Proactive Billing Solution

11/18/2025

Job announcement!!!

Hiring Billing & AR Specialist
No of position:2
Salary: Market competitive

Responsibilities:
• Manage complete medical billing & AR cycle
• Submit claims and follow up on unpaid claims
• Maintain detailed records and reports
• Perform any additional tasks assigned by management

General Requirements for All Positions:
• Minimum 1 year of relevant experience
• Strong communication and professionalism
• Ability to work in a fast-paced environment
• Onsite only — Freshers & remote applicants will NOT be considered

What We Offer:
• Market competitive salary
• Free meal & tea
• Growth-focused environment
• Salary increment after probation
• Annual performance-based increment

📧 Send Resume: Proactivepbs@gmail.com
📱 WhatsApp: +92 341 9478398
📞 Contact: +92 341 9478398

Location: Ghouri VIP near khana pul, Islamabad

12/31/2024

04/07/2024

Hiring Alert!

We are looking for experienced biller and AR worker.

No of position:2
Location: CBR Town Islamabad.

Please apply who are not far from the location
Candidates must have at least one year experience of billing and A.R work (Billing, denials management, appeals, follow ups, communication).
Salary between 50 to 60 Will be reviewed after an interview.

Please send your CVs via email:
Proactivepbs@gmail.com

This job is NOT for Fresher or Work from Home candidates.

English fluency is must!

02/01/2024

Medical billing for mental health services follows specific guidelines to ensure accurate and transparent processing of claims. Here's an overview of essential guidelines for mental health billing:

Diagnostic Codes:

Use the appropriate diagnostic codes from the International Classification of Diseases, 10th Edition (ICD-10) to represent the patient's mental health condition. Accurate coding is essential for claim approval and reimbursement.

Procedure Codes:

Mental health services are often billed using Current Procedural Terminology (CPT) codes. These codes specify the type of service provided, such as psychotherapy, psychiatric evaluation, or medication management.

Place of Service Codes:

Include the correct place of service (POS) codes on claims, indicating where the mental health services were delivered. Common codes for mental health include 11 (office), 12 (home), and 02 (telehealth).

Modifiers:

Apply modifiers when necessary to provide additional information about the services rendered. For example, modifiers may indicate if services were provided via telehealth or if multiple services were delivered on the same day.

Documentation Requirements:

Maintain thorough and accurate documentation for all mental health services. Documentation should include the patient's history, assessment, treatment plan, progress notes, and any other relevant information. Complete documentation supports the medical necessity.

Authorization and Referral:

Obtain prior authorizations if required by the insurance company. Some plans may also require a referral from a primary care physician or authorization for a specific number of sessions.

Timely Filing:

Submit claims within specified time frame outlined by the insurance company. Timely filing requirements vary, but it is crucial to adhere to these deadlines to avoid claim denials.

Billing Units for Psychotherapy:

Psychotherapy services are often billed in units. Understand the allowed units per session and a maximum number of units per day or week based on the specific CPT code used.

Appeals and Denials:

If a claim is denied, promptly investigate the reason and follow the appeals process including submission.

Contact us for more details:

Email: Sales@proactivepbs.com

Email: Info@proactivepbs.com

+1(816) 925-0210

Website:

www.proactivepbs.com

https://www.linkedin.com/company/proactive-billing-solution/

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06/15/2023

Home Health Billing Guidelines:

👉Payers receive claims from the agencies and send out payments for covered services. In order to receive payment for a claim, an agency must be sure to abide by the rules set out by the payer.

👉 Each payer can specify its own set of rules and processes for claim submissions.

👉Home Health billing is full of detail and can be frustrating. Submitting claims to different payers takes alot of time because each payer has lots of rules and terms for which for a new home health biller will be unfamiliar.

👉Your software will only help you submit claims but you must be in direct contact with each payer to get your claims paid.

Successful home health billing depends on:

👉Being in touch with the payer.

👉 And regular, timely follow-up on claims.

👉Also use the billing resources provided by the payer.

Home Health Billing Codes:

👉Code 1: Discharged to home or self-care (routine discharge).

👉Code 2: Discharged/transferred to a short-term general hospital.

👉Code 07: Treatment of Nonterminal Condition for Hospice Patient.

