End-to-End Medical Billing and Revenue Cycle Management

Improve revenue, accelerate cash flow, and reduce administrative burden with Enlight's comprehensive billing and RCM solutions. We handle the complexities of the revenue cycle so you can focus on patient care.

Our Core Billing & RCM Services

Leveraging deep financial knowledge and extensive payer expertise to optimize your revenue cycle.

Eligibility & Benefits Verification

Proactive verification of patient coverage, copays, and deductibles to prevent downstream denials and improve point-of-service collections.

Prior Authorization Support

Streamlined management of pre-certifications and authorizations across all payers to ensure procedures are fully approved before service.

Charge Entry & Claim Scrubbing

Accurate entry of charges combined with multi-tiered claim scrubbing engines to catch errors before submission and maximize first-pass resolution rates.

Claims Submission

Timely and compliant electronic and paper claims submission to all commercial insurers, Medicare, and Medicaid.

Payment Posting (ERA/EFT)

Meticulous posting of electronic and manual payments, ensuring accurate reconciliation and immediate identification of underpayments.

Denial Management & Appeals

Aggressive investigation of denied claims with structured, timely appeals to recover revenue that would otherwise be lost.

A/R Follow-Up

Persistent follow-up on aging accounts receivable to reduce days in A/R and convert outstanding balances into collected revenue.

Credentialing & Enrollment

Comprehensive provider credentialing and payer enrollment services to prevent out-of-network processing and payment delays.

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