Pioneer Medical Billing Service

We are a full service medical billing company, delivering over 25 years of unwavering commitment to healthcare providers. Our primary goal is to guide providers towards new avenues that will successfully maximize their financial reimbursements.

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Tailored medical billing solutions

Build lasting partnerships with healthcare providers

With over 25 years of experience, we work closely with you to develop a medical billing solution that fits your practice's specific needs, maximizing financial reimbursement.

Evaluate billing dynamics

Gain insight into the various billing profiles that best suit your practice.

Customized onboarding processes

Develop billing requirements tailored to your unique patient base and operational structure.

In-house billing oversight

Establish your own system for monitoring billing operations internally.

Efficient operational tools

Simplify processes that enable your billing team to manage reports effortlessly.

Comprehensive medical billing solutions

Empowering Healthcare Providers for Over 25 Years

At Pioneer Medical Billing Service, we offer a full range of medical billing services dedicated to boosting your financial reimbursement.

Our top objective is to guide providers along new avenues that enhance their financial performance and operational efficiency.

Dedicated partner in your success

Tailored values and visions

Excellence in service delivery

Maximize your financial potential

Join PIONEER MEDICAL BILLING SERVICE and elevate your practice.

Sarah

"Working with PIONEER MEDICAL BILLING has allowed me to enhance my practice's efficiency and revenue flow."

Elaine

"Switching to PIONEER MEDICAL BILLING SERVICE has transformed my approach to billing and reimbursement."

John

"Working with PIONEER MEDICAL BILLING SERVICE has elevated my understanding of financial reimbursement in healthcare."

Comprehensive Medical Billing Services

Pioneer Medical Billing Service offers end-to-end revenue cycle management solutions tailored to your healthcare practice's unique needs.

Authorization/Pre-Certification

Assure all services performed are pre-certified and approved
Medi-Cal TARS processing

Eligibility/Benefit Verification

Verify patient's benefits and eligible covered services
Appointment Scheduling assistance

Billing (HCFA 1500/UB04)

Electronic submission via EDI
Clean claim submission
Paper claims via certified mail
Medical documents attached via EHR

Medical Coding

Certified Coders
Error evaluation and audit
ICD10/HCPCS/CPT and Modifiers corrections
Implementation & Training

Collections

Claims follow up and payment status
Challenge denied claims
Medicare/Medi-Cal processing
All Payer types (HMO, PPO, POS)
Workers Compensation & Liens
Patient responsibility management

Variances & Payment Reconciliation

Review zero pay EOBs
Review explanation of payments
Payment posting/Adjustments
Credit balances/Refunds
Reconcile Offsets

Denial Management

Underpayment Appeals
Clinical Appeals
Legal Appeal letters
Medical Necessity documentation

Onboarding & Credentialing

New/Established Providers
Credentialing
Contracts
All Payers Enrollment
CAQH Set-Up

Revenue Cycle Management

Monthly A/R Review
Monthly Cash reports
Quarterly/Year-end Reports
Credit Balance reconciliation

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