- Automation-first RCM
Medical Billing Services
Powered by Automation
We automate the repetitive parts of the revenue cycle — eligibility, claim scrubbing, status checks, posting, and denial triage — and put specialists on everything that needs a decision. Less admin work, cleaner claims, faster payments.
- Medical billing automation
Why practices move their billing to us.
Most billing companies add people when volume grows. We add automation first, then people where judgment is needed.
Automation at every step
Eligibility, scrubbing, status checks, and posting run on rules and schedules, not on someone remembering.
Built to lift revenue
Denials are worked by root cause and underpayments are compared against your contracted rates.
Less admin for your staff
Authorizations, payer calls and patient billing questions move off your front desk.
HIPAA-conscious process
Access controls, audit trails and documented workflows across every engagement.
- Ai-Powered Medical billing
How Resolute MSO's automation works
Automation doesn't replace your billing team—it removes the repetitive steps so certified coders can focus on the claims that actually need judgment.
Eligibility verified automatically
Coverage and benefits are checked before the appointment, not after the claim is denied.
Claims scrubbed pre-submission
Every claim is checked against payer-specific rules and coding edits before it ever reaches the payer.
Denials routed, not shelved
Denials are automatically categorized and assigned to a coder for appeal, usually within 24 hours.
Status visible in real time
A live dashboard shows where every claim stands—no phone calls to your billing company required.
Less manual work. More time to focus on your patients.
- AI System Architecture
Full revenue cycle management, handled end to end
From the first eligibility check to the final patient payment, one team and one system handle it all.
Medical billing & claims submission
Electronic claims filed daily with automated pre-submission checks.
Certified medical coding
AAPC-certified coders assign and audit ICD-10 and CPT codes for accuracy.
Denial management & appeals
Denials are worked, appealed, and tracked automatically—not left in a spreadsheet.
Patient billing & collections
Clear statements and flexible payment options that get patient balances paid faster.
Insurance eligibility verification
Coverage confirmed automatically before every visit, reducing front-desk surprises.
Credentialing & payer enrollment
We handle payer applications and re-credentialing so your providers stay in-network.
- AI System Architecture
Tailored Solutions for EHR Users by Experienced EHR Experts:
- Integrated Revenue Cycle Management and Medical Billing Services
- System Configuration and Optimization
- User Training
- Custom Reporting
- Workflow Consultation
Medical Practices that started with Revele’s RCM Services in 2024-25 experienced the following in the first 90 days!
- 22% boost in average monthly collections: Within the first 90 days, practices saw their revenue streams grow significantly.
- 26% increase in average gross collection rate : More of the money you've earned is actually making it to your bottom line.
- 19% rise in average payment per claim : Each claim now generates more revenue for your practice.
- 22% average increase in collections achieved without adding more patients or increasing provider workload!!!
- Proven Expertise in
50+ EHR/EMR/PMS
- AI System Architecture
The difference automation makes
Compared against the industry average for manually processed billing.
Manual billing
- Average clean claim rate
- 82–88%
- Days in A/R
- 45–60 days
- Denial follow-up
- Manual, queue-based
- Claim status visibility
- By phone or email
Resolute's Automation
- Average clean claim rate
- 98.6%
- Days in A/R
- 28–34 days
- Denial follow-up
- Auto-routed within 24 hrs
- Claim status visibility
- Real-time dashboard
- AI System Architecture
How the engagement works
Four steps from first conversation to a billing operation you do not have to chase.
Audit
We review your collections, denials, A/R ageing and coding patterns and send written findings.
Design
We map your payers, specialties and systems into a workflow with automation rules built in.
Transition
We connect to your EHR, complete enrollments and run a parallel period so nothing drops.
Operate & report
Daily claim work, ongoing denial prevention and reporting you can actually read.
