Medical Billing Companies & Consultants in Kamuela, HI

Access Revenue Hawaii, LLC is a locally owned company based in Hawaii that manages billing and reimbursement exclusively for the behavioral health field. The company says it was the first in Hawaii to take on every stage of the revenue process for organizations that deliver mental health and addiction treatment.

Its client base spans treatment programs, residential and substance use facilities, multi-clinician group practices, and solo therapists. It serves providers across the islands as well as practices on the U.S. mainland. Rather than operating as a distant vendor, the firm embeds itself in each client's operations and functions much like an in-house billing department.

Services for behavioral health providers

The firm consolidates a practice's core money-related and administrative work within a single team. Its offerings cover:

• Confirming a patient's coverage and mental health or addiction benefits ahead of intake or admission
• Credentialing clinicians with insurers and negotiating payer agreements
• Securing authorizations and conducting utilization review, including requests for additional days of treatment when the clinical picture supports them
• Building and sending claims that are screened for insurer requirements and medical necessity
• Pursuing older outstanding balances so that unpaid amounts are recovered
• Spotting rejected claims, submitting appeals, and correcting the underlying sources of recurring mistakes
• Handling patient billing statements, collections, and payment intake, supported by integrated tools that let patients pay
• Routine and tailored financial reporting delivered weekly, monthly, quarterly, or yearly

Payer experience

According to the company, its staff has worked with a wide mix of local and nationwide health plans, among them Med-QUEST, HMSA, Kaiser Permanente, UHA, HMAA, Medicare, TRICARE West and East, VA Community Care, BCBS, Cigna, Aetna, and UnitedHealthcare. This range may appeal to providers juggling claims across multiple island insurers, and to mainland programs treating service members or veterans.

Fees are calculated as a share of collected revenue, with rate tiers that shift according to volume, and the company publishes these rates rather than revealing them only through individual quotes. Since its compensation comes out of collected dollars, the firm earns more only when its clients do.

Leadership and team

The company was founded by Kevin E. Deeds, SAC, DAC, who serves as CEO and brings over a decade of behavioral health experience. He began in junior positions and worked his way up, providing addiction counseling to clients, leading the intake function for a treatment program, and later heading its utilization review work.

From there he moved into overseeing revenue operations for behavioral health organizations. Having observed both in-house and contracted billing groups firsthand, he built the business to be a closer, more attentive alternative. Other leaders include Dr. Christine Gilmore, who is chief operations officer and directs utilization management, and Dr. Gudrun Baumgaertl, the chief financial officer.

Ernesto Noblejas is responsible for compliance and accreditation, while Teres Jones heads employee mental health and wellness efforts. The staff also includes managers dedicated to medical records, behavioral health and facility billing, credentialing, and utilization review.

Why buyers consider them

Organizations weighing billing partners will notice two distinguishing qualities: an exclusive concentration on one specialty and leadership with hands-on clinical roots. Several members of the leadership group carry addiction and counseling credentials, giving them a working grasp of level-of-care decisions and authorization issues common in substance use treatment.

Each client is assigned a specific point of contact familiar with its account. Because the firm is headquartered in Kamuela on Hawaii Island, it keeps Hawaii business hours, an advantage for island providers seeking a close-at-hand and attentive partner. Providers curious about the firm's approach can ask for a complimentary review of their revenue cycle.