Medical Billing Companies & Consultants in Spokane, WA
There are 2 medical billing companies listed in Spokane, Washington. Each listing shows the firm's background, address, phone number and website so you can compare your local options before you reach out. You can also browse medical billing companies across Washington or see medical billing companies nationwide.
Lilac City Billing Services
Overview
Based in Spokane, Lilac City Billing Services is a Washington firm that handles the administrative side of insurance reimbursement for healthcare providers in private practice. Its work spans three connected areas: claims billing, provider credentialing and payer contracting. The firm also bills Medicaid, which matters for practices whose patients include people with state-funded coverage. Its stated aim is to take revenue cycle tasks off clinicians' plates so their time can go toward treating patients.
The company says it supports medical practices of many kinds, but it concentrates on a defined set of disciplines. Buyers in these fields may find its experience especially relevant:
- Mental and behavioral health
- Massage therapy
- Speech therapy, occupational therapy and physical therapy
- Chiropractic care
An outside endorsement supports its standing in behavioral health. After a review in 2015, WSPA (Washington State Psychological Association) selected the firm as its preferred billing partner.
Billing services
The firm manages the full billing cycle from intake to follow-up. Its team enters patient demographic details and verifies coverage and benefits before claims go out. It files claims electronically or on paper, including secondary claims to additional payers. Incoming payments from insurers and patients are posted and reconciled, and patients receive statements each month.
The firm also fields billing questions from patients directly and produces monthly reports for practices that want them. It reviews outstanding unpaid claims on a quarterly basis and handles soft collections on overdue balances.
Pricing is set individually. New clients pay a one-time onboarding charge that covers getting a practice launched. After that, they pay a monthly fee calculated as a percentage of the revenue produced through insurance billing, and the percentage depends on the needs of each provider. The company does not require a long-term contract. Practices are asked to reach out for current figures.
Credentialing, contracting and background
Alongside billing, the company helps providers get credentialed with insurance payers and set up payer contracts. This gives practices one vendor for both enrollment and reimbursement. Melissa Leu, the professional profiled on its website, brings more than 25 years of experience in insurance billing, credentialing and contracting across a range of settings. Her background is deepest in mental health billing.
She has also worked with rehabilitation therapies, massage, chiropractic, and substance use and chemical dependency programs. According to the company, she keeps up with developments in healthcare practice and arranges ongoing education and training for every member of the staff.
The firm acknowledges that handing revenue management to an outside party can feel like a big step for a practice. In response, it emphasizes dependable, timely service and keeping accounts receivable low. Four things distinguish it from other Washington billing providers: its behavioral health specialty, the association endorsement, its Medicaid capability, and flexible terms without lengthy commitments.
#102
Spokane, WA 99218
Quantum Medical Services
Quantum Medical Services is a Spokane, Washington firm that handles revenue cycle and billing work for healthcare providers. It describes itself as a healthcare technology company and serves clients across the United States. Its work centers on helping practices get paid accurately and quickly while their own staff spend less time on administration. Buyers can engage the company for the full billing cycle or for selected pieces, such as patient check-in tasks, claim preparation or back-office paperwork.
Core Billing and Revenue Services
The firm's service catalog covers most of the steps between a patient visit and a final payment:
- Medical billing and coding
- End-to-end revenue cycle management
- Provider credentialing and state licensing support
- Insurance eligibility verification
- Prior authorization
- Claims management and electronic claim submission
- Denial management, appeals and claim follow-up
- Accounts receivable management
- Virtual medical scribe support
Beyond billing, the company also lists digital marketing services for practices.
How Engagements Work
Quantum builds a custom plan for each client. The plan combines staff, defined workflows and software to fit the practice's requirements, and the company says it does not apply a single template to every organization. Claims are filed electronically as soon as they are ready, and insurer responses come back electronically, which is intended to shorten the time to payment.
Before a claim goes out, its systems check the patient's coverage. When an insurer rejects a claim, the team appeals it and works it to resolution to keep income steady. Clients receive current reporting through the company's internal workflow and staffing system.
Its patient registration and intake tools are designed to connect with a practice's existing practice management and electronic health record software. Pricing follows a percentage model, with the firm keeping a small share of what it collects for the provider. Quantum presents this approach as workable for practices of any size.
Support for New Practices
Providers launching a new practice can get help during the early setup phase. That support includes obtaining required approvals through credentialing, organizing the practice's operations and moving into day-to-day billing. The aim is to keep startup costs down and to support long-term growth once the practice opens.
Team, Security and Reported Results
The company employs a worldwide team of billing specialists and healthcare IT professionals. It trains its staff on changing coding and payer rules and invests in current billing technology. HIPAA compliance is a stated priority. Staff are trained on privacy requirements, and the IT group updates its systems and uses encrypted data transmission to protect patient records.
The firm also publishes performance figures: it reports a clean claim rate near 99 percent and first-pass acceptance of about 98 percent. It further says it can lift client revenue by as much as 25 percent. Prospective clients should confirm these figures during evaluation. The company describes its culture as built on expertise, technology, tailored solutions and continuous improvement.
It offers free quotes and consultations to practices comparing billing partners.
Spokane, WA 99208