Outsource Medical Billing Services

Pulse Claim has been a leader in healthcare revenue cycle management for over 2 years, thanks to our expert medical billers who enhance revenue cycle workflows and increase collection rates. Our end-to-end medical billing services will streamline your practice revenue, regardless of size. Our systems seamlessly integrate electronic data interchange (EDI) and electronic claims processing, simplifying billing processes, improving healthcare practice efficiency and enhance cash flow.

Get Paid Faster with AI Automation & Cloud Billing

97 %

First Pass Clean Claims Rate

35 %

Reduction in A/R

96 %

Collection Ratio

Advanced Medical Billing Services You Can Trust

Our dedicated team streamline your medical billing process and manage the entire revenue cycle management (RCM), boosting your revenue growth by up to 35% with automated denial tracking. Request Callback

End-to-End Medical Billing Services

Pulse Claim stays ahead of the curve by constantly updating our medical coding and billing solutions. Accurate billing and coding are crucial for ensuring timely reimbursements and error-free compliance with regulations. We use secure, two-way electronic links with Availity, Change Healthcare, and all major payers Blue Cross Blue Shield, Aetna, UnitedHealthcare, Cigna, and Humana, so you get real-time updates on every claim from submission to payment.

Payment Posting

We post payments, adjustments, and denials in real time, ensuring accurate account reconciliation and spotting underpayments instantly. This speeds up revenue recognition, minimize errors, improves reporting and keeps your financial records clean and enhance practice performance.

Patient Billing

Upgrade the patient experience with our end-to-end Billing & Statements service. We generate clear, jargon-free invoices, deliver them via print, portal, text or email and offer 24/7 self-pay options reducing call-backs, accelerating collections and boosting patient satisfaction without adding workload to your front office.

Fee Schedule Review

Maximize revenue with our Fee Schedule Review. We audit every CPT charge against current payer contracts, RVU data and market benchmarks, flag underpriced codes and deliver a clean, optimized schedule that captures full reimbursement and compliance — no lost dollars, no surprises and full transparency.

Hospital Billing Services

We provide comprehensive medical billing solutions, including hospital RCM, medical AR recovery services, advanced EHR/EMR integrations, practice management, and patient engagement solutions. Outsourced medical billing services give healthcare providers a cost-effective way to reduce operational burdens with advanced technology.

AR Follow-up & Recovery

Our proactive AR recovery strategies in managing accounts receivable lead to a 35% reduction in outstanding AR balances by tracking outstanding payments from patients and insurance payers. We have a proven record of generating revenue from aged AR reports (aging more than 120 days).

Physician Billing Services

Top-notch physician revenue cycle management services at competitive rates, provided by expert medical billers. Our expertise in payer reimbursement strategies will ensure transparency, efficiency, and maximum reimbursement for your independent practice.

Medical Credentialing

Get result-oriented healthcare credentialing solutions. Our credentialing team provides essential support in the payer enrollment process, helping you get enrolled in premium payer networks to maximize reimbursements while ensuring compliance. Our proven 95% success rate speaks for itself.

Denial Management

Denial Management is the disciplined, data-driven process of identifying, analyzing and resolving every payer rejection at its root. By combining certified coders with real-time analytics we turn write-offs into revenue, reduce AR days and enforce HIPAA compliance across the revenue cycle for sustainable performance.

Medical Billing Audit

Supercharge revenue integrity with our Quarterly Medical Audits. We benchmark every chart against national standards, uncover hidden revenue leaks, crush fraud risk, and deliver crystal-clear feedback that boosts quality scores and wins payer confidence so you capture every dollar you deserve.

Claim Submission (Electronic/paper)

Claim submission whether electronic or paper is done through our fault-tolerant gateway that validates every CPT, ICD-10 and NPI before dispatch. Built-in payer edits, batch tracking and instant acknowledgement slash rework, speed up reimbursements and guarantee compliance with ANSI 837 and CMS clean-claim rules every time.

Eligibility Verification

Get faster payments and happier patients with our Eligibility Verification service. We run real-time, automated checks that confirm coverage, benefits and pre-auths before the appointment eliminating billing surprises, reducing claim rejections and supercharging cash flow while keeping you 100% payer-compliant.

Benefits of Outsourcing Medical Billing

HIPAA · SOC 2 · ICD-10 & ICD-11 · CPT · CMS-1500 · Clearinghouse-ready · OIG exclusion checks.

Increased Revenue (25-35%)Maximized reimbursements and revenue boosts by up to 35%. Outsourcing medical billing services offers significant advantages over in-house billing, including cost savings, data entry, coding errors, claims processing accuracy, simplified batch payments and specialized expertise.

Faster ReimbursementsProcess 100+ error-free claims submissions daily with innovative medical billing automation technology.

Decreased Claim Denials (97-98.5% Clean Claims)Tailored solutions and scalable healthcare billing services customized to your specialty needs, ensuring accurate billing for services rendered and preventing revenue leakage.

Reduced Operations Cost (up to 50%)No need to hire and train in-house office staff, which will reduce 50% recruitment and payroll costs, and significantly decrease billing costs through automation and efficiency, benefiting various medical practices by optimizing their financial performance and administrative workflows.

Advanced ReportingReal-time access to your practice's revenue trends, billing, claim status, and collections for more revenue.

24/7 Support / HIPAA ComplianceA dedicated medical billing account manager provides live phone support every step of the way, ensuring HIPAA compliance.

Specialty Billing with Expertise in 10+ Specialties

Cardiology

Clinical Lab

Dermatology

Endocrinology

Family Practice

Gastroenterology

General Surgery

Hematology

Home Health

Infectious Disease

Imaging

Internal Medicine

Dentistry

Mental Health

Oncology

Power Your Billing with a 3 Million-Rule Knowledge Base

  • 20%-35% increase in collections from insurance companies in the first few months
  • Significant reductions in A/R days and denials
  • 97% of claims get paid on the first submission
  • Timely patient statement dispatch
  • Visibility and transparency of each dollar earned
  • Zero ICD-10 & CPT codes disruption

Are you seeking reliable US-based medical billing company to optimize your revenue cycle?

Frequently Asked Questions

Revenue cycle management (RCM) is the whole process of managing the administrative and clinical parts of patient care from registration to final payment. The main purpose of RCM is to get paid accurately and on time for services rendered and maintain high patient satisfaction and regulatory compliance. Effective RCM involves patient registration, insurance verification, medical coding, billing and collections. It also requires specialized software and technology to manage and analyze data, identify trends and patterns and optimize revenue cycle performance. By streamlining these processes you can improve your financial health and get better RCM.

Choose an RCM provider who: helps practices get paid faster and more accurately, offers tailored services as per your needs, uses technology that integrates with your systems, provides clear analytics and reporting.

Yes, we can scale with your practice as it grows. Our healthcare revenue cycle management services are flexible and can handle more volume and complexity without compromising quality.

The pricing for our healthcare revenue cycle management solutions is pretty straightforward, competitive, and, most importantly, there are no hidden costs. It is based on your practice size, collection value, and specialty needs.

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