Medical Billing Companies & Consultants in Appleton, WI

Valley Medical Billing, LLC is an outsourced medical billing firm based in Appleton, Wisconsin. It works with healthcare providers across the Fox Valley, focusing on practices in Appleton, Green Bay and Oshkosh. The company's guiding idea is to help independent providers stay independent. Its services are built for practices that want to run their own clinics without hiring a large in-house billing department or joining a bigger health system.

What the firm does

The company takes over the administrative side of getting paid, so physicians and their staff can spend more time with patients. Its view is that billing rules are complex and change often. It says it keeps up with current requirements and deals with insurers' rules and paperwork for its clients.

Staff will also explain statements to a practice's patients, which can cut down on calls to the front desk. Overall, the firm presents outsourcing as a way to collect more of what is owed, at a lower cost and on a shorter payment cycle.

• Full-service medical claims management
• Electronic claim submission and electronic payment remittance
• Tracking of charges, adjustments and payments
• Monitoring of denials and appeals
• Complete analysis of a practice's operations
• Practice management support and consulting

How it works with clients

Valley Medical Billing sets out a list of goals for the practices it serves. These include making staff more productive, lowering overhead and billing expenses, and removing paper from the office. It also aims for quick turnaround on claims and steadier cash flow. Claims are filed electronically, which supports both the paperless goal and faster payment.

Before or alongside billing work, the firm can review a practice in depth and offer management and consulting advice, so clients get more than claim entry alone.

Credentials and compliance

The firm says it has a Certified Professional Biller on staff and that its team is trained in ICD-10 coding. It also describes its processes as HIPAA compliant, which matters to any practice handing patient and insurance data to an outside vendor. Its site lists low cost and attentive customer service among its main selling points.

Who it suits

The company fits small and mid-sized independent practices in northeast Wisconsin that want a local billing partner rather than a national vendor. It is a service-only business and does not advertise software or hardware for sale. Buyers comparing medical billing firms may find it useful if they want certified billing staff, electronic claims handling, careful tracking of denials, and consulting on how their practice runs, all from a Fox Valley company that serves the Appleton, Green Bay and Oshkosh areas.