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MB-5192 - USA (New York) - Medical Billing Services - Deadline May 14,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5192

Government Authority located in New York; USA based organization looking for expert vendor for medical billing services.

[A] Budget: Looking for Proposals

[B] Scope of Service:

Vendor needs to provide medical billing services    for the County Mental Health Clinic. Services will encompass medical billing, automatic medical revenue posting, as well as medical billing software maintenance, utilizing TenEleven EMR and billing software.
- The county is looking for a reputable, qualified billing company with experience and a proven
record of supplying timely medical claim processing, accurate auto posting of payments and
prompt knowledgeable medical billing experts to assist with any issues which may arise
throughout the term of the agreement.
- 1. Services provided by the County Mental Health Clinic which are to be billed by the service provider include; outpatient mental health services, day opportunity center, case management, care management, community education, and crisis services.
2. These services rendered on behalf of the County Mental Health Clinic will encompass the following:
a) Daily medical claim submissions to multiple insurances including Medicaid and Medicare.
b) Continual processing of medical claim denials with notification to agency of any denied claims so that agency can contact client and update information for re-billing.
3. The service provider will ensure that any client with multiple forms of insurance are billed correctly.
4. The service provider will ensure that all medical client accounts are current with all automatic posting processed at a maximum of two (2) business days after funds are received via electronic posting. This will allow for accurate client statements.
5. The service provider will assist the Financial Department of the Genesee County Mental Health Clinic with any new payer setups. The service provider will also provide assistance in correcting any existing payer setups found within the TenEleven software, to be causing claim denials, or insufficient payments.
6. Provide software maintenance for TenEleven EMR and billing software and administer continuous improvements identified within the same TenEleven software.
7. It is expected that a minimum of 90% of all eligible claims will receive payment for successful performance of this contract.
8. There will be weekly correspondence, at a minimum, between the provider and the GCMH billing staff.
9. There will be quarterly performance reviews with the GCMH Administrative Staff. Any corrections will be made prior to the following quarterly meeting.
10. Participation in Revenue Cycle Management (RCM) meetings at a minimum of quarterly.
11. Provide RCM data on a monthly basis and assist client in compiling accurate RCM data.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

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

Expiry Date : Friday, 14 May, 2021

Category : Medical Billing and Coding

Country : USA

State : New York

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