Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7222

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

[*] Budget: Looking for Proposal

[*] Scope of Service:

(1) Vendor needs to provide billing services for emergency medical services.
- Preparation of an invoice for each billable run report provided.
- Submission of invoices to third party insurance carriers.
- Follow-up billing to secondary insurance carriers, as required and handle all appeals of billing denials.
- Each vendor shall provide details as to their process for billing and follow up on denied claims.
- Obtaining insurance information from medical facilities, where possible.
- Invoicing the patient with cover letter if insurance information is unavailable.
- Follow up on each case at the time periods designated by the City.
- Accepting assignment on each case per the billing policy of the City.
- Process refunds and issue checks directly to the impacted payer.
- Daily deposit of payments into appropriate bank account.
- Weekly reporting of deposits, account postings and accounts billed.
- Weekly submission of copies of all checks, money orders and cash received.
- Monthly reporting of account status.
- Monthly reporting of statistical data when requested in writing.
- Provide on-site training to staff and management on documentation and issues related to same, at no additional charge, not to exceed 4 (four) classes per year.
- Assisting with materials related to Medicare and insurance audits.
- Prepare/assist with the submission of the EMS rate application each year and any form submissions.
- Conduct informational meetings with City officials and residents to explain the program and provide educational and promotional materials.
- Provide an 800 number for all client/patient phone calls answered by professionally trained billing specialists.
- All EMS claim submissions shall be compliant with guidelines and Medicare Regulations as appropriate.
- Maintain professional liability insurance of no less than $2 million and employee dishonesty/forgery coverage of no less than $500,000.
(2) All questions must be submitted no later than March 24, 2023.

[*] Eligibility:

Onshore (USA Organizations Only)

[*] Work Performance:

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

[*] Proposal Submission:

Response can be submitted digitally via Email or Online.

Expiry Date : Tuesday, 4 April, 2023

Question Answer Deadline : Friday, 24 March, 2023

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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