Get Paid in 29 Days with a Medical Billing Specialist Who Lives and Breathes Your Payers

One Revenue Cycle Specialist, dedicated exclusively to your practice. They work inside your EMR, know your payer mix inside out, and are backed by a full billing team you never had to hire. No overhead, no turnover, no ramp-up.

A Claim That Leaves Without a Payer-Specific Scrub Is Already On Its Way Back as a Medical Billing Denial

First-Pass Claim Acceptance

Net Denial Rate

Avg. Revenue Uplift in Year

 Years Serving US Practices

Your Practice Is Running at Full Capacity, So Why Is Money Still Walking Out the Door?

Denials That Never Get Appealed

Denials That Never Get Appealed

Two-thirds of denied claims are recoverable, but only when someone actively pursues them within the payer’s appeal window.

Eligibility Checked Too Late

Eligibility Checked Too Late

A coverage issue caught before the appointment is a conversation. Caught after the claim is denied, it is a write-off.

AR Aging Past the Point of Recovery

AR Aging Past the Point of Recovery

After ninety days, average claim recovery rates drop below forty percent. After a hundred and twenty, most practices stop trying.

The Turnover Tax Nobody Talks About

The Turnover Tax Nobody Talks About

Every time your biller leaves, three to six months of payer knowledge, workflow familiarity, and denial history walks out with them, and your collections feel it before the new hire is even up to speed.

We Work Across 20+ Specialties. And We Know the Difference Between All of Them.

Cardiology doesn’t bill like pediatrics. OB/GYN doesn’t code like urgent care. Your specialist is matched to your specialty, your payers, and your EMR from day one.

Urgent Care-icon

Urgent Care

Mental Health-icon

Mental Health

How OmniMD Works

Your Revenue Cycle Specialist isn’t shared, rotated, or managed through a queue. They show up for your practice every day, the same way a direct hire would. We just handle everything behind the scenes.

Revenue Cycle Specialist

Revenue Cycle Specialist

With a minimum of five years working exclusively on US-based accounts, your specialist owns the entire billing cycle: payer relationships, AR performance, denial trends, and collections accountability. This is the person you call, the person who knows your practice inside out, and the person whose performance is measured against your revenue outcomes.

Certified Medical Coding Specialist

Certified Medical Coding Specialist

Credentialed through AAPC or AHIMA with specialty-specific experience across ICD-10, CPT, and HCPCS, your coding specialist ensures every claim is coded accurately and compliantly before it reaches the clearinghouse. Clean coding at the front end is the single most effective way to reduce denials downstream.

Eligibility Verification Coordinator

Eligibility Verification Coordinator

Running real-time eligibility verification before every scheduled encounter, your coordinator confirms active coverage, co-pay obligations, and prior authorization requirements through the clearinghouse, catching the issues that generate the most preventable denials in any practice.

Claims Submission Specialist

Claims Submission Specialist

Every claim is scrubbed, batched, submitted, and tracked through the full clearinghouse pipeline. Rejections are flagged in real time and resubmitted the same day, so nothing sits waiting for someone to notice it.

Clearinghouse and EDI Specialist

Clearinghouse and EDI Specialist

Every transaction moving between your practice and your payers runs through a clearinghouse, and how that connection is managed determines how fast you get paid. Your specialist handles the full EDI transaction set: 837P claim files out, 835 remittance files back, 270/271 eligibility requests, and 276/277 claim status checks across Availity, Change Healthcare, Waystar, and all major clearinghouses. Transmission errors and batch failures are caught before they age into recovery problems.

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Denial Management Analyst

Denial Management Analyst

Your denial management analyst goes further than correction and resubmission, identifying the payer-specific patterns behind recurring denials, building appeal strategies tailored to each payer’s documentation requirements, and implementing front-end workflow changes that prevent the same denial from landing on your account twice.

AR Recovery and Follow-Up Specialist

AR Recovery and Follow-Up Specialist

Every aging claim is pursued with structured, prioritized follow-up organized by balance, payer, and recovery probability. Nothing crosses sixty days without a documented action already taken on it.

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Reporting and Analytics Manager

Reporting and Analytics Manager

You receive the performance data that actually matters: denial rates by payer, AR aging breakdowns, collection ratios by provider, and monthly payer scorecards, delivered in the format and at the frequency you specify.

