Aged AR nobody calls on
A balance at 120 days is worth a fraction of one at 30. It ages because calling payers is dull, slow work that always loses to whatever is in front of somebody today.
Who works the aged end →Open Prices published — no discovery call required
Outsource your medical billing. Your AR gets worked while your office sleeps.
Trained people on your worklist, in your system, during your business hours. US medical billing — AR calling, prior authorization, eligibility, coding and credentialing — plus Davis-Bacon certified payroll, from $1,500 per seat per month.
- No annual contract — thirty days notice to cancel
- No percentage of your collections, ever
- BAA signed before anyone gets a login
The actual problem
The work is not hard. It is just nobody’s job.
Nothing on an aged AR report is intellectually difficult. It is difficult because the person who could fix it is at the front desk answering a phone.
Authorizations found too late
CO-197 is, in our experience, the most common preventable denial we see. The service was fine, the chart was fine, and nobody checked whether the code needed an authorization before the visit.
How CO-197 gets worked →Filings that bounced and sat
A certified payroll that bounced on a classification code is the same as no filing at all. On a public job it can hold a progress payment on the whole contract.
Certified payroll, chased →At a glance
Ten facts, each checkable elsewhere on this site
- What it is
- Healthcare BPO and revenue cycle management
- Where we are
- Rawalpindi, Pakistan
- Who we work for
- US practices, billing companies and contractors
- Staffing model
- One dedicated full-time person per seat, in your own system
- Hours
- Your business hours, in your timezone
- Pricing
- Published per role, $1,500 to $2,500 a seat a month
- Minimum
- One month
- Percentage of collections
- Never
- Before any access
- A signed business associate agreement
- Founded by
- Ibtesam Asif, who answers for the work
22 roles
Medical billing and RCM
roles, priced per seat
A seat is one full time trained individual working your queue. Not software, not a pool shared across three clients, and not an hourly meter.
AR caller / denials
Aged accounts receivable called until they close, and denials read, appealed and tracked.
Worklist worked from the difficult end, not the easy end
$1,700 a seat, a month
Prior authorization
Submitted before the date of service and chased through the payer's decision window.
Authorizations submitted ahead of scheduling, not after
$1,900 a seat, a month
Eligibility & benefits
Batch checks against tomorrow's schedule, captured in your system, exceptions flagged early.
Verification the day before, not at check-in
$1,700 a seat, a month
Certified coder
Certified coders held to your audit, with a documented sample reviewed weekly.
Coding to your specialty and your payer mix
$2,500 a seat, a month
Credentialing
Applications, revalidations and payer follow-up, with every enrollment's status visible.
Initial applications prepared and submitted
$2,200 a seat, a month
Certified payroll specialist
Davis-Bacon and state prevailing wage, filed weekly into whichever portal the agency uses.
WH-347 or the state equivalent produced weekly
$1,600 a seat, a month
Payment posting
Payment posting is the daily work of getting money the practice has already been paid recorded against the right claim, the right line and the right patient balance. When it runs late or in bulk, underpayments look like contractual adjustments, denials sit unread inside remittance files, and the AR report starts describing a practice that no longer exists.
Pulls ERAs from the clearinghouse and payer portals daily, and works paper EOBs and lockbox scans into the same daily run rather than saving them for month end
$1,500 a seat, a month
Charge entry & claim submission
Charge entry is where the encounter becomes a claim: the codes off the note, the modifiers, the units, the place of service, the rendering provider against the billing entity. Done badly it produces claims that look clean and deny weeks later. Done intermittently it produces lag days, and a charge sitting unentered earns nothing while the filing window closes behind it.
Reconcile the day's completed encounters against the schedule first, so nothing billable is missed — add-ons, procedures done at the visit, hospital and facility rounds.
$1,500 a seat, a month
Patient billing & statements
Patient balances are the last part of the revenue cycle to be worked and the first to slip when the front office is short. Statements go out late or in an uneven cycle, the number printed on them rings to voicemail, and a balance that could have been settled in one call sits until it is written off. This seat runs the statement cycle on a fixed schedule and answers the phone when the patient rings back.
Checks the balance is genuinely the patient's before anything is sent — insurance adjudicated, adjustments and secondary payments posted, credits applied.
$1,600 a seat, a month
Medical records & ROI
Requests arrive by fax, portal, post and phone — patients, attorneys, other providers, disability reviewers, and payers running audits. Each one needs the requester verified, the authorization matched to what was actually asked for, the right date range pulled, and a response out before the clock runs. Done in the gaps between other work, payer audit letters slip first, and records not produced in time can turn paid claims into takebacks.
Logs every request as it arrives — fax, portal, post or phone — and puts a due date on it, so nothing sits in a tray unread.
