Everything you need to know about outsourcing your medical billing to Probiz. From onboarding and pricing to compliance and security.
Outsourcing your medical billing to a specialized partner like Probiz eliminates the hidden costs of an in-house team—salaries, benefits, turnover, and continuous training. Instead of relying on a small internal team that might struggle with the sheer volume of changing payer rules, you gain an entire department of certified coders and billing specialists. We utilize advanced rule engines and automated workflows to maximize first-pass acceptance rates and accelerate cash flow, allowing you to focus entirely on patient care.
Probiz supports a wide array of medical specialties including Cardiology, Orthopedics, Neurology, Behavioral Health, Dermatology, Gastroenterology, Oncology, Radiology, and General Practice. We assemble dedicated pods of coders tailored to your specific specialty so they thoroughly understand your unique CPT codes, modifiers, and payer-specific LCD/NCD policies.
Yes, our dedicated A/R recovery team specializes in cleaning up legacy claims. We conduct a thorough analysis of your aging buckets (30, 60, 90, and 120+ days) to identify root causes of non-payment. We then aggressively follow up on outstanding claims, file appeals, and recover significant hidden underpayments that many practices assume are lost.
Absolutely not. In fact, outsourcing to Probiz gives you more transparency. We provide real-time KPI dashboards and comprehensive monthly reports detailing your collection rates, denial trends, and A/R aging. You always have direct access to your data and a dedicated account manager who keeps you fully informed of your financial performance.
Our pricing is primarily based on a percentage of net collections. This "pay-for-performance" model means we only get paid when you get paid, perfectly aligning our incentives with yours. The exact percentage depends on the size of your practice, your specialty, and your average monthly claim volume. Contact us for a custom proposal tailored to your specific needs.
No, Probiz believes in complete transparency. We do not charge hidden fees for standard claim appeals or standard software integrations. Depending on the complexity of your current EHR/PMS setup, there may be a one-time onboarding fee, which is clearly stated upfront in our initial proposal.
We typically work on an annual contract basis to ensure we have the time to properly onboard your practice, clean up legacy A/R, and optimize your revenue cycle. However, we are confident in our performance and include performance guarantees and standard exit clauses to ensure you are never locked into an arrangement that isn't working for you.
In most cases, no. Probiz is software-agnostic and our teams are experienced in working with major EHRs including Epic, Cerner, eClinicalWorks, AdvancedMD, Athenahealth, and many others. We log into your existing system via secure VPNs so you don't have to change your clinical workflows.
Our average onboarding timeline is 2 to 4 weeks, depending on the complexity of your practice and your software systems. We utilize a structured transition plan that ensures zero interruption to your cash flow. Your claims continue to go out while we integrate our processes with your front office.
You will be assigned a dedicated Account Manager who serves as your single point of contact. Behind them is a full team of certified medical coders, billing specialists, and A/R follow-up experts specifically trained for your medical specialty.
Yes. We adhere to the strictest HIPAA and HITECH regulations. We sign a comprehensive Business Associate Agreement (BAA) with all clients. Our physical facilities feature biometric access controls, and our digital infrastructure utilizes end-to-end AES-256 encryption, zero-trust network access, and strict role-based data permissions.
Our coding team consists of certified professionals (AAPC and AHIMA). Furthermore, every claim runs through a comprehensive scrubbing engine that checks thousands of payer-specific edits before transmission. We also perform regular internal audits to guarantee our coding maintains industry-leading accuracy rates.
Because we operate within your existing EHR/PMS environment, your data remains safely stored on your own secure servers or your cloud provider's servers. We only access the data remotely via secure, encrypted VPN connections, ensuring we never download or store ePHI on unauthorized local machines.
Our healthcare revenue experts are ready to provide a free consultation and answer any specific questions about your practice's billing.
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