Optimal Revenue Cycle Management Solutions

History

Optimal RCMS, LLC is a company founded by leaders who realized they could build a revenue management company offering a suite of services unlike any other billing company in the market. With over 25 years of experience, the leadership team brings a unique and seasoned level of knowledge to our services. With strengths in health plan payor operations, finance, medical credentialing, compliance and IT/Security, Optimal RCMS can navigate the internal complexities of health plan Claims, UM, Contracting, Provider Registration, and Credentialing. As such we are uniquely qualified to guide our providers and optimize revenue.

Specialties

Optimal Revenue Cycle Management Solutions partners with you to navigate the internal complexities of health plan billing, claims aging, utilization management, and provider registration. We serve as your trusted advisor to optimize your billing processes so you can focus on providing quality care to your patients. We are your medical billing specialists! Do you need help with: * Increasing your rate of Payor reimbursements? * Eliminating hours spent on the phone with difficult health plans and getting nowhere? * Collecting aging receivables? * Increasing the bandwidth of your staff so they can focus on patient care and less on billing? * Reducing staffing and overhead costs? We can help you with that! * Full life-cycle billing support - authorizations, claim submission, denial and appeal management * Experts at payor enrollment and working with out-of-network providers * Experienced payor contract negotiations * Verification of benefits available * In-house clinical team * California based medical billing support team.