Service · The engagement
Outsourced Medical Billing Services
You have decided to outsource. This is what the first ninety days actually look like.
Outsourced medical billing services from 247 Medical Billing Services move your entire claim cycle to a dedicated team without you losing a day of cash flow or a shred of visibility. Since 2005, our HIPAA and SOC 2 Type II certified operation has run eligibility, coding, claims, denials, and A/R for US providers — with a named account manager and a free 360° reporting dashboard.
How a 247MBS outsourcing engagement actually runs
This page is not about *whether* to outsource, and it is not the catalog of the full offering. It is the operating manual — how the engagement is structured, staffed, measured, and governed once you decide to move. If you are still weighing the in-house-versus-outsourced case, that math lives on our medical billing outsourcing decision page. If you want the complete front-to-back service described as a whole, that is our flagship medical billing services page. Here, we assume you have decided and want to know exactly what working with us looks like day to day.
An outsourced engagement should feel less like handing your revenue to a vendor and more like adding a fully staffed billing department you do not have to hire, train, or supervise. That department runs inside your existing practice-management and EHR systems, reports to a named account manager, operates against written service levels, and shows you every claim and dollar on one live screen. The rest of this page walks through each of those pieces — the transition timeline, the SLAs, the reporting cadence, the security posture, the team structure, and the controls that keep you in charge throughout.
What the outsourced engagement includes
The scope below is the standard full-cycle engagement. Each row is a discipline in its own right — you can drill into any of them — but under one outsourced agreement they run as a single connected system with one point of contact, not as separate vendors stitched together.
| Stage of the cycle | What the team owns | Component detail |
|---|---|---|
| Eligibility & benefits | Coverage, plan, and authorization confirmed before the visit | Eligibility verification |
| Coding & charge entry | Documentation coded to the level the record supports | Medical coding services |
| Claim scrubbing & submission | Front-end edits cleared, claims filed within 24 hours | Electronic claims submission |
| Payment posting | ERAs and EOBs posted, underpayments flagged against contract | Payment posting |
| Denial management | Every denial worked to root cause and appealed on time | Denial management |
| A/R follow-up | Aged claims pursued payer by payer to hold days in A/R low | A/R follow-up |
| Reporting & governance | Live dashboard, KPI tracking, scheduled performance reviews | Owned by your account manager |
Run together as one managed function rather than seven separate desks, this is the same connected system our revenue cycle management page frames at a leadership altitude. What makes it an *engagement* rather than a task list is everything around the scope — the onboarding, the service levels, and the reporting — which the sections below spell out.
Your transition, week by week
The single biggest fear about switching billers is a cash-flow gap during the handover. A well-run transition does not go dark, because we work your existing A/R while your new claims keep flowing. Here is the typical timeline for standing up outsourced billing services with us — most practices are fully live inside three to four weeks.
| Phase | Timing | What happens |
|---|---|---|
| Discovery & audit | Week 1 | Revenue review; we map specialty, payers, fee schedule, PM/EHR, and open A/R, and quantify current leakage |
| Access & setup | Week 1–2 | Secure, role-based access to your existing systems; no platform migration; BAA executed; workqueues built |
| Parallel run | Week 2–3 | Claims begin flowing through our team while we validate clean-claim rates before old processes retire |
| Full cutover | Week 3–4 | We own end-to-end submission; aged A/R and in-flight denials are worked alongside new claims |
| Steady state | Week 4+ | SLA reporting live on your dashboard; first scheduled performance review scheduled |
Because we bill from the software you already use, nobody on your side relearns a platform, and your data never leaves your system of record. Recovering the aged A/R the previous setup was letting slip is frequently one of the first measurable wins of the switch, not an afterthought months later.
Revenue review
See what the transition would look like.
We map your systems, payers and open A/R, then show you the transition week by week — what moves when, what runs in parallel, and what your reporting looks like once it is live.
- Your systems and payer mix mapped before anything moves
- Open A/R reconciled so nothing in flight is lost at handover
- SLAs, reporting cadence and escalation agreed up front
Tell us about your practice.
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A specialist will reach out within one business day.
Service levels and turnaround commitments
An outsourced engagement is only as trustworthy as the commitments it is measured against. We put turnaround and quality targets in writing, then report performance against them on your dashboard so the SLA is verifiable, not aspirational.
| Commitment | Target |
|---|---|
| Clean-claim submission | Claims scrubbed and filed within 24 hours of receipt |
| First-pass clean-claim rate | Approximately 99% |
| Net collection rate | Around 99% of collectible revenue |
| Days in A/R | Held under 25 |
| Denial recovery | Up to 90% of worked denials overturned |
| Denial reduction | Up to 40% fewer denials over the engagement |
| Payment posting | ERAs/EOBs posted within agreed turnaround, underpayments flagged |
| Reporting review | Scheduled cadence with your account manager |
These are the same compliant figures we hold across every specialty. They are commitments, not guarantees of a fixed number on your first cycle — the audit sets a realistic baseline for your practice, and the SLA is the trajectory we manage you toward and report against every period.
Reporting cadence and your free 360° dashboard
Losing visibility is the fear that keeps practices in a costly status quo, so transparency is engineered into the engagement rather than offered as a courtesy. Every client gets a free 360° reporting dashboard that shows submissions, rejections, denials, appeals, posting, and A/R aging in real time — usually more insight than a practice had when billing sat down the hall in one biller's spreadsheet.
