Revenue & Billing
Medical Billing Services for NEMT & Healthcare Providers
Claims out clean, denials worked the day they land, and AR chased until it pays: medical billing outsourcing by HIPAA-trained billers who know NEMT billing and broker trip claims as well as payer claims.
Quick Answer
When you outsource medical billing, an external team of HIPAA-trained billers runs your claims from start to finish. They prepare and submit claims, work denials, chase aging receivables, and post and reconcile payments, staying inside your own billing software and payer portals under a written business associate agreement, the contract HIPAA requires whenever an outside team handles patient information (45 CFR 164.502(e)). Clinics, home care agencies, and NEMT companies use it to get clean claims out the door without building and managing a billing department. SS Support Network works broker trip claims for Modivcare, MTM, and Access2Care alongside Medicaid, Medicare, and commercial claims, and charges for a dedicated seat instead of taking a percentage of collections. The payoff: steadier cash flow, and less money lost to unworked denials or missed filing deadlines.
See it work
Watch a claim move from visit to payment
What we handle
What does outsourced medical billing include?
- Claim preparation & submission: scrubbed against payer rules before anything goes out
- Rejection & denial management: worked the day they land, appealed with documentation
- AR follow-up: aged claims chased on a schedule, not when someone remembers
- Payment posting & reconciliation: ERAs and EOBs posted, deposits matched to remits
- Broker trip claims: Modivcare, MTM, and Access2Care trip billing and rework
- Timely-filing protection: every open claim tracked against its payer deadline
- Patient & rider statements: sent on schedule, questions answered in your name
- Weekly reporting: AR aging, denial reasons, and collections trend in plain English
Why bills go unpaid
Why do medical and NEMT claims get denied or go unpaid?
Claims that never go out
Completed trips and visits sitting unbilled in a queue because the person who bills them is also answering phones. Unbilled work is the most expensive kind. For practitioner claims, state Medicaid agencies must pay 90% of clean claims within 30 days of receipt under 42 CFR 447.45, but a claim that never leaves your queue collects nothing on any timeline.
Denials nobody reworks
First-pass denials that get glanced at, sighed over, and quietly written off. Most are fixable (wrong modifier, missing documentation, stale eligibility) but only if someone works them while resubmission is still allowed.
AR that ages past timely filing
A collectible claim becomes uncollectible by calendar, not by merit. Every payer has a filing window: Medicare closes it one calendar year after the date of service under 42 CFR 424.44, and many commercial payers allow far less. An unworked 90-day bucket is money in the process of expiring.
Payments nobody reconciles
Deposits that never get matched to remits leave phantom balances and hidden short-pays. If reconciliation is months behind, you genuinely do not know what you have been paid for.
How it works
How fast can you take over our medical billing?
- 1
Free billing review
Send your AR aging and denial report. You get a written assessment of leak points, backlog size, and real costs within 1 business day.
- 2
We train on your setup
Your billers learn your software, payers, broker mix, and coding conventions. You approve the playbook before anyone touches a live claim.
- 3
Go live, scoped first
We start with one slice, usually the denial queue, so you can judge quality line by line, then take the full cycle.
Proof, not promises
The billing back office behind a multi-state NEMT operator
For 2+ years we have run back-office support for a growing East Coast NEMT provider: claims paperwork, broker portal rework, and daily follow-up, while they expanded from one state to several. Clean paperwork kept broker and payer relationships solid as trip volume climbed.
- Trip claims and rework handled inside their own systems
- Broker portals worked daily, so nothing ages silently
- Coverage 24/7/365, including holidays
- 2+ years retained, and still with us today
Billers trained on the platforms you already use
Independent service provider, not affiliated with or endorsed by the platforms and brokers named above.
Cost, honestly
How much does outsourced medical billing cost?
Four things set your quote: monthly claim volume, payer mix (broker trip claims and Medicaid MCOs take more touches than commercial), how much aged AR needs cleanup, and scope: posting only, or the full submit-to-reconcile cycle. Most clients hand over the denial queue and aged AR first, because that is where money is actively expiring. A dedicated billing seat typically runs 35–70% less than the fully-loaded cost of an in-house biller (wages, taxes, benefits, turnover) per SS Support Network operations data. No setup fees, no percentage of collections.
Billing does not fail loudly. It fails as a quiet stack of unworked denials and an aging report nobody opens. The fix is unglamorous: work every claim, every week, and reconcile every deposit.
SS Support Network billing operations playbook
Common questions
Medical billing outsourcing, answered straight
Most providers hand over live claims within 5–10 business days. We start with a free billing review, learn your payers, software, and denial history, then run a scoped first batch you can check line by line before we take the full queue.
Yes. Our billers work broker trip claims (Modivcare, MTM, Access2Care) alongside Medicaid, Medicare, and commercial claims for clinics and home care agencies. Trip logs, signature verification, and rejection rework are handled daily inside your existing billing platform and broker portals.
Pricing is a dedicated-seat model, not a percentage of collections. A full-time billing seat typically runs 35–70% less than a fully-loaded in-house biller once wages, taxes, benefits, and turnover are counted, per SS Support Network operations data. The pricing page shows real ranges.
Yes. Backlog cleanup is usually the first project new clients hand us. We work the aged queue oldest-first, flag claims past timely-filing limits honestly instead of chasing dead balances, and give you a written report of what is collectible and what is not.
No. Your team keeps working in your current system (Waystar, Availity, Office Ally, AdvancedMD, athenahealth, or a broker's own portal) and so do we. You keep full ownership of logins, data, and payer relationships, so leaving us later costs you nothing.
Every biller completes HIPAA training before touching live claims and works under role-based access with audit trails. We sign a Business Associate Agreement with every client, and PHI stays inside your systems. We work in your platforms rather than exporting data to ours.
Want specifics on your payer mix? Call +1 (657) 777-0006, 24/7, and a real biller can walk your AR aging with you.
Some payer mixes get their own desk: behavioral health billing, HME and DME billing, and clinic and practice billing. Upstream of all three sits medical coding and the documentation a virtual medical scribe keeps current; downstream sits patient collections once the payer has paid its share.
Related
Often paired with billing
NEMT Trip Billing (Broker & Medicaid)
Broker trip claims, will-call & no-show documentation, and Medicaid billing: the NEMT-specific side of billing.
Learn more
Revenue Cycle Management
The full cycle (eligibility, claims, denials, AR, and posting) run by one accountable team.
Learn more
Insurance Verification
Eligibility checked before every visit and trip, so denials never get created in the first place.
Learn more
Healthcare Back-Office Support
Billing, verification, credentialing, and calls: the full admin stack for healthcare businesses.
Healthcare overviewPaper into payment
Claims worked like a production line
Charge entry, scrubbing, submission, denial work, posting: every claim moves through a documented workflow with a status date, not a someday pile.
Free billing review
Find out what your unworked AR is really worth
Tell us your claim volume and payer mix. Within 1 business day you get a written billing review: where revenue is leaking, what a dedicated seat costs, and the honest savings math. No sales pressure.
Prefer to talk now? Call +1 (657) 777-0006 or WhatsApp us, 24/7.
