BillingParadise

BillingParadise is a third-party revenue cycle management company handling billing and related operations for hospitals, health systems and physician practices in the US. It covers the front, middle and back of the revenue cycle and also builds software for billing teams.

What BillingParadise offers

• Patient access — scheduling, eligibility checks and prior authorisation.
• Coding and documentation — medical coding and clinical documentation improvement for accurate reimbursement.
• Mid-cycle services — auditing, charge capture, billing and handling of claim rejections.
• Back-end revenue cycle — payment posting, denial resolution, claim reconciliation and accounts receivable work.
• Credentialing — provider enrolment support.
• RCM software — denial management, claim scrubbing, patient cost estimation, EOB to ERA conversion and revenue analytics tools.

Who it works with

Hospitals, medical groups, independent practices and in-house billing teams. Its staff work across more than 50 EHR systems, including Epic, eClinicalWorks and Veradigm.

Key facts

• Based in: United States, with four office locations
• Team: capacity of 600 staff, including offshore resources
• Experience: more than 21 years in healthcare revenue cycle work
• Compliance: SSAE16 SOC2, with HIPAA and VAPT audits