On top of the live view, your account manager runs a scheduled review — typically monthly, more often during onboarding or a payer issue — where we walk through the KPIs, the denial trends, the aged-A/R workdown, and the specific actions underway. You are never left to decode a monthly invoice and guess what your outsourcing partner is doing. A billing company that hides behind a summary statement is asking for trust it has not earned; we would rather show you the work on a screen you can open any time.
Data security: HIPAA, SOC 2, and access control
Handing claims to an outside team means handing over protected health information, so security is a first-order part of the engagement, not fine print. We operate as a HIPAA compliant and SOC 2 Type II certified organization, execute a Business Associate Agreement before any access is granted, and work under role-based, least-privilege permissions inside your systems so staff touch only the data their task requires. Access is logged, reviewed, and revoked on offboarding, and our team follows documented controls end to end. Because we work inside your existing practice-management and EHR environment rather than exporting your database to ours, your record of truth stays where it already lives — with a defined, auditable trail of who did what.
Your dedicated team and how the account manager embeds
Outsourcing to us does not mean your work is scattered across an anonymous pool. You get a dedicated team — coders, submission specialists, denial and appeals staff, and A/R callers — assigned to your account, plus a named account manager who owns the relationship from the first day of the transition, not after a problem appears. That account manager is your single point of contact: they run the onboarding, set the reporting cadence, escalate payer issues, and answer for the SLAs. Certified AAPC and AHIMA coders on the team carry specialty-specific experience, so a practice with complex modifiers or LCD-driven claims gets people who already understand its payers rather than a generalist learning on your revenue. If you prefer a fixed, dedicated headcount billed as staff rather than a percentage of what we collect, the FTE billing model is the alternative way to structure the same embedded team.
How you stay in control
The point of a professional outsourcing engagement is to remove the operational burden without removing your authority, and the two are easy to confuse. You keep the decisions that are genuinely yours: you set write-off and adjustment thresholds, you approve patient-statement and collection rules, you define the escalation path, and you own the data in your systems. What changes is that a dedicated team executes the day-to-day and a live dashboard makes their work visible in real time. There is no long-term lock-in used as a substitute for performance — the engagement holds because the numbers hold, reflected in a 98% client-retention rate. You are trading fixed overhead and single-biller coverage risk for a measured, accountable process you can watch on one screen, not trading control for convenience.
247MBS vs. a generic outsourcing vendor
Not every outsourcing arrangement is run the same way. Many vendors accept the claims you send and stop at filing; a genuine engagement is built around the operating disciplines that protect the revenue behind those claims. The gap shows up on the remittance, not the sales call.
Who we run billing for
We provide outsourced billing services to independent physician practices, multi-provider groups, specialty clinics, urgent care and primary care offices, behavioral and mental health providers, surgical and anesthesia groups, and hospital-affiliated practices across all 50 states. The engagement scales to your volume and adapts to your systems and workflows rather than forcing you onto ours. Whether you are replacing an overloaded in-house desk, consolidating several disconnected vendors, or moving off an underperforming outsourcing partner, the transition and SLA framework on this page is the same — sized to your specialty and payer mix during the audit.
Engagement models and pricing
Because the engagement is measured on results, most clients run on a percentage-of-collections model: the fee scales with the revenue we actually bring in, the coders, software, clearinghouse connections, denial work, and account manager are bundled in, and there is no salary to fund in a slow month. Practices that want a fixed, predictable cost or that have high, steady volume can instead use the FTE billing model, where you fund a dedicated full-time-equivalent team as staff. As a medical billing services company that would rather earn the relationship than lock it, we start with a revenue review either way, so you see the numbers and the proposed structure before you commit to anything.
Ready to see the transition planned for your practice?
The fastest way to know what an outsourced engagement would look like for you is to let us map it against your real payers, systems, and open A/R. As a professional partner, we plan the switch — transition timeline, SLAs, reporting, and security — before you change a thing, so you can outsource with a schedule and a set of commitments in hand, not a leap of faith.
Still deciding? Weigh the in-house vs outsourced math first, or see the complete medical billing services offering.
Outsourced billing engagement FAQ
Most practices are fully live within three to four weeks. Week one is the audit and system access, weeks two to three are a parallel run that validates clean-claim rates, and full cutover follows — with your aged A/R worked the entire time so cash flow does not gap.
No. We work inside the systems you already use under secure, role-based access. Nothing is migrated to our platform, so your team keeps its software and your data stays in your system of record.
Claims scrubbed and filed within 24 hours, an approximately 99% first-pass clean-claim rate, net collections near 99%, days in A/R held under 25, and up to 90% denial recovery — all reported against target on your dashboard so the SLA is verifiable.
You set adjustment, write-off, statement, and escalation policy and own your data. A dedicated account manager runs execution and a free 360° dashboard shows every claim, denial, and dollar in real time — typically more visibility than in-house billing gave you.
We are HIPAA compliant and SOC 2 Type II certified, execute a BAA before access is granted, and work under least-privilege, logged permissions inside your environment. Access is reviewed and revoked on offboarding.
This page details how an engagement is structured and run. The medical billing outsourcing page helps you decide whether to outsource at all, and the medical billing services page describes the full-service offering itself.
Ready to close this gap before it costs you?
We map your systems, payers and open A/R, then show you the transition week by week — what moves when, what runs in parallel, and what your reporting looks like once it is live.
Prefer email? sales@247medicalbillingservices.com