Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7848

Government Authority located in Virginia; USA based organization looking for expert vendor for third party billing of emergency medical related billing services.

[*] Budget: Looking for Proposals

[*] Scope of Service:

Vendor needs to provide third party billing of emergency medical related billing services.       
- third-party billing service providers to enter into a contract through competitive negotiation to handle pre-hospital emergency medical services (EMS) and associated emergency service-related billing and money collections
- It is the intent of the County to assess reasonable fees for services rendered to assure the provision of adequate and continuing services. It is also the County’s intent to preserve, protect and promote the public health, safety, and general welfare and to defray the rapidly increasing cost of operations for the County’s emergency service operations.
- County residents are to be charged only to the extent of their insurance for ambulance transport, in consideration of the contributions such residents make to emergency services through the payment of county property taxes.
A. The contractor shall prepare and submit clean insurance claims electronically to include but not be limited to Medicare, Medicaid, Anthem, Champus and other applicable carriers including both commercial and private insurances.
B. The contractor must be able to differentiate between residents and non-residents of County and bill accordingly. County does not directly bill County residents, and only bills their insurance companies.
C. Payments will be collected directly by the vendor and electronically transferred to the County through the County Treasurer’s Office.
D. The contractor must provide the County with an itemized report of all invoices and claims billed, monies collected and outstanding balances on a monthly basis.
E. Contractor must make arrangements to work with local hospitals to collect demographic/insurance information directly to ensure seamless transfer of data without need for direct County involvement.
F. Where applicable, provide County personnel with appropriate training concerning documentation, charges and requirements of applicable healthcare and other laws and regulations that may be required.
G. Contractor shall maintain accounts and actively pursue collections for a period not to exceed 1 year (365 days) after the initial collection action. If the Contractor determines that an account is uncollectible prior to this 1 year cut off, notification will be supplied to the County.
H. Contractor shall work with the County’s 3rd party vendor for collections. Any non-resident account that goes uncollected after three attempts shall be forwarded to the County’s 3rd party collections vendor for additional attempts to collect.

[*] Eligibility:

- Onshore (USA Only)

[*] Work Performance:

- Performance of the work will be Onsite or Offsite.

Expiry Date : Thursday, 16 November, 2023

Category : Medical Billing and Coding

Country : USA

State : Virginia

RFP Expired

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