Medical Billing Companies & Consultants in Oklahoma City, OK

360 Medical Billing Solutions is a revenue cycle firm based in Oklahoma City. It focuses on episodic care: hospital-based emergency departments, independent and hospital-affiliated ED physician groups, freestanding ERs and urgent care centers. The company says it has worked in this field for roughly 25 years and has clients across the country. It keeps its scope narrow on purpose.

It does not market itself as a general billing house. Instead, it presents itself as a specialist in the high volume and quick turnover of emergency and urgent care visits.

Services

The firm takes on a client's billing from start to finish. This begins with front-end eligibility checks and enrolling providers with Medicare, Medicaid, Blue Cross Blue Shield and contracted managed care plans. It continues through claim submission, payment posting and collections. The main services include:

• Full-cycle billing for emergency rooms, freestanding EDs and urgent care practices
• Credentialing and provider enrollment
• Electronic claims, fund transfers and remittances through a clearinghouse partner
• Daily follow-up on unpaid and denied claims, including appeals
• Reconciliation of missing records and patient encounters
• Help with managed care contract negotiation and fee schedule review
• Monthly, quarterly and annual financial reporting, plus aged A/R analysis
• Compliance tracking, education and billing consulting

The consulting work covers workflow, collections and staffing. It is offered to new urgent care operators as well as established emergency groups.

Technology and Patient Billing

Clients can use the billing platform the company itself relies on. Setup includes an HL7 interface to the client's records system, automation of EMR and billing software, and daily performance and revenue dashboards. On the patient side, the firm runs a separate payment website.

Patients can settle balances online, through an app, by phone or by email, and text-to-pay and credit card processing are also available. The company explains that the 360 in its name refers to covering the whole loop, from the patient's experience at the facility to final payment.

It handles patient phone calls as if it were part of the client's own brand.

How It Works With Clients

Each client gets a dedicated account representative, with quality assurance review and executive oversight on top. The firm says its staff reviews aging accounts every day and keeps working each claim until it is paid or appealed. That includes harder-to-collect balances as well as routine ones. All work is done by staff in the United States, based in Oklahoma.

Services are covered by a standard agreement, which the company describes as transparent and requiring minimal start-up spending. The systems are built to scale for groups with several locations.

Background and Team

The business is co-owned by vice presidents David Windham and Rob Ross. Windham holds a business management degree from Southern Nazarene University. Ross, one of the original co-founders, studied business marketing at Oklahoma Baptist University and has a master's in healthcare administration from Oklahoma City University.

The core team includes directors for data entry, IT, human resources and quality assurance, along with provider enrollment staff, an accounts receivable lead and several client representatives. Many have been with the firm for ten to twenty years.

Client testimonials on its site come from emergency department and urgent care groups in states such as Michigan and Texas, and from an Oklahoma physical therapy practice.

Danlyns Medical Billing is an Oklahoma City firm that has been handling claims for healthcare providers since 2010. Working from an office on South Walker Avenue, the company manages the entire revenue cycle for its clients so that clinicians and their staff can spend less of the day on paperwork. Its home base is in Oklahoma, but it takes on practices throughout the state and across the country. Staff members speak both English and Spanish.

Who the firm serves

Clients range from solo physicians and physician assistants to small offices and larger groups whose back-office staff have fallen behind. The company's specialty coverage is broad, and it also handles non-physician files when they are part of a practice's work. Specialties it lists include:

• Primary care, pediatrics, internal medicine and OB/GYN
• Orthopedics, cardiology, dermatology, ENT and gastroenterology
• Neurology, urology, ophthalmology, pain management and behavioral health
• Urgent care, surgery and ambulatory surgery centers, and podiatry
• Chiropractic, dental, home health, physical therapy and rehabilitation, and multi-specialty groups

Billing and credentialing work

A standard billing engagement begins before a claim is created. It includes checking insurance eligibility, helping with prior authorizations, entering charges and providing certified coding on either a temporary or continuing basis, along with coding reviews. Claims are scrubbed and then submitted, with the firm aiming to send them within one to three days of a charge being ready.

After submission, the team posts payments, follows up on open receivables, files appeals on rejected claims and resolves credit balances. Credentialing is treated as a core offering rather than an add-on. It covers CAQH setup and upkeep, NPPES records, Medicare and commercial payer enrollment, and periodic revalidations.

Danlyns points out that what looks like a billing issue is frequently rooted in enrollment.

How engagements are structured

Practices can assign Danlyns a single problem area, such as a backlog of unpaid claims, or hand over the whole cycle. The firm describes three typical situations. The first is a new practice that needs enrollment and claim workflows in place before its first billable visit.

The second is an established office where denials and old receivables were left untouched by a previous vendor. The third is a growing practice whose front desk is overwhelmed. For that last group, it adds consulting on revenue cycle reviews, start-up planning, compliance and office efficiency. It also offers administrative help with scheduling, policies and staffing.

What distinguishes the firm

Danlyns presents itself as a local partner with a physical office that clients can visit. It says it avoids quoting made-up collection figures to win new business, and that clients can speak with someone who already knows their account. When a claim stalls, the team works out whether the cause is coding, eligibility, credentialing or the payer itself.

Its website intake form asks a few practice-level questions only to prepare for a conversation, not to grade the practice. The company also asks visitors not to send any protected health information through its site.