Medical Billing Company | Revenue Cycle Experts in USA
Precision. Performance. Peace of Mind.
At Miami RCM, we specialize in medical billing services that transform your revenue cycle from a challenge into a strength. We handle the complexities of medical billing so you can focus on what matters most: your patients. Our proactive approach begins with eligibility verification and prior authorization. We meticulously verify patient insurance details before services are even rendered, dramatically reducing the risk of denials and delays. This crucial first step ensures a smoother, more profitable billing process.
We bring precision to every detail, from charge capture to claims submission. Our expert team accurately enters all patient and service data, ensuring that claims are clean and ready for prompt submission. We then proactively manage your accounts receivable (AR), diligently following up on every claim to reduce outstanding payments and accelerate cash flow for your practice. Finally, our clear and professional patient statements simplify the payment process for your patients, leading to higher collection rates and improved patient satisfaction. Partner with Miami RCM to gain a reliable, compliant, and results-oriented billing solution that optimizes your practice’s financial health and allows you to thrive.
How We Safeguard Your Practice’s Revenue
Eligibility Verification and Authorization
Before care begins, we confirm the patient’s insurance coverage and secure any required pre-authorizations. This ensures services are billable, reduces delays, and protects both the provider and patient from unexpected costs.
Charge Capture and Claim Submission
Every clinical service is translated into accurate billing codes. These charges are validated, scrubbed for errors, and submitted as claims to payers—clean, compliant, and ready for reimbursement.
Accounts Receivable (AR) Follow-Up
Once claims are out, we track every dollar. Our team monitors aging reports, follows up on unpaid claims, and resolves bottlenecks—ensuring steady cash flow and minimizing revenue leakage.
Denials and Rejections Management
When payers push back, we push forward. Denied or rejected claims are analyzed, corrected, and resubmitted with precision. Root causes are addressed to prevent repeat issues and improve first-pass yield.
Payment Posting and Reconciliation
As payments arrive, we post them against claims with full transparency. Every dollar is reconciled—matching payer remits to expected amounts, flagging underpayments, and ensuring financial clarity.
Patient Statements and Accounting
After insurance settles, we generate clear, compassionate patient statements. We handle billing questions, offer flexible payment options, and maintain accurate ledgers—so patients feel informed
Why Choose Miami RCM’s Medical Billing Experts?
Tailored billing. Trusted results. True partnership.
At Miami RCM, we don’t just process claims—we build billing strategies around your practice’s unique goals. Our certified experts specialize in dermatology and specialty care, delivering accurate, compliant claims that drive faster reimbursements and fewer denials. We embed ourselves in your workflow, proactively managing your revenue cycle with clarity, precision, transparency, and human-centered support.
Choose Miami RCM—and gain a billing partner who’s as committed to your growth as you are.
Eligibility Verification and Authorization
Dermatology demands precision. We deliver it—front to back.
At Miami RCM, our Eligibility Verification and Prior Authorization process is built to prevent denials and elevate patient experience. We handle the heavy lifting for your front desk, providing real-time coverage checks and ready-to-use patient-facing comments that simplify conversations around benefits and billing. With fast-tracked approvals and deep dermatology expertise, we turn front-end clarity into back-end revenue—reducing confusion, delays, and denials before they happen.
Comprehensive Insurance Checks
We verify each patient’s insurance coverage, plan details, co-payments, and deductibles before their appointment to prevent billing errors.
Prior Authorization Requests
Our team submits and tracks all necessary prior authorization requests for treatments, procedures, or referrals, ensuring approvals are secured on time.
Reduced Claim Denials
By confirming eligibility and obtaining prior authorizations in advance, we significantly lower the chances of claim rejections and payment issues.
Improved Cash Flow
Accurate eligibility verification and timely prior authorizations streamline your billing cycle, resulting in faster payments and healthier revenue.
Improve Patient Experience
We keep your patients informed about their coverage and approvals, reducing unexpected out-of-pocket costs and ensuring a smooth, stress-free visit.
Charge capture & Claim submission
Smarter Claims. Fewer Errors. Faster Revenue.
At Miami RCM, we don’t just process claims—we transform them into clean, compliant submissions from day one. Our team dives deep into your data, scrubs for patterns, and eliminates recurring errors before they cost you. Within 30 days, most practices see a dramatic drop in denials and delays. We sync seamlessly with your front desk to ensure every charge is captured, every detail is accurate, and every claim moves fast. The result? A revenue cycle that’s not just efficient—but built to grow.
We enter and verify complete patient details, including name, date of birth, insurance information, and contact details, ensuring error-free claims processing.
Our team reviews and captures all service charges accurately, coding them with the appropriate CPT, HCPCS, and ICD-10 codes to prevent underbilling or missed revenue opportunities.
We maintain strict adherence to payer-specific and federal billing guidelines, reducing compliance risks and ensuring smooth claim approvals.
Accurate demographic entry and detailed charge capture result in clean claims submission, reducing rework and accelerating reimbursements for your practice.
With our meticulous data entry and charge capture processes, your practice maintains revenue integrity and remains ready for any payer audits or reviews.
Accounts Receivable (AR) Follow-Up
Relentless Follow-Up. Reliable Payouts.
