Why Enlight Global Healthcare

Medical Coding & RCM Support
Built Around Your Practice

Reliable medical coding, billing and revenue cycle support for healthcare practices. Our team provides specialty-focused workflows designed to reduce administrative burden, support billing accuracy and keep your revenue cycle moving.

Schedule a Free RCM Assessment

TRUST / EXPERTISE STRIP

Medical Coding Medical Billing Accounts Receivable Denial Management ABA Behavioral Health Primary Care Emergency Medicine PT/OT

Is Your Team Spending Too Much Time
on Revenue Cycle Operations?

Billing workload, coding volume, aging accounts receivable, claim follow-up, denials and staff turnover can take valuable time away from patient care and practice management.

Enlight provides flexible coding, billing and RCM support so your practice can focus on delivering care while our team manages assigned revenue-cycle workflows.

Core Capabilities

Our Solutions

Medical Coding

Medical Coding

Accurate professional and facility coding support based on documentation, applicable coding guidelines and client-specific requirements.

Medical Billing

Medical Billing

Charge entry, claim preparation, claim submission and billing workflow support.

Denial Management

Denial Management

Identify denial reasons, work appropriate follow-up and help prevent recurring billing issues.

Accounts Receivable Management

Accounts Receivable Management

Structured follow-up on outstanding claims and aging accounts based on client priorities.

Full RCM Support

Full RCM Support

A coordinated solution covering multiple revenue-cycle functions based on your practice's needs.

Reporting and Visibility

Reporting & Visibility

Provide agreed operational reports covering assigned work, productivity, quality and relevant RCM trends.

SPECIALTIES

Physician & Outpatient

Professional coding and billing support for physician practices and outpatient clinic workflows.

Behavioral Health & Therapy (ABA)

Specialized billing and coding for behavioral health, ABA therapy and mental health specialties.

Emergency & Hospital

Facility and professional coding support for emergency medicine and hospital-based services.

Estimate Your Practice's Potential Revenue Leakage

Use our 30-second calculator to estimate potential revenue leakage based on your practice's monthly billing and revenue-cycle metrics. Adjust the sliders to see how changes in claim volume, collection rates, denials and other factors may affect your potential revenue gap.

Submitted Claims Realized Revenue Denial Review Revenue Leak
Total Billing
$468k
Realized Rev
$421k
Revenue Leak
$47k
2600
$180
75%
60%

Illustrative estimate only. Results are based on the information entered and are not a guarantee of actual revenue loss or recoverable revenue. Actual results may vary based on payer mix, reimbursement, coding, documentation, denials and other practice-specific factors.

Built Around Your Specialty

We tailor our medical coding, billing, and RCM solutions to the workflows, documentation requirements, and operational needs of each specialty.

Physician & Outpatient

Primary Care & Family Medicine • Internal Medicine & Pediatrics • Cardiology • Orthopedics • Gastroenterology • Neurology • Pulmonology • Dermatology • ENT • Urology • OB/GYN

Behavioral Health & Therapy

Behavioral Health • Psychiatry • ABA • Therapy

Emergency & Hospital

Emergency Department (ED) • Hospital • Inpatient • Observation • Same-Day Surgery

Multi-Specialty Support

We support additional specialty and multi-specialty practices based on client requirements, workflow, and scope of services.

RCM Workflow

Revenue Cycle Management (RCM)

RCM stands for Revenue Cycle Management. It means managing the financial process of a healthcare service from the time the patient is registered until the provider receives and reconciles payment.

Enlight RCM service modules:

  • Patient/insurance eligibility and benefits verification
  • Prior authorization support
  • Charge entry
  • Medical coding and coding QA
  • Claim submission and rejection management
  • Payment posting and reconciliation
  • Denial management and appeals support
  • Accounts receivable follow-up
  • Underpayment / payment variance review
  • Patient billing support where applicable
  • Management reporting and RCM performance tracking
Why Enlight

Healthcare RCM & Medical Coding Support

  • Specialty-aware workflows
  • Medical coding + RCM capabilities
  • Flexible engagement models
  • Quality assurance
  • Scalable support
  • Clear communication
  • Performance reporting
  • Compliance/data-security focused operations
Why Enlight Team
Experienced Healthcare
Professionals
Specialty-Focused
Expertise
Quality-Focused
Processes
Flexible
Engagement
Transparent
Communication
How We Work

A Structured Approach to RCM

01

— Understand Your Practice

We learn your specialty, current workflow, payer environment and revenue-cycle challenges.

02

— Build the Workflow

We establish responsibilities, communication channels, quality requirements and workflow expectations.

03

— Implement & Monitor

Our team begins operations with defined processes and ongoing quality monitoring.

04

— Report & Improve

We provide structured reporting and communicate issues, trends and opportunities for improvement.

Quality

Our Quality Approach

Coding
Quality

Review processes designed to identify coding inconsistencies and documentation-related issues.

Claim
Quality

Workflow checks designed to reduce avoidable billing errors before submission where applicable.

Performance
Monitoring

Work is monitored against defined productivity and quality expectations.

Issue
Escalation

Identified issues are documented, communicated and escalated through defined channels.

Security & Compliance

Healthcare organizations entrust their RCM partners with sensitive information. Enlight takes privacy, security and confidentiality seriously.

Where applicable, Enlight can enter into appropriate Business Associate Agreements based on the services and relationship.

Meet the Team Behind Enlight

Enlight Global Healthcare provides medical coding, billing and revenue cycle management support to healthcare practices. Our team brings healthcare RCM experience across multiple specialties and focuses on accuracy, accountability and transparent communication.

Let's Evaluate Your Revenue Cycle

Tell us about your practice, your current RCM setup and your biggest revenue-cycle challenge.

Schedule a Free RCM Assessment