What We Do @HealthSync

Comprehensive Insurance Support Services for Hospitals

From verification to reimbursement, we simplify every step of your hospital’s insurance process.

Core Services

Insurance Eligibility Verification

We check insurance coverage in real-time to avoid billing issues and ensure a smooth admission process.

Prevents surprises for patients and staff at the time of admission
Improves upfront collections and financial clarity
Reduces claim rejections due to ineligible insurance

Pre Authorization Management

We obtain timely prior approvals for procedures, reducing treatment delays and insurance-related disruptions.

Speeds up patient care with fast insurance responses
Reduces administrative burden on hospital teams
Ensures proper documentation for smoother claim approval

Discharge Approvals

We coordinate discharge approvals with insurers to ensure smooth, timely patient discharges.

Reduces unnecessary delays in patient discharges
Improves bed turnover and operational efficiency
Ensures payment eligibility before discharge

Claim Preparation and Submission

Accurate and complete claim documentation ensures faster processing and maximizes reimbursement potential.

Increases first-pass claim acceptance rates
Reduces manual errors and resubmissions
Shortens payment cycles significantly

Claim Scrubbing & Error Resolution

We identify and fix claim issues before submission, preventing rejections and payment delays.

Enhances claim quality and compliance
Saves time and reduces back-and-forth with payers
Improves hospital revenue predictability

Denial Management & Appeals

We manage denials and file appeals to recover lost revenue efficiently and systematically.

Maximizes claim recovery through strategic appeals
Identifies root causes of denials for long-term fixes
Keeps your team focused on patient care

Accounts Receivable (A/R) Follow-Up

We track and follow up on pending payments to reduce aging receivables and speed up collections.

Lowers outstanding balances with persistent follow-up
Provides detailed aging reports and recovery insights
Increases working capital and cash flow

Patient Estimation & Financial Counseling

We help patients understand their financial responsibility and make informed care decisions.

Increases patient satisfaction and trust
Reduces post-treatment billing disputes
Encourages upfront payments and clarity

Payment Posting & Reconciliation

We match payments to claims accurately and flag discrepancies for quick resolution.

Keeps your financial records clean and audit-ready
Flags underpayments for corrective action
Saves your billing team hours of manual work

Reporting & Analytics

Actionable insights into claims, payments, and denials to help improve your revenue cycle performance.

Identifies performance gaps across the RCM process
Enables informed decisions through clear dashboards
Improves accountability and transparency

Optional / Advanced Services

Out-of-Network Billing Support

We help hospitals handle complex out-of-network claims and boost recoveries from non-partnered insurers.

Maximizes revenue from non-network treatments
Handles high-complexity billing with expertise
Reduces payment disputes and delays

Contract Management & Payer Negotiations

We assist with analyzing, managing, and negotiating better contracts with insurance providers.

Ensures favorable rates and terms
Improves claim acceptance and turnaround
Reduces contract-related disputes

Provider Credentialing/Empanelment

We help you get empanelled with more TPAs and insurers, expanding your service reach.

This improves your hospitals marketability and reach

Ready to Streamline Your Insurance Desk?

Book a free consultation or request a custom quote tailored to your hospital's needs.

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