Medical Billing Companies & Consultants in Omaha, NE

LevelUp Practice Solutions is a medical billing and practice support firm based in Omaha, Nebraska, a short drive across the Missouri River from Council Bluffs. It works with private healthcare practices that want to hand off the administrative and financial side of running a clinic so that physicians and staff can spend more of their day with patients.

The company says it belongs to a nationwide network of offices focused on medical revenue management. Its work centers on billing, improving the revenue cycle and general business help for independent providers.

Approach and Philosophy

The firm says its goal is to help practices raise net collections while cutting overhead. A key part of that pitch is that clients do not need to buy costly servers, software licenses or networking gear to modernize their billing.

Instead, LevelUp offers web-based tools that update in real time and can be reached from any internet-connected computer, so owners and staff can see their accounts. The company states that these electronic tools are certified against CMS standards, HIPAA requirements and Meaningful Use criteria. It describes its consulting as full service.

It can deliver a turnkey setup or fit into a practice's current workflows and structure, with an emphasis on individual attention.

Billing and Revenue Cycle Services

LevelUp groups its offerings into a set of branded solutions that cover most stages of the revenue cycle:

• iClaim for claims submission and processing, aimed at quicker payment and fewer rejected claims
• CodeRite for coding accuracy, to reduce errors and support proper reimbursement
• ChoicePay for flexible patient payment options that support cash flow
• QuickCollect for follow-up on past-due patient balances
• AuditGuard for protection against the cost of payer audits
• CompliancyGuard for keeping up with healthcare regulations
• EMRX for optimizing electronic medical records
• iDocsNow for cloud-based document storage and retrieval
• TeleHealth for secure virtual visits
• AutoCard for automated postcards and greeting cards sent to patients

Credentialing and Policy Development

Beyond everyday billing, the company offers a credentialing service meant for established groups with five or more providers. It handles the full range of credentialing tasks and presents the service as a way for growing organizations to protect incoming revenue while they expand. LevelUp also writes healthcare policies and procedures.

These documents give employees a shared reference on how the organization operates and help clarify topics that are set by law or open to interpretation. They also lower the risk of misunderstandings for the employer.

Working With LevelUp

New relationships start with a no-cost consultation, and the firm also advertises a free practice analysis for prospective clients. According to its site, fees depend on the scope of work and the client's timeline, and the client approves the terms before any engagement starts. For buyers in Council Bluffs and the wider Omaha area, LevelUp is a local option that combines outsourced billing with compliance, credentialing, collections and documentation services from one provider.

Midwest Medical Billing Service is an outsourced insurance billing firm based in Omaha, Nebraska. It works for healthcare practices that would rather hand off claims and patient billing than run that work in-house. Its office is in southwest Omaha, close to Council Bluffs. It serves local medical and dental offices as well as practices in other states, and it describes its client base as nationwide.

Background

The firm was founded by Jeanne Horseman, who began billing for practices from her home in 1995 and still leads the company. It has since grown into a small team of experienced account representatives working from a dedicated office. Business listings describe it as a privately held company with fewer than a dozen employees. That size means clients deal with a small group of people who know their accounts well, not a large call center.

Services

The company covers the full insurance billing cycle, from checking a patient's coverage before the visit to collecting the final payment. A separate team checks benefits up front, so coverage problems are caught before claims go out. Its core services include:

• Preparing and submitting insurance claims
• Verifying insurance and obtaining authorizations
• Determining patient benefits before services are billed
• Producing patient statements and handling patient billing
• Following up on unpaid claims and appealing denials with payers
• Credentialing providers with insurance carriers
• Billing Medicare and Medicaid in line with each program's rules

The team also reviews coding accuracy and keeps track of how insurers in each client's state handle claims. This matters for practices whose patients use several regional carriers.

Specialties Served

The firm focuses mostly on outpatient and therapy-based practices, and the Better Business Bureau notes that mental health providers are a particular focus. Other specialties it lists include:

• Mental health counseling and therapy
• Physical therapy and physical medicine
• Occupational and speech therapy
• Audiology
• Pain management
• Hormone replacement, including testosterone therapy
• Acupuncture and massage therapy
• General medical and dental practices

How It Works With Clients

Each practice or provider is assigned one account representative who handles its billing from start to finish, so clients always know who to contact. The founder has said this one-on-one model is what sets the firm apart from billing services that move accounts between staff. The company says it keeps clients informed throughout the process.

Clients can reach staff by phone, text or email and speak with a person rather than an automated system. Practices also get web-based software that lets them pull up their own billing reports at any time.

For buyers comparing billing companies, Midwest Medical Billing Service may suit small and mid-sized specialty practices, especially behavioral health and therapy clinics. It offers a long track record, a small team and one contact person per account, plus support with benefits checks and credentialing in addition to claims.

One Billing Solutions, LLC is an Omaha, Nebraska firm that handles claims and billing for emergency medical services. It doesn't serve physician practices or hospitals. Instead it works with agencies that run 911 ambulance and rescue services, acting as an outsourced back office that keeps payments coming in so crews can focus on their patients.

Who they serve

Most of its clients are small, rural 911 systems, especially volunteer rescue squads that don't have the staff hours to handle the paperwork that comes with billing for transports. The company says its goal is to help these communities keep their emergency response going by collecting on every claim that can properly be billed.

It also says it will take on agencies of any size, from one village squad to a large city department. It can bill fire and medical services separately, which may help departments that run both.

