Optum Physician Billing Service

Whether you need help submitting clean claims, managing denials, or pursuing unpaid claims, Optum PM and Physician EMR Services can help you get paid the right amount as quickly as possible. Our account managers are organized to provide personalized service and comprehensive support by knowing your practice inside and out.

Optum PM and Physician EMR Services can help you improve your practice’s revenue cycle by letting us manage claims while you focus on what you do best: manage patients. Optum PM and Physician EMR Services can help you improve your practice’s revenue cycle through:

• Best-in-class rules-based technology
• Optimization of front desk processes to eliminate redundancies
• Senior A/R team focused on maximizing your revenue
• Constant reporting of metrics to assess all internal and external performance
• Dedicated account management team

Targeted revenue cycle management for your business needs

We give you the reports you need to manage, enhance, and continually improve A/R. Using EDI, we:

• Process clear and concise billing statements
• Handle electronic claims submission, claims remittances, and eligibility
• Help patients settle their financial obligation to your practice in a timely manner

Personalized service

With OptumInsight, your facility will benefit from responsive, personalized service from account managers who are familiar with your specialty’s unique requirements and who can help you uncover the information you need to enhance and improve your practice.

We offer a range of revenue cycle management capabilities that benefit your practice, including:

• Embedded code content and search functionality
• Real-time eligibility
• Electronic claims submission
• Rules-based protocols and automatic follow-up
• Quality assurance
• Payment verification
• Denial analysis

For more information, download the product sheet.