01Back end

Medical billing services that get clean claims out the door

Our medical billing team handles charge entry, claim submission, and payment posting every business day, so reimbursement arrives faster and your staff stops spending afternoons on paperwork.

  • Claims submitted daily
  • ERA and EOB posting
  • Certified billing team
Sound familiar?

The problems we hear about most

Before practices come to us for medical billing, these are the issues that keep coming up.

Claims wait in a queue

When billing is squeezed between patient check-ins, charges sit for days before anyone submits them. Every day of delay is a day later you get paid.

Small errors, big delays

A wrong member ID or a missing NPI gets a claim rejected. If nobody catches the rejection, the claim quietly ages toward the filing limit.

Payments posted late or wrong

When nobody posts ERAs promptly, your A/R looks worse than it is, and underpayments slip through without anyone noticing.

What's included

Everything included in our Medical Billing service

Certified billing and coding professionals handle every part of it, with HIPAA-compliant processes throughout.

Charge entry and review

We enter charges from your EHR or superbills and check them against documentation before we bill anything.

Claim scrubbing

We check every claim against payer edits and common errors, then correct it before it goes out.

Daily electronic submission

We submit clean claims every business day and track each payer acknowledgment.

Payment posting

We post ERAs and EOBs and reconcile them against deposits, so your balances stay accurate.

Secondary and tertiary claims

Once the primary pays, we bill secondary and tertiary coverage without waiting for someone to remember.

Underpayment flagging

We compare payments with expected amounts and flag short payments for follow-up.

How it works

How medical billing works with Optima

First, we set up a clear process from day one. That way, your claims keep moving while we get started.

  1. Connect your systems

    We get secure access to your EHR or PM system and review your payer mix and fee schedule.

  2. Capture and scrub

    We enter charges, scrub claims, and fix issues before submission.

  3. Submit and track

    Then claims go out daily, and we confirm that the payer accepts each one.

  4. Post and report

    We post payments as they arrive, and then you get a monthly report on what was billed and collected.

Quick check

Is medical billing right for your practice?

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Let's see if we're a fit

Select the statements that describe your practice to see whether Medical Billing would help.

What changes

What medical billing changes for your practice

Faster reimbursement

Claims go out sooner and cleaner, which shortens the time between the visit and the payment.

Accurate balances

Timely posting means your A/R reflects what's really outstanding.

Time back for your team

Staff can focus on patients instead of claim forms and payer portals.

Specialties

Medical billing for 30+ specialties

Our team works by specialty, so they know the codes, modifiers, and payer rules that apply to yours.

Pairs well with

Services that work well together

View all services
FAQ

Medical Billing questions

Something else on your mind? Talk to a billing expert.

It covers the work between the visit and the payment: charge entry, claim creation and scrubbing, electronic submission, payment posting, and secondary claims. Optima Care Billing also flags underpayments and reports on results each month.

We submit clean claims every business day once charges and documentation are available. If a claim needs information from your team, we flag it right away so it doesn't sit.

In most cases, no. Instead, we work inside the EHR and practice management systems practices already use.

It should be. We sign a Business Associate Agreement before accessing patient information, use role-based access, and exchange files through encrypted channels.

See what medical billing could change. Start with a free audit.

First, we'll review a sample of your claims, denials, and A/R. Then we'll show you where your revenue cycle needs attention.