End-to-End Revenue Cycle Management Support

Enlight provides coordinated revenue cycle management support across key stages of the healthcare revenue cycle. Our services can be structured around the organization's requirements, allowing clients to use individual RCM functions or a broader end-to-end support model.

Medical Coding

Professional medical coding support based on provider documentation, official coding guidance and client-specific requirements. Our capabilities may include:
  • E/M coding
  • ED coding
  • Observation coding
  • Ambulatory coding
  • Other supported specialties
  • Coding review and quality processes

Medical Billing

Billing support can include:
  • Charge entry
  • Claim preparation
  • Claim submission
  • Rejection handling
  • Claim correction
  • Resubmission support
  • Billing workflow activities

Denial Management

Our denial management support includes:
  • Denial review
  • Denial categorization
  • Identification of denial causes
  • Claim correction and resubmission
  • Appeal support, where applicable
  • Denial follow-up
  • Identification of recurring denial trends

AR Management

Our AR services may include:
  • Aging AR review
  • Account prioritization
  • Payer follow-up
  • Claim status review
  • Outstanding account follow-up
  • Resolution tracking
  • Escalation of accounts requiring additional action

Payment Posting Support

Where included within the engagement, payment posting support may include:
  • Payment posting
  • Adjustment processing
  • Review of account activity
  • Identification of discrepancies
  • Support for reconciliation-related workflows

Reporting & Visibility

Reporting can provide visibility across the revenue cycle, including:
  • Operational activity
  • Productivity
  • Quality
  • AR trends
  • Denial trends
  • Work status
  • Outstanding accounts

Our Approach

Every organization has different operational requirements. Enlight can provide support for specific revenue cycle functions or coordinate multiple services as part of a broader RCM model. The scope, workflow and reporting structure can be aligned with the client's existing processes and requirements.

Looking for the right RCM support for your organization?

Enlight can tailor its services to your operational requirements and provide support across individual revenue cycle functions or multiple RCM processes.

Connect with Enlight to discuss your requirements