Medical Billing Companies & Consultants in Kapolei, HI

Physicians Billing Solutions, LLC is a medical billing company headquartered in Kapolei on the island of Oahu. It also has a second office in Henderson, Nevada. The firm was established in 2004 and works mainly with physician practices that would rather send their claims and receivables work to an outside team than build that capability in-house. The company says its purpose is to give practices dependable billing support while helping them lower their administrative overhead.

Background and Team

The firm reports that its staff together bring more than a century of experience in billing and practice management. Its full-time staff hold four-year degrees along with various professional certifications, and about half have worked in medical billing for ten years or longer.

The company stresses that this work is done by its own employees, not contractors, and links that choice to consistent output. Internal quality programs, ongoing training and experience with several types of audits are meant to keep coding accurate, limit compliance exposure and make sure practices are paid what they are owed.

Core Services

• Claims billing and full revenue cycle management
• Management of outstanding receivables
• Insurance enrollment and CAQH credentialing for providers, including physicians who relocate or change tax IDs
• Help updating HIPAA policies and procedures
• Building fee schedules suited to a practice's specialty
• Training front desk staff on payer rules and copay collection
• Monthly financial, productivity, payer payment and AR reporting

How Engagements Work

Each client is assigned an account manager who handles its questions and concerns. Claims are filed electronically whenever possible, which shortens payment timelines and reduces paperwork. Practices can send documents by fax or email, or request a courier pickup.

Standard monthly reports arrive by the fifth day of the next month, and clients can order custom reports for an extra fee. After the initial onboarding training, the firm provides follow-up sessions when it decides they are needed. Practices that ask for additional sessions, such as after staff turnover, are billed at a negotiated rate.

Back-Office and Financial Support

The company also offers bookkeeping, accounting and outsourced controller services. These include accounts payable processing, general ledger reconciliations, month-end closing, fixed asset tracking, Hawaii general excise tax compliance, payroll, and state and federal reporting. On the accounting side, it provides periodic financial statements, budgets and forecasts, cash flow planning, cost and labor productivity analysis, and support during financial audits. Practices that want a single vendor for both billing and back-office finance may find this combination useful.

Several features distinguish the firm for buyers comparing billing vendors. These include its in-state Hawaii office, a staff made up of degreed and certified employees, and a stated commitment to HIPAA data security. Its billers also track regulatory changes and tell clients when reimbursement patterns shift.

The firm presents outsourcing as a way for practices to avoid the costs of recruiting, training and paying billing staff and to stop worrying about coverage when employees are out. Clients also get a members-only area with provider resources such as a copay matrix and downloadable documents.