Medical Billing Companies & Consultants in Westford, MA

Red House Medical Billing provides revenue cycle management services to healthcare providers throughout the U.S. Its clients range from physicians launching a first practice to mature group practices, hospital systems and other large facilities. When engaging new clients, the company groups them into four categories: those switching from a different billing company, those handing off a billing function they previously ran in-house, start-up practices that have not yet completed insurer enrollment, and organizations seeking only credentialing assistance. Each category has its own onboarding process, so a prospective client receives only the details relevant to its circumstances.

Claims and revenue cycle services

Coding and billing staff at Red House manage claims from start to finish. They build and file claims with payers, pursue and contest denied claims, match payments received against amounts owed, and oversee patient balances. Repetitive, rules-driven tasks are handled with AI and robotic process automation, which the firm says reduces mistakes and gets faster answers from payers. Client communication, however, remains with people. A dedicated credentialing group registers providers with insurance plans, whether they are newly licensed or newly added to a practice. The group uses thorough paperwork, steady follow-up and established relationships with payers to compress an enrollment process that may otherwise stretch to roughly 90 days.

Additional services for practices

Red House also sells a set of administrative and technology services that clients can combine with their billing contract:

• Bookkeeping tailored to healthcare, delivering monthly accounting and annual financial statements through a designated bookkeeper
• Payroll, human resources and timekeeping delivered via a nationwide cloud payroll provider, with payroll tax remittance and fund impounding
• Discounted pricing on an electronic medical records platform from a preferred partner, along with assistance for practices using another EMR
• Free telehealth software for clients on the preferred EMR, including configuration and staff training
• Standard and customized analytics reports each month, measured against industry benchmarks
• Custodial services for medical records when a physician retires or departs a practice, including storage, document scanning, transfer of EMR data and responses to records requests

Organizations that prefer to keep billing in-house rather than outsource it can use Red House Teams, a separate service that hires and assigns full-time offshore revenue cycle personnel. Those workers operate under the client's name and according to the client's own processes. Red House serves as the legal employer, taking on HR and compliance duties, onboarding and training, and operational support available 24 hours a day.

Specialties, leadership and geography

Internal medicine, neurology, pediatrics, podiatry and urgent care appear among the specialties Red House highlights, and the company notes that it works in additional fields too. Jeff Hillam serves as CEO and Vanessa Boji as COO. The leadership group also includes directors responsible for operations, global HR, international operations and channel development. Domestically, the firm maintains offices that let it support clients in every state. Internationally, it employs staff in India, Pakistan, Germany and the Philippines, an arrangement intended to keep billing tasks moving around the clock regardless of time zone.

Practices evaluating billing vendors may weigh Red House's emphasis on employee training and company culture, its reliance on automation, and its attention to both patient satisfaction and relationships with insurers. Because its optional services extend from payroll all the way to practice closure, a client can consolidate a large share of its administrative work with a single provider.