Solutions · Billing & Collections

Billing & Collections

Billed Accurately. Collected Fully. Nothing Left Behind.

Billing and collections are where clinical care translates into revenue.

Effective billing and collections directly impact cash flow, days in A/R, and overall financial performance. Valerion Health manages the entire billing lifecycle - from charge capture to final payment resolution - to accelerate cash flow, reduce denials, strengthen payer compliance, and maximize collections.

Talk to Our RCM Team See the full lifecycle
Charge captureScrubbingDenialsA/RCollections
Sample account
Collected · in full
  • CHGRECONEvery billable service captured and reconciled
  • CLMCLEANScrubbed against payer and coding rules
  • REMMATCHRemittance matched to the contracted rate
  • A/RCLOSEDAccount resolved - nothing left aging
Captured · Billed · Collected
Where Billing Sits

The half of the cycle where revenue actually arrives.

Coding decides what you're owed. Billing and collections decide how much of it you actually receive - and how long it takes.

  1. 01
    Coding

    The encounter becomes codes

  2. You are here
    Billing & claims

    Charges, scrubbing, submission

  3. 03
    Payment & remittance

    Posted and reconciled to contract

  4. 04
    Denials & appeals

    Worked, not written off

  5. 05
    Collections & A/R

    Resolved down to zero

From one submitted claim, revenue can only end up in three places.

Target
Paid in full, on time

Posted, reconciled, and closed at the contracted rate.

Cost
Underpaid or denied

Recoverable - but only if somebody actually works it.

Cost
Written off

Revenue you earned and will never see.

Why It Matters

Billing isn't the back office - it's where your revenue cycle pays off or falls apart.

One claim scrubbed wrong
a denial before it’s even submitted
One denial left unworked
revenue written off for good
One payment misposted
numbers that never reconcile
One patient balance ignored
bad debt that could’ve been collected

Effective billing and collections directly impact cash flow, days in A/R, and overall financial performance.

Our Approach

How Valerion Health Helps

We manage billing and collections as one connected engine, not a string of disconnected tasks - built for physician groups, specialty practices, hospitals and health systems, ambulatory surgery centers, and multi-specialty clinics.

01

Charge Capture & Claim Submission

Charge Capture & Claim Submission
Charge captureScrubbingSubmission

From the moment a charge is captured to the moment a claim reaches the payer, every step is handled as one accountable process - not a handoff between disconnected teams.

  • Charge capture and reconciliation that finds missed or unbilled services before claims go out
  • Claim scrubbing and validation against payer and coding rules, pre-submission rather than post-denial
  • Electronic, payer-specific claims submission with real-time tracking through acceptance
  • Higher clean claim rates and less first-pass rework for your billing team

The result: Claims that leave the building complete and compliant, so far fewer of them come back.

02

Payments, Denials & Underpayment Recovery

Payments, Denials & Underpayment Recovery
PostingRemittanceAppealsContract variance

Getting paid isn’t the same as getting paid correctly. Every remittance is checked against contracted rates and billed charges, and every denial is worked - not written off.

  • Payment posting and reconciliation with line-item accuracy across ERA and manual postings
  • Remittance review that surfaces underpayments, denials, and rate mismatches early
  • Denial management and payer-specific appeals, with root-cause analysis to prevent repeats
  • Underpayment recovery and contract variance analysis, line by line against negotiated terms

The result: Denials appealed instead of absorbed, and revenue recovered wherever payers fell short of contract.

03

Patient Collections & A/R Resolution

Patient Collections & A/R Resolution
Patient billingSelf-payEscalationsA/R

Every open claim tracked and worked until it’s resolved - with patient communication that protects the relationship while it protects the revenue.

  • Clear, transparent patient statements and fast resolution of billing inquiries and disputes
  • Compliant self-pay collections with structured outreach and flexible payment plan support
  • Payer escalations that push aged or disputed claims to resolution
  • Proactive A/R follow-up by aging bucket and payer, plus bad debt coordination and wind-down support

The result: Faster collections, an A/R that stays current instead of aging into loss, and patient trust left intact.

04

RCM Analytics - Revenue Integrity

RCM Analytics - Revenue Integrity
LeakageBenchmarkingReporting

Billing performance is only as strong as your visibility into it. Our revenue integrity analysis reviews billing and collections data to surface the patterns, gaps, and opportunities that drive stronger financial performance.

  • Identifies recurring revenue leakage across charges, claims, and collections
  • Benchmarks reimbursement performance against expected and contracted rates
  • Turns billing data into clear, actionable direction for continuous improvement
  • Delivered as insight, not just another dashboard nobody opens

The result: Stronger financial visibility, faster identification of revenue risk, and a billing operation that keeps improving instead of standing still.

Common Challenges

Common Challenges We Solve

If this sounds familiar, we should talk.

Claims denied for errors that could’ve been caught before submission
Denials piling up faster than they get worked
Underpayments going unnoticed against contracted rates
Payments posted late or inaccurately, creating reconciliation gaps
Patient balances aging into bad debt
Limited visibility into A/R performance and revenue trends
Administrative burden pulling staff away from higher-value work
Collections processes that don’t scale with patient volume
The Impact

Slower cash flow, rising A/R days, avoidable write-offs, and revenue performance that falls short of what the organization actually earns.

Valerion Health exists to close these gaps - permanently.

FAQ

Billing & Collections, Questions Answered

Securing patient data in outsourced medical billing requires HIPAA-compliant infrastructure, encrypted data transmission, role-based access controls, signed Business Associate Agreements, and regular security audits. Valerion Health maintains these protocols across all billing operations, with secure EHR integrations and staff compliance training built into every engagement. Every client relationship is backed by the data governance standards required under federal law.
Let's talk

Stop losing revenue after the claim is already out the door.

Let's build a billing and collections process that accelerates cash flow and protects every dollar you've earned.

Talk to our RCM team

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