Our Services

We specialize in claims and billing services exclusively for clients using Jane App, ensuring seamless integration and efficient workflow.

Due to our exclusive focus on Jane App, we are experts in the software, allowing us to optimize your billing workflow and streamline the claims process.

We also ensure the overall health of your Jane App setup, setting you up for success in every aspect of your practice.

We offer business and practice consultation for healthcare providers, helping you enhance operations and achieve success, regardless of the software you use.

We offer Medical Billing Mentorship, providing personalized guidance for medical billers to deepen their field knowledge, navigate regulatory requirements, master industry best practices, and receive ongoing support for new challenges.

Our course video library offers healthcare providers concise, subject-focused content to enhance their knowledge and proficiency.

Our video library offers bite-sized tutorials on workflows for Jane App users, covering insurance processes and more. It's designed to provide quick, effective guidance for running and operating a healthcare clinic, relevant to all staff, and accessible to current clients and the public.

Jane App Services

Insurance Billing & Claims Submission via Jane App

Navigating the complexities of insurance billing can be daunting. At PDXPERT, we specialize in managing this process seamlessly through the Jane App platform. Our services include:

  • High-Level Claims Review: Ensuring that all medical claims are complete and accurate to meet insurance requirements. Thereby minimizing claim rejections.

  • Timely Claims Submission: Promptly submitting claims to insurance providers to expedite reimbursements and maintain a steady revenue flow for your practice.

  • Follow-Up on Denied Claims: Investigating and appealing denied claims to secure the payments your practice is entitled to.

Consulting & Training Services

Healthcare Business Consulting & Advising

Running a healthcare practice involves more than patient care; it requires strategic business planning. Our consulting services are designed to:

  • Enhance Operational Efficiency: Analyzing your current processes to identify bottlenecks and implementing solutions that streamline workflows.

  • Account Management: Offering guidance on insurance and patient accounts including navigating the complexities of working outstanding claims to ensure the profitability and sustainability of your practice.

  • Market Analysis: Providing insights into market trends and patient demographics to help you make informed decisions about expanding services or entering new markets.

Development of Office Policies & Procedures

Clear and well-documented policies are the backbone of a smooth-running practice. We assist in:

  • Policy Creation: Developing comprehensive office policies that comply with industry regulations and reflect the ethos of your practice.

  • Procedure Training: Crafting step-by-step guides for daily operations to ensure consistency and quality in service delivery.

  • Compliance Assurance: Regularly updating policies to align with changes in healthcare regulations and standards, thereby safeguarding your practice by maintaining compliance.

Office Administration Training & Support

A knowledgeable and efficient administrative team is crucial for the success of your practice. Our training and support services include:

  • Staff Training Programs: Conducting workshops and training sessions to equip your administrative staff with the skills needed for effective practice management.

  • Ongoing Support: Providing continuous assistance to address any administrative challenges, ensuring your team remains competent and confident in their roles.

  • Technology Integration: Assisting with the implementation and optimization of practice management software, enhancing productivity and patient satisfaction.

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 FAQs

  • Our pricing is customized based on claim volume, provider specialty, business size, and account complexity. We provide a flat-rate monthly quote valid for six months, reassessed biannually. We prefer working with Claim.MD as our clearinghouse since it integrates with Jane App. If you require patient billing services, this will result in a slightly higher quote.

  • We follow multiple levels of review, run reports on claims older than 60 days, and conduct annual internal audits. Our staff has diverse expertise, and we take strong measures to ensure HIPAA compliance and data security. We also adhere to the Office of the Inspector General’s (OIG) regulations for medical billers.

  • We specialize in working with alternative healthcare providers such as chiropractors, naturopaths, acupuncturists, and massage therapists. We also handle claims and billing for physical therapists, occupational therapists, and mental health therapists.

    Additionally, we have experience with nurse practitioners and surgeons using Jane App.

  • Yes! We actively follow up on denied claims, investigate the cause, and appeal when necessary to ensure correct processing and reimbursement.

  • Unfortunately, we only offer claims and billing services for Jane App users. However, we do provide business and practice consultation services for healthcare providers, regardless of their EHR software.

  • We typically access client accounts twice a week and respond to any questions via email at that time. Scheduled phone calls or Zoom meetings are available as needed.

    For urgent matters, include ”Urgent” in the email subject line for a quicker response. We aim to reply to all correspondence within a 48- to 72-hour business period.

  • Patient billing is an optional service requiring clients to be set up with Jane Payments.

    We submit invoices only for insurance patients and only after claims are fully processed.

    Clients receive a spreadsheet of who received invoices, and we do not correspond directly with patients.

"We hired Cortney to do our billing, insurance benefit checks, help with credentialing, and act as a consultant to our medical practice. Cortney has made herself invaluable to us. She is accurate and detailed in her work and always there to answer any questions we may have. We are so lucky to have found PDXPERT Medical Billing. If you are in search of excellence I would highly recommend this company!"

M.S.

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