It's 9:47 PM and you're still in the EHR. Again.
The clinic closed five hours ago. The kids are asleep. You're not catching up on charts because you love medicine. You're catching up because there was no other time today — and there won't be tomorrow either.
Hired Billing Support is the remote team that takes back the operational layer of your practice. RCM, prior auths, AR follow-up, charting support, message triage, insurance verification — all inside your EHR, working like your in-house team.
— Provider inbox · Monday 9:47 PM
You already know how this goes.
You opened the laptop at 9 PM thinking it'd take 30 minutes. It's been an hour.
You still haven't responded to the patient asking about her labs. The prior auth for Mrs. Johnson's MRI is sitting in a draft, half-finished — you needed five more minutes with her chart and you didn't have it. There are seven medication refills in your inbox. Three messages from the front desk. Two from your MA. One from a payer about a denied claim you didn't even know was denied.
You'll get to it tomorrow. Except tomorrow has 24 patients on the schedule, three new starts, and a peer-to-peer at lunch.
You went to medical school. You didn't go to admin school.
You don't need a better EHR. You need an operational layer.
You think you have a scheduling problem. You think you need to see fewer patients. You think you need a better EHR.
You don't. You have an operational layer that hasn't kept up with the practice you've built. Every system is running at 110% of capacity. When something slips, everything slips.
Here's what it looks like inside a typical 3-provider practice:
- Provider time lost to EHR and admin per day~2 hours
- Claims denied on first pass8-12%
- Recoverable AR sitting past 90 days$80-140k
- Prior auths per week × avg minutes each40+ × 14 min
- Staff time consumed by verification & calls22-32%
- Annual admin-role turnover~30%
We're the operational layer your practice has been missing.
Hired Billing Support gives you a healthcare-trained remote team that lives inside your EHR — Athena, eCW, Kareo, AdvancedMD, NextGen, DrChrono, Epic, Cerner — and runs the work that's drowning your in-house staff.
You'll have named team members. They'll learn your providers, your payers, your specialty workflows, your patients. They'll feel like staff. Because in every operational sense — they are.
The difference: you didn't have to hire them, train them for six months, or replace them when they leave for a $5 raise across town.
The full operational stack.
Pick the layers you need. Run one service, or hand us the entire back office. Every engagement shaped around your specialty, EHR, and growth stage.
Revenue Cycle Management
End-to-end ownership — coding, claim submission, AR, denials, appeals, payment posting, patient billing. One team, one scorecard.
Prior Authorization
Pre-cert submission, payer follow-up, peer-to-peer prep, status tracking. We shorten time-to-approval and stop auths from delaying care.
AR Follow-Up
Every aging bucket worked. Payer calls, status checks, re-submissions, appeals. Most clients see AR days drop below 30 in the first quarter.
Denial Management
Every denial categorized, prioritized, and appealed by a specialist who knows the payer rules. Higher overturn rates. Less staff time.
Insurance Verification
Real-time benefits checks before the patient walks in. Co-pays, deductibles, coverage limits — documented in the chart before rooming.
Virtual Medical Assistant
Charting support, message triage, refill management, referrals, lab follow-up. A clinical extension that's quiet, accurate, always there.
Front Desk Support
Phones answered. Scheduling managed. Recall worked. New patients onboarded. Virtual coverage or full takeover — your call.
Coding Audit & Review
Quarterly accuracy review. We catch under-coding, missed modifiers, level mismatches quietly leaving money on the table.
Healthcare Ops Management
For larger practices: an operations lead embedded in your team. Workflows, dashboards, vendor management. The COO-layer you don't have yet.
We adapt to your process. Not the other way around.
We log into your EHR.
Athena, eCW, Kareo, AdvancedMD, DrChrono, NextGen, Epic, Cerner. Whatever you use, that's where we work. No exports. No portals.
We follow your SOPs.
Your protocols, payer contracts, specialty quirks. We plug into how your practice actually runs — not the other way around.
We report to you.
Daily communication on your channel — Slack, Teams, email, phone. Weekly KPIs. Monthly working session.
We use your tools.
Your phone system, secure messaging, patient communication platform. To your patients, we are your practice.
AI handles the repetition. Humans handle the judgment.
Eligibility checks, claim scrubbing, denial categorization, appointment reminders — automated. Fast, accurate, never tired.
Payer escalations, complex appeals, peer-to-peer prep, patient conversations about balances — those go to a trained human every time.
You don't want an AI agent calling United about a $4,200 denied claim. You don't want a chatbot explaining a balance to a worried patient. You want speed where speed wins, and a real person where it actually matters.
That's the model. Boring to describe. Powerful to run.
What changes in the first 90 days.
Drawn from active clients across primary care, urgent care, behavioral health, cardiology, ortho, and multi-specialty groups.
Why not just hire another biller, MA, or office manager?
You've done the math before. Let's do it again with the actual numbers.
Send us a denial report. We'll show you what's recoverable.
Send us a recent AR aging summary and a denial report. Within 5 business days, we'll come back with a free RCM audit showing exactly where revenue is leaking — and what we'd do about it. If the audit shows you're already running clean, we'll say so.