Nationwide Medical Billing Support
Medical Billing Services for Cleaner Claims and Clearer Cash Flow.
Konnext manages the daily billing work required to move claims from charge readiness through submission, payment posting, denial follow-up and insurance A/R, with an assigned account contact and clear revenue visibility.
- Assigned account contact
- Mid-month and month-end spreadsheet reports
- Flexible, specialty-aware scope
ILLUSTRATIVE SAMPLE • BILLING OPERATIONSExample workflow
Claim workflowStatus
Claim readinessComplete
Scrubbing & submissionComplete
Payer adjudicationIn progress
Payment & follow-upQueued
Illustrative workflow, not a live client dashboard. We guarantee a response to enquiries and existing-client messages within two business hours during Monday–Friday, 9 a.m.–6 p.m. Eastern. Messages received outside those hours receive a response the next business day. This is a response guarantee; resolving payer, claim or system issues may take longer. Clean-claim preparation does not guarantee payer acceptance or payment.
Response within two business hoursGuaranteed during published support hours
Dedicated Account ManagerYour assigned account contact
Twice-Monthly VisibilityMid-month and month-end spreadsheet reports
Nationwide SupportMulti-specialty billing across the U.S.
Medical Billing, Explained
What are medical billing services?
Medical billing services manage the operational work that turns healthcare charges into payer claims, recorded payments and documented follow-up. The work typically includes claim preparation, scrubbing, electronic submission, rejection correction, payment posting, denial follow-up and insurance accounts receivable management.
Konnext provides outsourced medical billing for practices that need dependable execution and visibility without adding the cost and management burden of building every billing function internally. Medical coding support can be added when agreed; explore our medical coding services.
For out-of-network professional claims, explore our out-of-network medical billing service.
Need support beyond billing? Explore Revenue Cycle ManagementWhat We Manage
A connected medical billing workflow from claim readiness through insurance follow-up.
The final responsibilities are documented during onboarding. Practices can select an ongoing billing scope and add related services when needed.
Charge & Claim Readiness
We review the agreed charge workflow, required claim information and documentation dependencies so work can move into billing with fewer preventable gaps.
Claim Scrubbing & Submission
Claims are checked for required data, payer edits and obvious errors before electronic submission through the approved clearinghouse or billing platform.
Explore Claims Submission and ScrubbingRejection Correction
Front-end rejections are researched, corrected and resubmitted promptly so avoidable technical issues do not leave claims sitting outside payer adjudication.
Payment Posting & Reconciliation
Insurance and patient payments, contractual adjustments and remittance details are posted and reviewed according to the approved workflow. That workflow should identify unmatched payment or remittance information, the responsible party and the next action rather than treating an unexplained balance as resolved.
Explore Payment Posting and ReconciliationDenial Review & Follow-Up
Denied claims are categorized, researched and routed for correction, reconsideration or appeal when the available documentation and payer rules support further action.
Insurance Follow-Up
Our team follows unpaid and delayed claims, documents payer responses and keeps the next required action visible through resolution.
Insurance A/R Management
Outstanding insurance balances are prioritized by age, value, payer status and filing risk to keep recoverable revenue from being overlooked.
Revenue Reporting
Mid-month and month-end spreadsheet reports give practice leaders a clearer view of claims, payments, denials, insurance A/R and operational priorities.
Clear scope prevents dropped responsibilities.
During onboarding, Konnext documents what your practice supplies, what our billing team manages, and how eligibility, authorization, coding, documentation and patient balances connect to the selected service.
When Billing Needs Attention
Busy billing activity does not always create dependable cash flow.
Revenue problems often come from disconnected ownership, inconsistent follow-up and limited visibility rather than a single claim error.
Claims are submitted but revenue still stalls
Rejections, missing information, payer requests and incomplete follow-up can keep otherwise billable work from reaching payment.
Denials are corrected one at a time
Without denial categorization and root-cause visibility, the same eligibility, documentation, coding or submission problems can repeat.
Insurance A/R keeps aging
Busy teams often prioritize new claims while older balances, underpayments and stalled payer requests remain unresolved.
Leadership cannot see what is happening
Reports without explanation do not show which issues need action, who owns the next step or what is affecting collections.
Choose the Right Scope
Medical billing or full revenue cycle management?
Both can improve revenue operations, but they solve different levels of the problem.
| Decision area | Medical Billing | Full RCM |
|---|---|---|
| Primary focus | Claim submission, payments and payer follow-up | The full financial journey from patient access through final resolution |
| Typical functions | Claim scrubbing, rejection correction, posting, denials and insurance A/R | Eligibility, authorization, coding, billing, denials, A/R, reporting and improvement |
| Best fit | Practices needing reliable billing execution | Practices needing connected ownership across multiple revenue stages |
| Konnext model | A focused ongoing billing partnership | A customized combination of required RCM functions |
Not sure which scope fits? We will map the operational gaps during discovery before recommending a service.
