Reclaim Lost Revenue with a Managed Remittance VA
Stop letting unworked denials, unposted ERAs, and complex Medicare/Medicaid payment discrepancies pile up. Get a pre-vetted, highly trained Medical Billing Virtual Assistant backed by a Dedicated Project Manager—at up to 70% cost savings compared to an in-house biller.
Proficient in Leading EHR & Clearinghouse Platforms
Comprehensive RCM & Payment Posting
From downloading ERAs to resolving complex PR-50 denials, your Virtual Assistant acts as a highly capable extension of your billing department.
ERA/EOB Payment Posting
Accurately downloading Electronic Remittance Advice (835) files from clearinghouses and manually posting paper EOBs into your EHR, ensuring patient balances are correct.
Medicare/Medicaid Denial Management
Investigating CARC/RARC denial codes (e.g., CO-16, PR-50) immediately. We identify missing info, correct coding modifiers, and resubmit clean claims.
A/R Aging Follow-Up
Systematically working aging buckets (30/60/90+ days). We check claim statuses online via MAC portals (e.g., Novitas, Palmetto) to push stalled payments through.
Secondary/Tertiary Claim Billing
Identifying crossover issues. We ensure primary Medicare EOBs are correctly attached and submitted to secondary commercial payers or Medicaid.
Appeals & Reconsiderations
Drafting formal appeal letters for medical necessity denials. We gather provider notes and submit redetermination requests to Medicare within strict deadlines.
Patient Statement Generation
Once insurance payments and contractual adjustments are posted, we generate accurate patient statements for deductibles and co-insurance balances.
The Sagedoer Managed Advantage
A highly secure, meticulously managed remote staffing structure built specifically for the strict compliance standards of the healthcare industry.
Seamless Practice Integration
How we connect our RCM talent to your medical practice in four secure steps.
Assess Your Tech Stack
Tell us your EHR/EMR (e.g., AdvancedMD, Athenahealth) and Clearinghouse. We establish secure VPN access and role-restricted logins.
Align on SOPs
Your Project Manager assigns a vetted billing VA and documents your specific workflow for posting payments, handling denials, and routing secondary claims.
Delegated Execution
Your VA executes the daily queue—downloading ERAs, posting adjustments, and working the aging report. The PM ensures accuracy standards are met.
Transparent Billing
Pay a flat, predictable rate purely for the hours worked—never a percentage of your collections. Your dedicated PM's supervision is completely free.
Transparent RCM Support Rates
Stop paying agencies 5-9% of your collections. No expensive recruitment fees. Predictable labor costs to scale your practice.
- Dedicated Project Manager Included
- Ideal for daily ERA posting & basic denials
- Zero setup or onboarding fees
- No long-term lock-in contracts
- Deeply reduced bulk hourly rate
- Dedicated Project Manager Included
- High-volume A/R follow-up & appeals
- Free internal backup VA coverage
Sagedoer vs. Traditional RCM Agencies
| Operational Factor | Traditional RCM / Billing Agencies | THE SAGEDOER ADVANTAGE |
|---|---|---|
| Pricing Structure | Charge 4% to 9% of your total collections | Flat $6-$7/hr. You keep 100% of your revenue. |
| Control & Transparency | They take the process out of your hands; low visibility | VA works inside YOUR EHR. You own the process. |
| Management Effort | If hiring a freelancer, you must QA their work daily | A Dedicated PM ensures accuracy and SOP adherence. |
| Absence Contingency | Freelancer takes a day off, payment posting halts | VAs are backed up by an internal Sagedoer team instantly. |
Trusted by Medical Practices & Billing Companies
Frequently Asked Questions
Are your Virtual Assistants HIPAA trained and compliant?
Absolutely. We understand the critical importance of Protected Health Information (PHI). Our VAs undergo strict HIPAA compliance training. They access your systems through your secure, provisioned accounts (e.g., VPNs or limited-role EHR access) and never store patient data locally.
Why charge hourly instead of a percentage of collections?
Most traditional RCM agencies charge 4% to 9% of your total collections, punishing you for growing your practice. By charging a flat hourly rate ($6-$7/hr) for the exact labor required to process claims and work denials, we drastically reduce your overhead and let you keep the revenue you earned.
Do VAs handle medical coding, or just billing and submission?
Our Remittance VAs primarily focus on billing administration: payment posting, denial management (checking modifiers, correcting demographic errors), and A/R follow-up. While they are familiar with ICD-10/CPT formats for data entry, primary complex medical coding from raw provider notes usually requires a certified CPC coder.
Will they call insurance companies for A/R follow-ups?
Yes. A crucial part of denial management and working aging A/R buckets is interacting with payer portals (like Availity or MAC portals) and calling insurance representatives to resolve stalled claims. Our VAs handle these time-consuming calls so your internal staff doesn't have to.
Ready to Optimize Your Revenue Cycle?
Stop letting denied claims age out. Let us handle the administrative heavy lifting. Reach out today to schedule a strategy call and match with an expert VA and Dedicated Project Manager.