Billing and Collections

Providing personalized attention, experienced utilization review staff, trusted verification of benefits, exceptional insurance billing and collections.

UR1 Professionals Billing and Collection department is dedicated to providing the highest quality of billing services and medical insurance claims management including filing, follow-up and collection of monies due your organization. We strive to send all medical claims out clean on the front end and follow-up on exceptions with health care insurance carriers timely.

Most medical billing companies try to profit by a high client to employee ratio and merely play a numbers game. This often leads to the medical billing company “creaming the top” by blindly inputting claims and either writing off problematic claims or allowing the organizations accounts receivable to become inflated.

We have a low client/employee ratio in order to best serve our customers. 

Unlike most medical insurance billing companies, at UR1 Professionals we never prematurely consider a “write-off” of what should have been a healthy claim. We will go through every level of appeal to make sure our claims get paid and paid correctly. You provided the service and the insurance needs to pay for that!

Look at some of the advantages of having UR1 Professionals manage your insurance billing and collections:

  • Electronic Claims Submission of UB04 Facility billing weekly.
  • Persistent and Timely Insurance Company Claims Follow-Up
  • Explanation of Benefits Review
  • Electronic Remittance Advice (Explanation of Benefits)
  • Live access to claims via our gateway as well as payments access to all ERA’s
  • Correct Medical Coding ensuring our claims go out clean
  • Live census and status reports
  • Claims negotiated only if better reimbursement
  • Knowledgeable staff is always accessible and courteous to work with
  • UR1 is very transparent; you will have access to all of your reports and portals available to you 24/7

Every insurance claim submitted produces an “explanation of benefits” (EOB). Whether the claim is paid or denied (or partially denied), your practice depends on the proper handling of this data. Insurance companies make it quite easy, even for experienced billers, to adjust off money that could be collected. Our credentialing process makes sure your claims are accepted by all insurance providers from the start.

We understand the value of getting it right on the front end!  Our years of experience working in the behavioral healthcare industry with providers and patients have helped us to establish the best processes and procedures for ensuring each facility we serve gets paid appropriately for the services they render.

By letting us manage your reimbursement needs, we can help free up your resources to focus them on providing high-quality patient care. We have been serving our community for over 10 years with less than 1% turn-over. We’ve been in the field for over 25 years!  Check out our Testimonials page and join our network today!