Request a Billing AssessmentThe Konnext Billing Process
A clear path from discovery to accountable billing operations.
Implementation is structured so both teams understand access, responsibilities, reporting and the first operational priorities before launch. Review how EDI, ERA and EFT differ, or read the New York practice setup case. Discuss billing connection readiness.
YOUR PRIMARY CONTACTDedicated Account Manager
Your assigned account contact coordinates questions, priorities and reporting for the agreed scope.
- 01
Discovery & Billing Assessment
We review your specialty, providers, payer mix, systems, claim volume, current workflow, insurance A/R and the billing problems that need attention first.
- 02
Agreement & Responsibility Map
The approved proposal defines the billing scope, fees, responsibilities, handoffs, communication process and implementation priorities before work begins.
- 03
Secure Onboarding & System Access
We coordinate approved access to your EHR or practice-management platform, clearinghouse and payer portals. Within the agreed setup scope, identify the claim, remittance and payment connections requiring confirmation, the responsible parties and any open dependencies before handing the workflow to routine billing and posting.
- 04
Launch, Measure & Grow
Your assigned account contact coordinates daily billing activity, communicates priorities and reviews spreadsheet status reports at mid-month and month-end with your practice.
Revenue Visibility
Reporting should explain what happened and what needs attention next.
Credentialing and billing clients receive spreadsheet status reports at mid-month and month-end. Your assigned account contact helps your practice interpret trends, open risks and action items.
REPORTING RHYTHM
Mid-MonthOperational progress review
Month-EndPerformance and priority review
Claims Activity
Charges received, claims submitted, rejections and work waiting on information or correction.
Payments & Collections
Payments posted, collection movement and revenue trends across the reporting period.
Denials & Rejections
Recurring reasons, affected payers, correction activity and prevention opportunities.
Insurance A/R Aging
Outstanding insurance balances organized by aging range, payer and operational priority.
Payer Follow-Up
Delayed claims, payer requests, underpayment concerns and the next documented action.
Recommended Actions
Priorities with an owner and next action. Illustrative example, not a client case: A payer requests information held by the practice. Record the request, assign the practice documentation owner, and identify the billing reviewer who will check the response before follow-up. This explains what needs attention without predicting payment.
Technology Compatibility
Work with the systems your practice already uses.
Konnext reviews your current environment before recommending change. Experience spans multiple EHR, practice-management, clearinghouse and payer-portal workflows.
Explore EHR, Clearinghouse & Payer ExperienceOffice AllySimplePracticeCharmHealthAdvancedMDathenahealtheClinicalWorks
AvailityInovalonWaystarTriZettoMedicareMedicaidCommercial Plans
Specialty-Aware Billing
Billing workflows aligned with how your practice delivers care.
Documentation, coding, authorization and payer requirements vary. Konnext adapts the approved workflow instead of forcing every practice into one operating model.
Mental & Behavioral Health
Billing support for therapists, counselors, psychologists, psychiatrists, PMHNPs, behavioral health groups and eligible outpatient programs.
Primary Care & Internal Medicine
Connected claims, payment posting, payer follow-up and reporting for office-based medical practices and growing groups.
Physical Therapy & Rehabilitation
Billing workflows for authorization-sensitive visits, documentation-dependent claims, denials and aging insurance balances.
ABA & Therapy Practices
Coordination across provider, authorization, documentation and payer-specific billing requirements for eligible therapy organizations.
Pediatrics & Medical Specialties
Adaptable billing support for outpatient specialties with distinct coding, payer, referral and follow-up requirements.
Group & Multi-Location Practices
Scalable billing ownership across providers, locations, payer contracts, systems and increasingly complex revenue workflows.
Do not see your specialty listed? Konnext supports additional eligible outpatient specialties nationwide.
Explore Healthcare SpecialtiesAuthentic Client Results
Billing partnerships built around operational progress and revenue visibility.
These examples reflect real client engagements across different specialties and technology environments.
Behavioral Health FacilityKipu & Inovalon
$965K+collected through August 2026Facility contracting, authorization workflows, claims, appeals and payment operations helped increase average monthly collections from about $10K–$15K to approximately $125K.
View This Case StudyPhysical Therapy PracticeOffice Ally
$70Kaverage monthly collectionsCredentialing, system setup, EDI/ERA/EFT enrollment and eligibility-first billing supported near-zero rejections and denials in the documented period.