At Miami RCM, we don’t just track claims—we champion them. Every submission is monitored with precision, aligned to each payer’s expected turnaround—whether it’s Medicare’s 10-day cycle or AARP’s 45-day window. But we don’t stop at timelines. When claims hit roadblocks, we dig in, escalate, and work directly with insurers to resolve issues fast. We fight for every cent your practice has earned, pushing back on vague denials and underpayments until resolution is secured. Because in our world, diligence isn’t just a promise—it’s a pursuit.
30, 60, 90+ day claims tracked and prioritized.
Escalations, callbacks, and documentation tailored to each insurer.
Claims flagged for follow-up based on denial risk and payment history.
See resolved claims, outstanding balances, and payer responsiveness.
We act as an extension of your staff—strategic, empathetic, and relentless.
Denials and Rejections Management
Denials and Rejections. Don’t Stand a Chance.
At Miami RCM, every denial is a diagnostic signal—a chance to strengthen your revenue cycle, not stall it. Our team decodes payer responses in real time, uncovers root causes, and engineers smarter workflows that prevent repeat errors before they happen. We act fast, appeal with precision, and recover revenue others miss. With strategic corrections, real-time tracking, and relentless follow-through, we don’t just resolve—we transform. The result? Fewer disruptions, faster payments, and a cleaner, stronger revenue cycle that keeps your practice thriving.
We categorize denials by payer, procedure, and error type—then fix them at the source.
Our team applies payer-specific corrections and resubmits claims with precision.
Custom appeal letters, tracked outcomes, and rapid escalation protocols.
Eligibility, coding, and authorization checks built into your workflow.
Real-time visibility into trends, recovery rates, and financial impact.
Whether it’s CO-197 or PR-1, we know the codes, the context, and the fastest path to resolution.
Payment Posting and Reconciliation
Strategic Payment Posting That Drives Practice Growth.
At Miami RCM LLC, we elevate payment posting from routine data entry to a powerful engine for operational clarity and financial confidence. Every insurance and patient payment is applied with speed and precision inside your practice management system—ensuring accuracy from the start. But we don’t stop there. We proactively set up electronic remittance advice (ERA) wherever possible, streamlining workflows and minimizing manual errors. Our timely posting not only keeps your books clean—it flags denials fast, empowering your team to act before revenue slips away. With full reconciliation and real-time visibility, we turn payment posting into a strategic lever for growth, accountability, and peace of mind.
We fix corrupted or mismatched ERAs and ensure accurate mapping to claims.
Contractual adjustments, deductibles, and denial codes logged with precision.
Copays, credit card payments, and payment plans applied in real time.
Even $0 payments are tracked, explained, and routed for follow-up.
Every transaction is traceable, compliant, and clean.
We work across ModMed, EZDERM, Athena, and more—so your financials stay tight, no matter the platform.
Patient Statements and Accounting
Clear, Compassionate Patient Billing That Builds Trust.
Miami RCM LLC makes patient billing easier—for both your staff and your patients—by combining clarity with smart, out-of-the-box solutions. From credit card-on-file policies to seamless digital payment options, we help practices reduce friction and improve collections without compromising trust. Our statements are simple and transparent, and we equip your team with clear, confident answers to billing questions—so patients feel informed, not frustrated. Whether it’s a quick balance check or a deeper accounting inquiry, every interaction is designed to be smooth, respectful, and financially sound. With Miami RCM, patient accounting becomes a strategic advantage, not a daily headache.
We create easy-to-read patient statements that clearly outline balances owed, payments received, and insurance adjustments, reducing confusion and billing inquiries.
Statements are sent via email, text message, or mail based on patient preference, ensuring timely delivery and convenience for every individual.
We send out patient statements on a regular schedule to keep your billing cycles consistent and encourage faster payments.
Our detailed statements provide transparency, fostering trust with your patients by keeping them fully informed about their financial responsibilities.
By sending professional and accurate patient statements, we help your practice receive payments more promptly, improving cash flow and reducing outstanding balances.
Ready to Simplify Your Revenue Cycle?
Frequently Asked Questions
Your practice’s success is our priority. Here’s how we deliver results with speed, transparency, and precision.
We offer flexible pricing based on the volume and complexity of services performed. Our rates typically range between 2% to 5% of collections, ensuring you only pay for the value we deliver.
We complete billing and coding within 24 hours from the date of service—provided medical records are available. Our speed in processing directly boosts your revenue flow and minimizes delays.
We maintain a 90+ Accounts Receivable (AR) at just 15% on average, and keep Days in AR around 30 days. This reflects our commitment to efficient collections and clean claims management.
Absolutely. We share standard performance reports regularly to help you monitor key metrics. Need custom analytics? We can tailor reports to your specific business goals—empowering smarter decisions and better outcomes.
Yes, Miami RCM LLC is fully HIPAA compliant. We prioritize the confidentiality, integrity, and security of patient data through:
– Encrypted data transmission and storage
– Role-based access controls
– Regular audits and compliance checks
– Secure cloud infrastructure
Our team is trained in HIPAA protocols, and we continuously update our systems to meet evolving regulatory standards—so your data stays protected, always.
Not at all. We adapt to your existing EHR/PM system seamlessly. If needed, we can also recommend more efficient platforms tailored to your workflow and specialty—but the choice is always yours.
You get 24×7 support through direct phone calls and emails from our expert team. We take customer queries seriously and respond promptly—because your peace of mind matters as much as your revenue.