Billing services

One Billing Solutions covers the whole process, from run data to matching up payments. The services it lists include:

• Checking each account's billing details before a claim goes out
• Assigning HCPCS, ICD-10 and condition codes to every transport
• Sending claims to government and commercial payers and other liable parties, either by mail or electronically through a contracted clearinghouse
• Preparing and mailing statements to self-pay patients, with at least two reminders after the first bill
• Answering questions and letters from patients and insurers
• Checking claim status with each carrier
• Completing participation agreements with insurers and representing the agency with them
• Recording incoming payments
• Sending monthly reports on receivables, transactions, payments by line item and write-offs

How they work with clients

The company calls itself a partner to the agencies it serves. It acts as their public billing contact and takes calls from patients and insurers during normal office hours. It works with squads at very different levels of technical skill, from crews with little computer experience to those that record every run electronically.

Each month, clients get reports built around their own accounting and record-keeping needs. The company says its staff get regular specialized training to keep up with changing billing rules.

What sets them apart

The main difference for buyers is its narrow focus. One Billing Solutions is built for ambulance and 911 billing, not general clinical billing, and its focus on rural and volunteer groups sets it apart from vendors that serve large health systems.

Because it handles payer enrollment and deals with insurers for the agency, it can suit squads with no office staff of their own. The firm runs from a single office in west Omaha, and its website offers a client login and downloadable forms for new and current clients.

Resolve Medical Billing, LLC is a revenue cycle management firm that works with private healthcare practices, from providers just launching a new office to established groups that want extra back-office help or better collections. Founded in 2019 as a billing company, it has since grown into a broader RCM partner. It now handles claims, insurance enrollment, denial follow-up, payment reconciliation and remote administrative work for its clients.

Billing and Revenue Cycle Services

The firm's core billing work aims to increase reimbursement, cut down on rejected claims and steady a practice's cash flow without adding work for clinical staff. Its billing services include:

• Timely claim submission to major insurance payers
• Accounts receivable follow-up on outstanding balances
• Finding, correcting and resubmitting denied claims, plus research into underpaid claims
• Payment posting and reconciliation to keep practice books in order
• Patient billing communication and support
• Custom reports that track performance and support decisions
• Remote front desk and administrative help adapted to each office's workflow

Credentialing and Enrollment

Resolve also offers a full credentialing service for individual clinicians and group practices. For individual providers, it handles commercial, Medicare and Medicaid enrollment, sets up and maintains CAQH profiles, and manages recredentialing. For groups, it handles group contracting and linkage, provider reassignments, adding clinicians to existing contracts, organizational enrollment and ongoing credentialing maintenance.

The company tells clients ahead of time which documents it needs, including entity and tax details, Type 1 and Type 2 NPIs, banking records for electronic funds transfer, an attested CAQH profile, licenses, board certifications, DEA registration and malpractice coverage. It also explains that approval timelines depend on the payer, state and provider type.

It suggests starting early and keeps clients updated while it tracks each application until the payer decides.

Working Style

The company presents itself as an extension of a practice's own staff rather than a remote claims processor. Clients deal directly with people who learn their practice, not a ticket queue, and the firm says each office's systems and processes differ and should be handled individually. It names communication, accountability and integrity as its guiding values and says its decisions are made around how best to support the practices it serves.

Background and Client Feedback

Founder Crystal McIntyre is the main contact named in client feedback. In a testimonial on the site, the CEO of a counseling practice says Crystal untangled a large backlog of billing problems, guided her through them and got payments flowing again after a long period without income. For buyers comparing vendors, Resolve may suit practices that want billing, credentialing and administrative support from one small, hands-on team instead of several separate vendors.

Summit-Edge, Inc. is an Omaha, Nebraska firm that handles outsourced billing for behavioral health providers. Its main clients are group practices and counseling centers. The company has been running since 2002. It pitches outsourcing as an option for practices that would otherwise keep hiring and replacing in-house billing staff. Its case rests mainly on better reimbursement results, with possible savings over an internal billing department as a second benefit.

Who They Serve

Every engagement runs on the firm's own billing platform, which can be configured for counseling centers and for other billing services. The firm describes three types of client:

• Counseling centers: organizations with roughly five or more clinicians and office staff who can take on simple billing chores (Enterprise Program)
• Busy professionals: clinicians who want to hand off nearly all billing work so they can spend more time with patients (Standard Program)
• Budget-focused practices: offices that don't need digital intake or electronic statements and only want core billing (Economy Program)

Services and Tools

Summit-Edge focuses on collecting what payers actually owe. It says ordinary billing often leaves a hidden gap between allowed amounts and payments received, and that its process is built to close that gap. Clients can use a set of software tools at no extra cost. These include a provider interface, scheduling, therapist payout calculations, cash balancing, insurance eligibility checks, a claims validator, authorization tracking, a family billing manager, an underpayment auditor and management reporting.

The workflow cuts manual keying wherever possible. It relies on digital intake forms, session data pulled from electronic health records and electronic remittance (EOB) processing. Clients handle a few light tasks, such as entering sessions or recording family payments, while the firm's billers work denials, follow-up and the rest of the collections process. The company says this split, along with owning its software, is how it keeps fees below the percentage-of-collections rates many outsourcing vendors charge.

Team and Support

Grant Shaw founded the company and serves as principal. He holds a business management degree from Northwest Missouri State University, did graduate coursework in accounting and computer science, and has spent about 35 years building behavioral health billing systems. Practice Consultant Kim French has more than three decades of experience managing behavioral health billing.

The billing specialists include one with nine years of experience with both solo and group practices. Another holds a CPC credential and a coding certification from Louisiana State University.

Each client gets a Billing Team Leader as its main contact for billing problems. The firm also acts as a resource center, giving clients free advice on wider practice management questions. The company presents itself as big enough to deliver consistent quality but small enough to know its clients personally. That may appeal to behavioral health groups that want a hands-on partner with specialty experience instead of a large general billing vendor.