Medical Billing Companies & Consultants in Beckley, WV

MedMatrix Solutions is a revenue cycle and practice support firm that works with healthcare providers and medical practices who want to hand off the administrative workload that tends to pull attention away from patient care. The company handles billing, credentialing and a range of back-office functions, with the goal of helping practices grow collections while keeping overhead under control.

Billing and Revenue Cycle Management

Its billing team concentrates on getting providers fully reimbursed while keeping the patient experience positive. A notable point for buyers is that clients are not required to buy new hardware or software. Instead, MedMatrix adapts its work to the practice management system and workflows a practice already uses, which the company says lets onboarding finish in a matter of days rather than stretching over months. Core billing work includes:

• Claim submission within 24 business hours of receiving charges
• Payment receipt and posting
• Persistent denial follow-up until claims are paid
• Collection work on past-due accounts and handling of appeals
• A tailored call center that responds to patient account inquiries
• Patient statement processing and regular performance reporting

Credentialing and Enrollment

Because errors in credentialing or payer enrollment can interrupt cash flow, MedMatrix offers a dedicated service to keep provider files accurate and current. Practices can choose a per-contract arrangement or a subscription, and ongoing monthly monitoring tracks when certifications expire and need renewal.

The team audits existing files, credentials providers with every payer, performs yearly Medicare and Medicaid revalidation, supports hospital privilege appointments and reappointments, helps prepare for payer site visits, confirms current enrollments, submits address changes or new locations, and completes or updates EDI agreements.

Practice Start-Up and Ancillary Support

For clinicians who want to run their own practice, whether they are leaving employment or just finishing training, MedMatrix provides start-up help that can be either selective or fully turnkey. That support covers business registration, choosing a site, interior design, advertising, negotiating with vendors and installing equipment, and the company states that compliance is guaranteed.

Beyond its core offerings, the firm and its partner organizations supply custom performance reports prepared by data analysts, clinical and administrative staffing (including RNs, LPNs, CNAs and medical assistants), marketing such as logo and brochure design, human resources and payroll administration, and leadership-level business consulting on operations and long-term strategy.

Team and Approach

MedMatrix describes its staff as seasoned specialists covering billing, accounts receivable, credentialing, accounting, human resources and information technology. Engagements are built around each client's specific needs and budget, so a practice can contract for one service or combine several into a broader outsourcing arrangement. The company also says it guarantees satisfaction for both patients and providers, and it actively recruits experienced revenue cycle professionals, which suggests a focus on maintaining a skilled in-house team.

Priority Medical Claims, often called PMC, is a billing company that works only with emergency medical services and ambulance providers. Its clients include rescue squads, ambulance companies, combined fire and EMS agencies, and transport services that carry patients who need repeat trips. Rather than handling every medical specialty, PMC has built its whole business around the claims, rules and cash-flow problems that ambulance organizations face.

Background and Leadership

Keith and Lisa Waycaster started the firm in 1995, and both came from the field. Keith worked as a paramedic and supervisor, and Lisa was a 911 telecommunicator. That front-line experience shapes how the company sees its job: it treats getting paid as part of keeping emergency crews on the road.

Over the years PMC has worked with dozens of EMS agencies. It says it has handled almost every kind of ambulance claim, from aviation crash responses and large rescues to routine dialysis transports.

Billing Services

PMC covers the full revenue cycle for ambulance providers, from sending claims to collecting from patients. Its main services include:

• Emergency and non-emergency ambulance billing
• Electronic claim filing, with insurers paying straight into the provider's bank account
• Filing, tracking and monitoring Medicare prior authorization requests for repeat dialysis and wound care patients
• Following up on claims and filing appeals when needed
• Patient billing set up to suit each community, with statements branded for the agency
• Billing for complex rescues and major incident responses
• Documentation guidance for field crews, quality assurance supervisors and administrators
• Help with new provider enrollment, updates and revalidations

How They Work With Clients

New clients start with a free, confidential consultation that carries no obligation. PMC is paid a commission equal to a small share of what it collects. The rate depends on how much work it takes to stabilize and grow a client's revenue, so the firm's income depends on how well its clients do.

PMC also works with many different electronic patient care reporting (ePCR) systems and runs an online client area where agencies upload documents. The company says it can bill for transports in any U.S. state, territory or insular area, and that its clients are spread widely.

What Sets Them Apart

For buyers, PMC's main draw is its narrow focus and long experience in ambulance billing. The team knows Medicare's signature requirements well, including when the exceptions apply. It also tracks changes to the rules for repeat transports and offers custom signature forms to agencies. Because the founders came from EMS and the firm has focused on this one field for decades, it suits ambulance operators that want a billing partner who understands both emergency and scheduled transport work.

R-Finity Solutions is a healthcare business-services firm based in Beckley, West Virginia. It supports clinics and independent physician practices that would rather hand off their billing and administrative workload than manage it internally. The company is located on North Eisenhower Drive and works with providers in Raleigh County and across the state. It also describes itself as serving private practices elsewhere in the country.

Billing, Coding and Revenue Cycle Management

The firm's main offering is complete handling of the revenue cycle, from the moment a service is documented to the moment payment is received. Its technicians check that procedure and diagnosis codes are accurate before a claim is sent to an insurer. After submission, they monitor the claim and chase it according to an established practice policy.

The company says the goal is to cut the number of denied claims, strengthen cash flow, and speed up payment. It also describes its billing solutions as HIPAA-compliant.

Tasks the company lists as part of this work include:

• Verifying a patient's insurance eligibility
• Securing pre-certification and authorization
• Finding and fixing billing and coding mistakes
• Following up with insurance carriers
• Collecting healthcare revenue
• Handling appeals
• Working accounts receivable

Denial Management and Patient Balances

Rejected claims can mean lost income, so the firm treats denials as something to investigate rather than simply resubmit. Its technicians look for trends across denials and carry out a root-cause review of individual cases, with the aim of keeping denials as low as possible.

The company also follows up on amounts patients owe after an insurer has paid its portion. According to the firm, patients are often confused by a remaining balance. Staff explain the benefits that applied and the reason a balance exists, then help the patient set up a payment arrangement that fits their situation. The company frames this as a way to keep patients comfortable returning to their provider.

Credentialing and Practice Start-Up Consulting

Credentialing and provider enrollment are another core service. The firm reviews contracts and credentialing files to catch potential problems, then credentials and enrolls facilities, groups, and individual providers so they can bill health insurance carriers and be reimbursed.

For clinicians opening a new office, R-Finity offers start-up consulting. This is aimed at both newly credentialed providers and established ones, and it guides them through the phases of launching and running a practice. More broadly, the company says it identifies problems in daily operations, billing, the revenue cycle, marketing, and patient satisfaction.

Who the Firm Serves

R-Finity says it concentrates on several kinds of practice:

• Primary care offices, including those in general and adult medicine
• Walk-in and same-day care clinics
• Behavioral health providers
• Heart specialists
• Small private practices

Practices curious about where revenue may be leaking can request a no-cost review of their billing. The office is open on weekdays during standard daytime hours and closed on weekends. Because billing, enrollment, denial work, patient follow-up, and start-up guidance all sit under one roof, the company may appeal to smaller practices that prefer a single partner for these needs.