when billing workload, denials, staffing gaps, or aging A/R begin to consume clinical and administrative resources. The right decision depends on your claim volume, specialty, payer mix, internal expertise, and cost structure.
- Denial rates or aging A/R are increasing and follow-up is inconsistent.
- Billing depends on one or two employees with limited backup coverage.
- Practice growth is creating more claims than the current team can handle.
- Leadership lacks clear reporting on payer performance, denials, and cash flow.
- Recruiting, training, software, and turnover make in-house billing expensive or unstable.
In-House vs. Outsourced Medical Billing
Factor | In-House Billing | Outsourced Medical Billing |
Hiring & training | Practice recruits and trains staff | Vendor manages billing-team staffing and training |
Staff continuity | Absences or turnover can create backlogs | Team-based coverage can reduce single-person dependency |
Technology | Practice licenses and maintains billing tools | Vendor typically works within existing systems and/or provides supporting tools |
Denial follow-up | Depends on internal capacity and specialization | Dedicated denial and payer follow-up workflows |
Scalability | Usually requires additional hiring | Can scale with claim volume and practice growth |
Management burden | Internal leadership supervises daily billing operations | Shared oversight with defined service-level reporting |
Medical Billing Services Across All 50 States
Every state has its own Medicaid program, payer requirements, and reimbursement guidelines. Our CPC- and CCS-certified specialists manage those differences every day, adapting claims, coding, and payer follow-up to meet state-specific requirements while keeping your reimbursement process consistent.
Our medical billing company serves providers in all 50 states including:
California, Texas, Ohio, Florida, New York, Illinois, Pennsylvania
Medical Billing Services for 75+ Healthcare Specialties
As one of the experienced medical billing service providers, we manage system setup, EDI implementation, documentation, and process coordination from the start. Outsourcing medical billing services to Manifest Technology Solutions does not mean giving up control of your practice. We work across more than 75 medical specialties and adapt our approach to fit the workflows, payer rules, and billing needs unique to each specialty.
Medical Billing That Works With Your Existing EHR
We work within your current technology stack to keep billing operations running smoothly.
- Supports major EHRs and PM systems including Epic, Athenahealth, eClinicalWorks, NextGen, and Cerner
- Integrates with clearinghouses for 837 claims, 835 remittances, and real-time eligibility checks
- Uses secure, HIPAA-compliant access
Our medical practice billing services handle patient balances with clarity, consistency, and respect.
- Communicates patient balances clearly so there is no confusion about what is owed
- Offers structured payment plans
- Resolves patient billing questions directly to reduce front-desk burden
Our medical billing solutions include dedicated account managers who act as a direct extension of your team.
- A consistent point of contact throughout your billing lifecycle
- Clear communication around claim issues and next steps
- Direct handling of billing concerns without unnecessary delays
We provide clear financial visibility to help you understand and improve revenue performance.
- Tracks key metrics such as days in A/R, denial rates, collections, and payer turnaround times
- Identifies denial trends, underpayments, and aging balances across payers and providers
- Delivers custom and ad hoc reports
Reduce the administrative burden of in-house billing
Stop spending time and resources on hiring, training, and managing an in-house billing department. When you outsource medical billing services to our experienced billing team, you streamline your entire RCM without the overhead of additional staff or software.
Why Healthcare Providers Choose Manifest for Medical Billing
Healthcare providers partner with Manifest Technology Solutions because we deliver measurable improvements:
- 25–35% increase in insurance collections, typically within 90 Days
- Up to a 98% clean-claim rate on first submission
- Timely, HIPAA-compliant patient billing
- Real-time visibility into collections, denials, and payer performance
- Seamless integration with your existing ICD-10, CPT, EHR, and practice management workflows
Medical Billing Services FAQs
Medical billing services manage the administrative and financial workflow that turns healthcare services into payer and patient payments. They typically include eligibility verification, coding, claim submission, payment posting, denial management, A/R follow-up, patient billing, and reporting.
Medical billing companies commonly use a percentage-of-collections model, per-claim pricing, a fixed monthly fee, or a custom structure. Manifest pricing should be described according to the actual contract model, claim volume, specialty, payer mix, and service scope.
It can be. Small and solo practices may reduce recruiting, training, software, and staffing burden by outsourcing billing, but the financial benefit depends on claim volume, specialty, payer mix, current denial rate, and the performance of the existing billing process.
Yes, if the system is supported. The page should name the major systems Manifest currently supports and explain how access, clearinghouse, EDI, and reporting workflows are handled during onboarding.
Denied claims are reviewed for root cause, corrected when appropriate, appealed when required, and tracked through resolution. Reporting should also identify recurring payer, coding, authorization, or documentation patterns so the same denials can be prevented upstream.
Denied claims are reviewed for root cause, corrected when appropriate, appealed when required, and tracked through resolution. Reporting should also identify recurring payer, coding, authorization, or documentation patterns so the same denials can be prevented upstream.
If the one-business-day commitment is standard and verified, state it directly: payments are posted within one business day of receipt, allowing balances and follow-up work to remain current.
Give a real range based on your operations. Explain what affects timing, such as system access, payer setup, data transfer, existing A/R, claim volume, and the scope of services being transitioned.
Only make a categorical “no hidden fees/no long-term contract” statement if that is true across the actual agreement structure. Otherwise explain the standard terms and what is included in pricing.