View This Case StudyMental Health ClinicSimplePractice
$50Kaverage monthly collectionsA structured audit and focused ownership across enrollment, authorizations, posting, denials and A/R helped improve collections from about $5K–$7K monthly.
View This Case StudySource: Konnext internal client service and collection records, reviewed August 2026. Past performance is not a guarantee of future results. Collections depend on services rendered, payer policies, contracts, patient eligibility, documentation, coding, claim volume and other practice-specific factors.
Medical Billing FAQs
Clear answers before you outsource billing.
Review the questions practice owners and administrators commonly ask during discovery.
Discuss Your Billing NeedsWhat does a medical billing company do?+
A medical billing company manages agreed parts of the claim and reimbursement workflow for a healthcare practice. Depending on scope, this can include claim preparation and submission, rejection correction, payment posting, denial follow-up, insurance A/R work, payer communication and reporting.
What is included in Konnext medical billing services?+
The final scope is customized. It may include charge and claim-readiness coordination, claim scrubbing and submission, rejection correction, payment posting, denial review, payer follow-up, insurance A/R management and mid-month and month-end reporting. Coding, eligibility, prior authorization, credentialing and focused recovery work can be added when approved.
How is medical billing different from revenue cycle management?+
Medical billing focuses on moving claims from charge information through submission, payer adjudication, payment posting and follow-up. Revenue cycle management is broader and can also include patient access, eligibility, prior authorization, coding, denial prevention, insurance A/R strategy, reporting and workflow improvement.
Will we have a dedicated account manager?+
Yes. Your assigned account contact coordinates questions, priorities and reporting for the agreed scope. This means an assigned point of contact, not exclusive full-time staffing.
How quickly does Konnext respond?+
We guarantee a response to enquiries and existing-client messages within two business hours during Monday–Friday, 9 a.m.–6 p.m. Eastern. Messages received outside those hours receive a response the next business day. This is a response guarantee; resolving payer, claim or system issues may take longer.
How often will we receive billing reports?+
Credentialing and billing clients receive spreadsheet status reports at mid-month and month-end. The detail depends on the approved scope and available system data, and your assigned account contact helps interpret trends, open risks and action items.
Can Konnext work in our current EHR and clearinghouse?+
In many cases, yes. Konnext has experience across multiple EHR, practice-management, clearinghouse and payer-portal environments. We review the current setup and access during discovery and onboarding before recommending any configuration or platform change.
Does payer enrollment automatically activate claims, ERA and EFT?+
No. Payer participation, electronic claim submission, electronic remittance advice (ERA) delivery and electronic funds transfer (EFT) can require separate setup and confirmation. The approved scope identifies the connections, responsible parties, available evidence and next action for each payer and system. Illustrative example, not a client record: Claims are accepted, but ERA delivery is unconfirmed. Keep that connection open with an owner and next validation; do not mark all setup complete. Routine posting should reconcile available remittance and payment information through the practice's approved workflow. Claim acceptance or setup completion does not guarantee payment.
Does a clean claim guarantee payment?+
No. A clean claim reduces preventable submission errors, but payment can still depend on active eligibility, benefits, authorization, medical necessity, documentation, coding, timely filing, coordination of benefits, payer policy and contract terms.
How are medical billing services priced?+
Pricing depends on the selected scope, specialty, provider count, systems, payer mix, claim or collection volume, current backlog and operational complexity. After discovery, Konnext provides a proposal describing responsibilities, fees and any separate services.
How should a change of billing support be organized?+
Agree which team owns new claims, older insurance balances, unresolved submissions, payment posting and follow-up before the handover. Preserve submission and payer-response history so the same item is not worked twice. Patient statements, patient balances, refunds and financial conversations need explicit responsibility in the agreed scope. Confirm the access and handoff arrangements rather than assuming every task transfers together or that a transition guarantees uninterrupted collections.
What do you need for a billing assessment?+
Useful starting information may include provider count, specialty, payer mix, current EHR and clearinghouse, approximate monthly claim or collection volume, denial trends and insurance A/R aging. Do not submit PHI, patient records or claim-level information through a public website form.
Free Billing Assessment
Find out where claims, payments or insurance A/R may be getting stuck.
Share high-level information about your practice and current billing concerns. We will use the discovery call to determine whether focused medical billing or a broader RCM scope is the better fit.
- No obligation
- Customized scope
- No PHI required
Selected Client Reviews
Hear directly from healthcare professionals and organizations that worked with Konnext.
These reviews share individual experiences with Konnext credentialing, billing, revenue-cycle and practice support services.
Reviews describe individual client experiences. Results and timelines vary by practice, service scope, payer requirements and starting conditions.