Healthcare providers considering outsourced medical billing usually have the same handful of questions before they make a decision. Below are direct answers to the questions we hear most often from practices across Baltimore and the surrounding Maryland counties. If your question is not covered here, call (410) 874-0176 and our team will answer it directly.
What does a medical billing company do?
A medical billing company helps healthcare providers submit claims, follow up with insurance payers, correct denied or rejected claims, post payments, track unpaid balances, and manage billing workflows so the practice can focus more on patient care. At Maryland Medical Billers, this also includes provider credentialing, insurance verification, and ongoing revenue cycle reporting.
Do you work with behavioral health and mental health practices?
Yes. Maryland Medical Billers is especially positioned to support behavioral health and mental health providers, including therapists, counselors, social workers, psychologists, psychiatrists, psychiatric nurse practitioners, and small group practices. Behavioral health billing involves coding and authorization rules that differ from general medical claims billing, and our team has built specific processes around those differences.
Can you help with denied claims?
Yes. Denial management is one of the core services we offer. This includes reviewing denied claims, identifying the reason for denial, correcting claim issues, resubmitting when appropriate, and helping practices reduce repeated billing errors. We also track denial patterns across an account so the same mistake does not keep happening month after month.
Do you provide credentialing support?
Yes. Credentialing support may include CAQH setup or maintenance, payer enrollment assistance, insurance panel applications, provider information updates, and tracking credentialing status. Insurance credentialing delays are one of the most common causes of unexpected revenue gaps for new or growing practices, and we treat credentialing as an active project rather than a one-time form submission.
Can you help new practices get started with billing?
Yes. Maryland Medical Billers can help new or growing practices set up billing workflows, organize payer information, verify insurance processes, prepare for claims submission, and establish reporting systems. This is especially useful for providers opening a new practice location or adding a new provider to an existing group.
Do you support Maryland Medicaid billing?
Yes. Maryland Medicaid-related billing and enrollment support can be part of the service offering. Providers who want to bill Maryland Medicaid generally need to enroll through ePREP, Maryland’s online provider enrollment portal. We help track this process so providers are not left waiting indefinitely on enrollment status.
Do you help with Carelon or PBHS related billing?
Yes. Behavioral health providers in Maryland may interact with Carelon Behavioral Health of Maryland, which serves as Maryland’s ASO for Medicaid participants receiving behavioral healthcare. Maryland Medical Billers positions itself as a billing support resource for providers navigating behavioral health claims and administrative requirements tied to this system.
Do you offer full revenue cycle management?
Yes. Full revenue cycle management may include claims submission, payment posting, denial management, AR follow-up, patient balance tracking, monthly reporting, and billing process improvement. We build this around your specific payer mix rather than applying a generic template to every account.
Can you clean up old unpaid claims?
Yes. Billing cleanup and old AR recovery can help practices review unpaid claims, aging balances, rejected claims, and unresolved payer issues to identify missed revenue opportunities. Many practices are surprised to learn how much of their aging AR is still recoverable once someone actually has time to work through it.
Who is the best fit for Maryland Medical Billers?
The best fit is a small to mid-sized healthcare, behavioral health, or mental health practice that wants personalized billing support without hiring a full internal billing team. This includes solo providers, group practices, and practices expanding into new locations or new payer panels.
How does outsourced medical billing actually work day to day?
Once onboarded, our team handles insurance verification and eligibility checks before patient visits, submits claims promptly after services are rendered, follows up on anything outstanding, manages denials as they come in, and posts payments as they arrive. You receive regular reporting so you always know the status of your revenue cycle without having to ask.
What information do you need to get started?
We typically need access to your billing system or EHR billing setup, payer contracts or fee schedules, and any outstanding claims or aging AR reports you already have. From there, we can begin a billing audit to identify immediate opportunities before building out the ongoing process.
How quickly can you start working on denied or aging claims?
In most cases, our team can begin reviewing aging accounts receivable and denied claims within the first few days of onboarding. Older claims may take longer to resolve depending on payer timely filing limits, which is why addressing a backlog sooner rather than later matters.
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Still Have Questions
Call (410) 874-0176 today to schedule a billing review for your practice and get answers specific to your billing situation.
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