The Billing and Collection team at Sunknowledge provides customized and decisive solutions to Medicare and Medicaid HMOs, Commercial Insurance plans as well as PBMs, enabling them to achieve sustainable results. Our certified public accountants and financial analysts manage each process, using our robust data warehouse and state-of-art technology.
We are fully equipped and well-positioned to cater successfully to all the needs of our clients, providing them with sound, full-cycle billing and collection solutions. And all of this in a surprisingly cost-effective manner.
Our Billing and Collection services include:
- Data Preparation and Entry
- Accounts Payable and Receivable
- Premium Billing
- Payment Tracking/Logging and Member Premium Reconciliation
- Plan to Plan Reconciliation
- Risk Management
- Report Generation, including DOI (Department of Insurance) Reporting, Cash Flow Statement, Segmental Report etc.
- Risk Sharing and Yearly CMS Payment Reconciliation