- Proven Expertise in
The Numbers Behind Revenue Cycle Transformation
2-3x
Collection Increase
12.6
Average Days to Collect
3,000+
Healthcare Facilities
66%
Lower Cost to Collect
$1B+
Patient Revenue Managed
95%
Patient Satisfaction
- AI System Architecture
How Our AI Intelligent Systems Are Architected
AI Agent Frameworks
We deploy modular, self-contained agents designed for autonomous task execution and real-time decision-making.
RAG-Based Knowledge Systems
We construct context-aware retrieval pipelines combining custom LLMs with your live enterprise data sources.
65%
Performance Acceleration
Data Pipelines & Processing
We engineer structured backend pipelines for safely ingesting, processing, and transforming big data.
3x
Faster Data Processing
Model Orchestration & APIs
We establish seamless integration layers between advanced AI models, core apps, and external API systems.
Real-Time Inference Systems
We build ultra-low-latency processing nodes to power dynamic enterprise workflows and user interactions.
- Proven Expertise in
Specialty Medical Billing Services
Orthopedics
Physical Therapy
Cardiology
Mental Health
Ophthalmology
ASC
Radiology
Family Practice
OB/GYN
Gastroenterology
- Our Clients
- Team of healthcare specialists
Certified coders and revenue cycle specialists who work your claims, not a call center reading a script.
Dr. Sophie Lee
Interventional Cardiology
Dr. John Smith
Orthopedic Surgery
Dr. Emily Johnson
Orthopedics
Dr. Emily Johnson
Dermatology
Platform / Coder
Coder · primary surface
Codes arrive with the chart.
Medical billing and RCM services
Take the whole revenue cycle, or just the part that is costing you the most right now.
Medical Billing Services
Take the whole revenue cycle, or just the part that is costing you the most right now.
Revenue Cycle Management
Front-to-back RCM covering eligibility, coding, claims, denials, A/R and reporting.
Medical Coding & Audits
Certified coding across ICD-10, CPT and HCPCS with documentation audits.
Credentialing & Provider Enrollment
Payer enrollment, CAQH maintenance, revalidation and contract follow-up.
Prior Authorization
Authorization requests, clinical submission and status tracking before the visit.
Denial Management & Appeals
Root-cause denial work, appeals and prevention rules so the same denial stops repeating.
Eligibility & Benefits Verification
Coverage, benefits and patient responsibility verified before the appointment.
Patient Billing & Support
Statements, payment plans and a patient helpline your front desk does not have to staff.
Free Practice Revenue Audit
A structured review of your collections, denials, A/R and coding before you commit to anything.
- Frequently Asked Questions
Got Questions?
We've Got Answers
Common questions about medical billing services
Medical billing automation uses software to handle repetitive billing tasks—checking insurance eligibility, scrubbing claims against payer rules before submission, and routing denials—without manual work for each claim. It reduces errors and speeds up reimbursement compared to fully manual billing.
Most outsourced medical billing companies charge a percentage of collections, typically between 4% and 9%, depending on claim volume, specialty, and services included. Flat monthly fees are less common but available for smaller practices.
Yes, when the billing company follows HIPAA's Privacy and Security Rules, signs a Business Associate Agreement (BAA), and uses encrypted, access-controlled systems for patient data. Confirm BAA coverage before sharing any patient information.
A typical transition takes two to six weeks, covering payer enrollment updates, data migration from the previous system, and a short parallel-run period to confirm claims are processing correctly before full handoff.
Resolute MSO integrates with most major EHR and practice management platforms. If your system isn't listed, our onboarding team can confirm compatibility before you sign anything.
Medical billing is the process of submitting and following up on claims. Revenue cycle management (RCM) is broader—it includes billing plus eligibility verification, coding, denial management, patient collections, and reporting across the entire path from appointment to payment.
Still have the Question?
Can’t find the answer you are looking for? Our Support team is here to help.
Starting 2.99% of collections
Simple, percentage-based pricing
No flat monthly fees, no software licenses, no long-term contracts. Rate depends on specialty and claim volume.
