Our Process
OUR MEDICAL BILLING PROCESS, STEP BY STEP.
Five steps take a practice from the first conversation to a monitored, fully reported revenue cycle. Here is what happens at each stage, what your team does, and what exists at the end of it.
At a Glance
The five-step engagement model
Every practice runs through the same sequence, in the same order. What changes is the workflow we design in step two.
Practice Assessment
We review your current billing workflow, challenges, payer mix, A/R, and revenue cycle performance to establish a clear baseline.
Customized Strategy
We develop a billing workflow designed around your specialty, patient volume, and operational requirements — not a generic template.
Implementation
Our team integrates with your existing systems and processes, then begins managing the agreed billing functions.
Ongoing Management
We continuously monitor claims, payments, A/R, denials, and other revenue cycle activities on your behalf.
Reporting & Optimization
You receive regular performance reports while we identify and act on areas for improvement.
In Detail
Inside each step
Outsourcing billing is a division of labour, not a disappearance. Each step below sets out both halves of it.
The functions being divided are the eight stages of our medical billing and revenue cycle services, tuned to the specialty your practice works in.
Step 01 · Practice Assessment
A measured baseline before anything moves
We review your current billing workflow, challenges, payer mix, A/R, and revenue cycle performance to establish a clear baseline.
What your practice does
- Share read-only access to your practice management system, or recent billing reports
- Point us at the payers and claim types that cause the most trouble
- Introduce whoever owns billing questions day to day
What Oremote does
- Review your current billing workflow end to end, from registration through payment posting
- Pull an A/R aging snapshot and read the denial history for repeating patterns
- Map your payer mix, claim volume and the codes your specialty leans on
What you get
A written baseline: where claims are failing, how old your A/R is, and what that is costing the practice each month.
Step 02 · Customized Strategy
A workflow built for your specialty, not a template
We develop a billing workflow designed around your specialty, patient volume, and operational requirements — not a generic template.
What your practice does
- Confirm which billing functions stay in house and which move to Oremote
- Set the reporting cadence and the escalation path your practice expects
What Oremote does
- Design the billing workflow around your specialty, patient volume and payer mix
- Define the handoffs, turnaround expectations and quality checks at each stage
- Put scope and pricing in writing, with no line item you have not already seen
What you get
A documented scope of work and workflow map, so both teams know who does what before a single claim changes hands.
Step 03 · Implementation
We integrate with your systems, not the other way round
Our team integrates with your existing systems and processes, then begins managing the agreed billing functions.
What your practice does
- Grant the system access and payer portal credentials the agreed work requires
- Keep operating as normal while the new workflow runs alongside the old one
What Oremote does
- Integrate with your existing practice management and EHR systems
- Establish communication channels, task tracking and a shared document trail
- Begin managing the agreed billing functions, starting with current claims
What you get
Your billing running on the agreed workflow, with the previous process still visible so you can compare the two.
Step 04 · Ongoing Management
Someone is watching every claim, every working day
We continuously monitor claims, payments, A/R, denials, and other revenue cycle activities on your behalf.
What your practice does
- Send clinical documentation and charges on your normal schedule
- Answer coding queries when a chart genuinely needs clarification
What Oremote does
- Monitor claims, payments, A/R, denials and other revenue cycle activity continuously
- Work rejections and denials back to root cause, correct them and resubmit
- Follow up with payers on aged balances instead of letting them run out of time
What you get
Fewer claims sitting untouched, and denials worked as a live queue rather than discovered at month end.
Step 05 · Reporting & Optimization
Reporting you can act on — then act on again
You receive regular performance reports while we identify and act on areas for improvement.
What your practice does
- Review the reporting pack and flag anything that does not match what you expected
- Decide together which improvement is worth prioritising next
What Oremote does
- Deliver regular reports on collections, A/R aging, denial rates and claim acceptance
- Identify denial patterns and revenue leakage, then act on what the numbers show
- Bring recommendations to each review with the evidence behind them
What you get
A revenue cycle that measurably improves period over period, and the reporting to prove it did.
Onboarding
What to expect in week one
Week one produces three things: system access, a measured baseline, and a workflow map both teams have signed off. No claims move until all three exist.
Front-office pressure during a transition is real, which is why some practices add healthcare virtual assistants for scheduling and patient calls in the same week.
Day 1
Kickoff and access
We meet your billing owner, agree a single point of contact on each side, and start the paperwork for practice management and payer portal access.
Days 2–3
Baseline pulled
We review your current workflow and pull an A/R aging snapshot alongside recent denial history, so the starting position is a number rather than an impression.
Days 3–4
Workflow mapped
Handoffs, turnaround expectations, escalation path and reporting cadence are written down and confirmed by both teams before work transfers.
Day 5
First review
We walk you through what the assessment found, confirm the agreed scope, and tell you which fixes are worth doing first.
Timings move with how quickly system access clears; the sequence does not. For a fuller picture of how the engagement is governed after week one, read what sets our billing team apart, or tell us about your current billing challenge.
Explore the eight billing services
Start with the assessment
Step one costs you an hour and a report. Everything after it is your decision.