👉Contact us for more details:

Email: Sales@proactivepbs.com
Email: Info@proactivepbs.com
📞 +1(816) 925-0210
Website: www.proactivepbs.com

https://www.linkedin.com/company/proactive-billing-solution/

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06/02/2023

To consult for medical billing & revenue management services , talk us today!
PH: 816 925 0210
Email: Sales@proactivepbs.com
Email: Info@proactivepbs.com
Website: https://proactivepbs.com

05/28/2023

Urgent Care centers are expanding rapidly as the healthcare industry continues to evolve. The significant way that Urgent Care differs from primary and emergency care is in the urgency of any condition that must be treated. Urgent Care refers to any essential treatment within 12 hours for conditions like fever or minor injuries but does not come in the remit of emergency.

The cycle of billing for Urgent Care starts at the front door. You may improve your revenue and spend less on costly collection procedures by establishing sound financial regulations that start at check-in.

Important details include:

1: Name, address, birth date, and basic demographic information, such as the purpose of the visit.

2: Name of an insurance company, primary care provider, and policy number.

Urgent Care Billing and Coding Guidelines:

👉There aren’t many distinctions in the billing processes between Urgent Care and primary care because the problems treated by both are identical.

👉There are, however, a few medical codes that apply specifically to Urgent Care Billing.

These codes begin with an “S.” Billing for Urgent Care settings use codes that start with an “S.”

👉For billing purposes, there are two basic code groups that apply to all Urgent Care except Medicare.
👉S9088
👉S9083

Urgent Care’s Most Common CPT Codes:
👉CPT Code 99214
👉CPT Code 99213
👉CPT Code 99204

Reach us through:
Email: Sales@proactivepbs.com
Email: Info@proactivepbs.com
📞 +1(816) 925-0210
Website: www.proactivepbs.com

https://www.linkedin.com/company/proactive-billing-solution/

https://twitter.com/proactivepbs?t=93FcWiyBLO3d3DQub-6pNg&s=09

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05/20/2023

Independent Physician Association (IPA):

👉IPA is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.

👉An Independent Physician is a physician who owns a majority of their practice and has key decision-making rights for the practice.

👉The independent physician association (IPA) model in value-based healthcare has been alive and well in the US since the late ‘70s.

👉These independent physicians join together as an association for the purpose of contracting with Health Maintenance Organizations (HMO) such as Aetna, Blue Cross, Blue Shield, CIGNA.

👉Benefits:

1: Many IPAs offer care providers an information technology platform offering automation and a connection to an EHR system.

2: Most importantly, an IPA offers a care provider strength in numbers, having dozens to thousands of providers represented together gives a single care provider the ability to participate in programs that would otherwise not be available.

👉Drawbacks:

1: Joining an IPA will not relieve a care provider from all of the administrative duties of running a medical practice or other care delivery organization.

2: some IPAs may not be run effectively; this can be due to rapid growth, lack of a sufficiently experience management team, or rapidly changing technology in the field.


👉Join us through:

Email: Sales@proactivepbs.com
Email: Info@proactivepbs.com
📞 +1(816) 925-0210
Website: www.proactivepbs.com

https://www.linkedin.com/company/proactive-billing-solution/

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05/07/2023

Medical Billing Guidelines for Locum Tenens:

👉It is a longstanding and widespread practice for physicians to retain substitute physicians to take over their professional practices when the regular physicians are absent for reasons such as illness, vacation, for the regular physician to bill and receive payment for the substitute physician’s services as though he/she performed them.

👉 The substitute physician generally has no practice of his/her own.The regular physician (RP) generally pays the substitute physician a fixed amount per diem, with the substitute physician having the status of an independent contractor rather than of an employee.

👉These substitute physicians are generally called “locum tenens” physicians.

👉Payment Procedure:
A patient’s regular physician may submit the claim, and receive the payment, for covered visit services.

The substitute physician (SP) does not provide the visit services to Medicare patients over a continuous period of longer than 60 days.

👉The (RP) identifies the services as (SP) services meeting the requirements of this section by entering HCPCS code modifier Q6 after the procedure code.

👉When Form CMS-1500 is next revised, provision will be made to identify the substitute physician by entering his/her unique physician identification number (UPIN) or NPI when required to the carrier upon request.

👉Billing for the services of locum tenens physicians can be a little tricky and timing is important, but it is well worth the investment of time when your reimbursements flow in as usual.

👉To get more info please visit:

Email: Sales@proactivepbs.com
Email: Info@proactivepbs.com
📞 +1(816) 925-0210
Website: www.proactivepbs.com

https://www.linkedin.com/company/proactive-billing-solution/

https://twitter.com/proactivepbs?t=93FcWiyBLO3d3DQub-6pNg&s=09

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