Serving Healthcare Providers Across United States

Texas
New York

Let’s Get Started: From Signed Agreement to First Claims Out the Door in Seven Days

Specialist Matching

1

Specialist Matching

We match you with a Revenue Cycle Specialist based on your specialty, EMR platform, and payer mix, a deliberate match, not whoever happens to be available.

EMR and Clearinghouse Integration

2

EMR and Clearinghouse Integration

Your specialist connects directly to your existing systems, already certified on your platform, with clearinghouse configurations and EDI connections confirmed before any claims move.

Eligibility and Payer Audit

3

Eligibility and Payer Audit

We review your active payer contracts, enrollment status, and authorization workflows, and surface the gaps that have been quietly generating denials before we ever submit a claim.

First Claims Submitted

4

First Claims Submitted

Within seven days of signing, clean claims are moving through the clearinghouse, and your specialist sends you a full kickoff report covering what has been set up, what has been found in your existing AR, and what the first thirty-day recovery plan looks like.

What a Year With OmniMD Medical Billing Experts Looks Like

29 Days

Average time-to-payment, compared to an industry average of forty-five to sixty days.

98.6%

First-pass claim acceptance rate through the clearinghouse on initial submission.

35%

Average revenue increase in Year 1 for practices transitioning from in-house billing.

97%

Denial appeal success rate on appeals filed and documented within thirty days of the original denial.

$1.8M

Average underpaid and denied claim recovery per practice in the first twelve months of engagement.

<2%

Net denial rate maintained consistently across all active OmniMD client accounts.

Your Practice Is Owed Money. Let’s Go Find It.

Frequently Asked Questions

When you hire in-house, you get one person managing every aspect of your billing cycle simultaneously, coding, eligibility verification, claim submission, denial follow-up, AR management, and reporting,  all at once, with whatever bandwidth remains after everything else your practice demands of them. With OmniMD, each of those functions is handled by a specialist who does nothing else, coordinated by your dedicated Revenue Cycle Specialist who is accountable for the overall performance of your account. And unlike an in-house hire, there is no turnover risk, no benefits overhead, no training period, and no three-month ramp-up before they are actually productive.

Eligibility verification runs before the patient is seen, for every scheduled encounter, every time, through the clearinghouse. Your coordinator confirms active coverage, co-pay and deductible status, and prior authorization requirements before the appointment happens. The reason the timing matters is straightforward: a coverage issue identified before the visit gives you the ability to collect upfront, reschedule if needed, or obtain the right authorization. The same issue identified after the claim is denied gives you a denial, a delay, and an appeals process, and that is assuming someone catches it before the window closes.

Your specialist holds active certifications across all major platforms, Epic, eClinicalWorks, Athenahealth, Kareo, AdvancedMD, NextGen, Meditech, Greenway, and others, and is credentialed specifically on your system before they are ever assigned to your account. There is no learning curve on your time, no setup period where they are figuring out your software, and no adjustment lag before they are operating at full capacity in your workflows.

This is precisely where twenty-plus years of working exclusively with US practices makes a difference that is difficult to replicate. Our specialists have worked with every Medicare Administrative Contractor, every state Medicaid program, and the full range of commercial and regional payers nationally,  including the LCD policies, state-specific Medicaid documentation requirements, and payer-level prior authorization rules that consistently catch generalist billers off guard. For practices operating across multiple states or managing a complex payer mix, that depth of US-specific institutional knowledge is one of the most tangible things OmniMD brings to the table.

Most new accounts have active AR recovery work underway within the first thirty days, beginning with a full AR audit during onboarding that surfaces denied claims that were never appealed, underpaid claims that nobody caught, and eligibility gaps that are still generating write-offs. Claims under ninety days old are prioritized first because recovery rates drop significantly after that threshold, and your specialist builds a documented thirty-day recovery plan before any work begins. Practices coming from in-house billing or a previous outsourcing arrangement typically see their largest single revenue improvement in the first quarter, not because we do anything extraordinary, but because previously unworked denials are being pursued systematically for the first time.

You receive the reports you want, in the format you want, at the frequency you specify, whether that is weekly performance snapshots, monthly payer scorecards, or quarterly AR deep dives. Standard reporting covers denial tracking and reporting by payer and reason code, AR aging summaries, first-pass acceptance rates, collection ratios by provider, and underpaid claim recovery status. Beyond scheduled reporting, your specialist flags anything time-sensitive, payer policy changes, authorization requirement updates, denial spikes, or AR anomalies, without waiting for the next reporting cycle to bring it to your attention.