Medical Billing Companies & Consultants in Pittsburgh, PA

Symmetry Medical Billing & Consulting is a small, family-run revenue cycle firm that handles billing and consulting work for physicians and other clinicians. Its main phone line uses a Pittsburgh area code, and independent business listings place an office in Pittsburgh. The company says it takes on practices of any size and in any specialty across the United States, so it can serve a solo provider or a larger multi-provider group.

Services

The firm covers the full billing cycle, from the first charge to the last collected balance. Its published service list includes:

• Charge entry, plus claim preparation and submission to primary, secondary and tertiary payers
• Claim follow-up, denial appeals and accounts receivable management
• Payment posting and patient statements, with help answering patient billing questions
• Eligibility checks and prior authorizations
• Provider credentialing and payer contracting, including Medicare and workers' compensation
• Medical coding, coding reviews and reimbursement audits
• Workers' compensation and auto claims
• Compliance support, staff training and help setting up a new office

How They Work With Practices

Symmetry describes its approach as custom rather than one-size-fits-all. It says it gets to know each office's workflow before deciding how to handle the account. Practices do not have to change platforms. The team can log into a client's existing practice management system and send claims through the client's own clearinghouse, or it can help the practice look at other options. According to the company, its staff have worked with more than 40 practice management packages. Engagements carry no long-term contract. The firm asks only for 60 days' notice before termination and says it charges no hidden fees. It also notes that terms may be adjusted to fit a client's size or special requests. Clients are told they can reach the owner directly whenever they need to.

Approach and Differentiators

The company says it puts most of its effort into getting better reimbursement and staying compliant, rather than into routine data entry. It credits in-house software and processes with helping it fight payer denials and reduce errors before claims go out. Symmetry reports a clean claim rate above 99 percent and says it tries to get claims filed quickly and on a steady schedule. It also offers system-wide audits for practices that want an outside review of their revenue cycle.

Background

The firm says its team has more than 25 years of experience in medical billing. It stresses that all of its work is done in the United States and that it has no offshore staff. Buyers worried about the privacy and security risks of sending patient data overseas may find that important. Besides outsourced billing, Symmetry offers consulting for practices that want help with coding accuracy, payer contracts or reimbursement problems. It also offers a free first consultation to practices considering a switch, and it has a secure file transfer portal for exchanging documents.