MB-3462 - USA (Colorado) - Third Party Billing and Collection Services - Deadline October 11,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3462

Government authority located in Colorado; USA based organization looking for expert vendor for third party billing and collection services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide third party billing and collection services for castle rock fire and rescue department’s ambulance fees.
- The successful Proposer (Contractor) to use the necessary forms for the billing and collecting of Ambulance fees from the following various types of payers
• Self-Pay (patient pays the bill)
• All Commercial and Private Insurance, including Medicare Supplements and Replacements
• Medicare
• Medicaid
• Workers’ Compensation
• Personal Injury Protection/Medical Payments (Auto Insurance
- The Contractor shall provide, at a minimum, the following services:
• Claims processing and billing services for Private Health & Auto Insurance, Medicare, Medicaid, Workers Compensation, private pay invoicing and Attorney pays.
• Shall provide the Castle Rock Fire and Rescue Department and the Town of Castle Rock Finance Office with contact phone number(s) that are answered Monday-Friday, 8:00 a.m. – 5:00 p.m., excluding Town recognized holidays.
• Shall date stamp and record incoming records for tracking.
• Shall review records for missing information.
• Shall obtain insurance information by phone calls, mail request or other appropriate means by contacting the policyholder or responsible party.
• Shall set up a payment plan with Private Pay accounts in accordance with Castle Rock Fire and Rescue Department.
• Shall review patient care reports for correct charges.
• Shall process claims and forward them to applicable agencies or companies via mail, fax or electronic transmission.
• Shall process all EMS billing invoices under the Town of Castle Rock Fire and Rescue Department name and appropriate identification numbers.
• Shall process all denials and appeals.
• Shall pursue appeals of claim denials and obtain, if applicable, in-hospital medical records and/or supplemental reports as needed for the appeals process.
• Shall check status of accounts with third party payers.
• Shall invoice the Town of Castle Rock monthly for accounts received.
• Shall provide detailed and comprehensive reports on billing and collection activity, including status and age of receivables, and revenue received reports as requested by the Town of Castle Rock in a manner and format that is agreeable with the Town of Castle Rock Finance Department.
• Shall work with the Town of Castle Rock Finance Department to record and reconcile all payments, deposits, records, and transactions
• Shall have the ability to send and receive information via e-mail to the Castle Rock Fire Rescue Department and the Town of Castle Rock Finance Department.
• Shall have a written policy for the release of confidential information and shall have safeguards in place to protect those records.
• Shall comply with HIPAA, Medicare, Medicaid and other applicable mandates in regards to the handling of patient information.
• Shall establish a secure method for retrieving patient care records, charge sheets and other required information from Castle Rock Fire and Rescue Department.
• Shall furnish in-house training for documentation and records management to facilitate improved claims processing and billing activities.
• Shall advise the Castle Rock Fire and Rescue Department on charges and recommendations to adjust billing rates.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 11 October, 2019

Category : Medical Billing and Coding

Country : USA

State : Colorado

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