Medical Billing Companies & Consultants in Kapaa, HI

Based in Kapa'a on the island of Kauai, Lotus Medical Billing, LLC provides outsourced revenue-cycle support to doctors and other medical professionals throughout the state of Hawaii. Independent practices are its primary clientele. Many of these providers contend with intricate insurer rules, delayed payments and frequent claim rejections. The company says its aim is to help each client collect the full amount it is owed, and to do so through ethical, regulation-compliant methods.

What the Firm Offers Local Providers

Lotus takes on the essential financial and administrative functions that keep a medical office paid. Rather than requiring a single proprietary system, it is able to work within many different practice management platforms, which generally lets a client continue with its existing software. Key offerings are:

• Preparation and submission of professional claims
• Coding performed by certified, credentialed staff
• Oversight of accounts receivable
• Pursuit of unpaid balances with insurers operating in Hawaii
• Appeals and resolution of denied claims
• Payment processing and posting
• Assistance with HIPAA compliance
• An online payment option for patients, powered by US Pay

Working Arrangements With Practices

To move information safely, Lotus can establish a HIPAA-compliant VPN link with a large number of physician offices. This connection gives the billing team direct access to coding data and patient demographics from each practice.

Doctors who use the EPIC HealthAdvantage Connect EMR offered through Hawaii Pacific Health can have claims filed by Lotus straight from that platform, an arrangement that may appeal to independent physicians connected to that network. In addition, patients of client offices have the option of settling their balances online via the company's website.

Origins of the Company

Lotus began inside a kidney care practice. In 2006, Lori Fitzgerald became office manager and biller at Kidney Care of Hawaii, LLC, the nephrology practice of Dr. Niraj S. Desai. Two years later, in 2008, she and Dr. Desai started taking on billing work for outside providers. The business was officially established as Lotus Medical Billing LLC in 2010. The team includes long-serving employees; one person has managed payment processing for the firm since 2009.

Staff Qualifications

Lori Fitzgerald holds the Certified Professional Coder designation and also works as a biller. Her career spans upward of thirty years across billing, coding, patient relations and practice administration. The rest of the staff includes:

• A team member credentialed both as a registered health information technician and as a certified coding specialist
• A denial-resolution specialist with roughly a quarter century of experience in clinic billing
• An employee who holds a business administration degree earned at UH West Oahu and has been doing billing work since 2013
• Personnel responsible for special projects, insurer follow-up and general office duties

Lotus expanded its staff with several hires in 2024, including one employee who is currently pursuing certification in billing and coding. Practices evaluating billing vendors may note that the firm's distinguishing features are its familiarity with Hawaii insurers, its certified coding personnel, its secure remote access to client data, and its ability to submit claims directly through EPIC for providers affiliated with Hawaii Pacific Health.