$1,500 a seat, a month
Chronic Care Management & Remote Monitoring Support
Chronic care management is billed month by month, and only if someone enrols the patient, records the consent, makes contact each month, and logs the time against a care plan. Remote monitoring is the same: readings arrive, and someone has to notice the ones that matter, call the patient who has stopped sending them, and record the review. It often goes unbilled, because the staff who could make those calls are already busy with the people in front of them. The seat is the person who makes the calls.
Enrollment calls in the wording your practice approves, consent captured and recorded where you keep it, refusals logged so the same patient is not called twice.
$1,700 a seat, a month
Underpayment Recovery & Contract Variance
A claim that pays is assumed to have paid correctly. Often it has not — the allowed amount came in under the contracted rate, and because nothing was denied, nobody looked. This seat spends its day comparing remittance lines against the fee schedule loaded for that payer and that date of service, building the variance list and preparing the appeals your billing lead approves. Left undone, the loss is silent: no denial, no work queue, no alert. Just money you earned, allowed at less than the agreed rate, and never asked for again.
Load your contracted rates into whatever holds them — the contract module in your PM, or a worksheet — one payer, one plan, one effective date at a time.
$1,900 a seat, a month
Referral Intake & Coordination
Referrals arrive by fax, portal and phone all day, then sit. Nobody calls the patient, nobody starts the authorization, nobody asks the referring office for records. The patient books somewhere else and the referring practice quietly stops sending. This seat is one full-time coordinator working your referral queue on your hours, inside your systems: patient contacted, appointment booked, records chased, authorization paperwork prepared and submitted, and the loop closed back to whoever sent them.
Every referral logged the day it lands — fax, portal, phone and email pulled into one worklist with the referring practice, the reason and the date received.
$1,600 a seat, a month
Scheduling, Recall & No-Show Recovery
An empty slot cannot be sold again, and every patient overdue for a follow-up, an annual or a procedure is work the practice has already won and never booked. When the front desk is busy with the people standing in front of it, the recall list stops being worked, cancellations are not backfilled, and no-shows get noticed at month end when the week is long gone. This seat runs the confirmation calls, the waitlist, the same-day no-show chase and the recall lists as a fixed daily routine rather than as spare-time work.
Calls tomorrow's and next week's schedule to confirm, on the numbers and contact consents recorded in your chart, and surfaces a cancellation days early instead of on the morning.
$1,500 a seat, a month
Risk Adjustment & Quality Measure Support
In a value-based contract the practice is scored on what is documented and what is closed, not on what the clinician knows. Conditions managed all year go unrecorded because nobody built the list before the visit, and measures fail because the result sat in an outside portal or a fax queue and never reached the chart. Left alone, the gap list is rebuilt from scratch every month and the same patients fall through it. The seat does the chasing and the preparation so your coder or clinician only has to review and decide.
Builds the pre-visit gap list from your reports, payer and registry files and the chart: conditions coded in earlier years with nothing yet this year, and measures still open.
$2,300 a seat, a month
Workers' Compensation & Personal Injury Billing
Workers' compensation and personal injury claims run on rules of their own: a claim number instead of a member ID, an adjuster and often a bill review vendor instead of a payer portal, authorization chased before the visit rather than after, and carrier reports that payment can be held over. In a shared billing queue these claims lose to the faster commercial work and quietly age past the state's filing and appeal deadlines until they are written off. This seat works nothing else.
Claim set up at intake - claim number, date of injury, employer, carrier or third-party administrator and adjuster captured and verified before the first bill goes out.
$1,900 a seat, a month
DME & Orthotics Billing
A DME claim is decided before the item leaves the shelf. The order has to be signed and dated by the treating clinician, the chart notes have to support the item ordered, and the delivery has to be proved afterwards. When nobody owns that paperwork, items ship on faith, denials arrive weeks later with the appeal window already running, and rental months keep billing with nobody counting them.
Intake worked before anything ships: benefits checked for the item, whether the plan needs authorization confirmed, and every document that order will need listed against it.
$1,800 a seat, a month
Clinical Research Site Support
A research site runs a second back office nobody is hired for. Source data has to reach the sponsor's system while the visit is fresh, queries answered before they age, the binder kept current, visit windows tracked, and the sponsor invoiced for what was actually done. When nobody owns that work, the coordinator does it at night, queries stack up in the week before a monitoring visit, and completed work goes uninvoiced. The seat does the administrative and data work; the coordinator and investigator keep every clinical judgment.
Visit windows tracked subject by subject against the protocol schedule, with the ones about to close flagged early enough for the coordinator to book.
$2,100 a seat, a month
Provider Enrollment & Revalidation Calendar
Enrollment and credentialing get done once at onboarding, and then nobody owns the calendar. An attestation lapses, a malpractice policy expires, or a revalidation notice goes to an address the practice left years ago — and a provider quietly drops off a payer's file with nothing to announce it. You find out weeks later, when claims start denying and the money has already stopped. This seat owns that calendar full time, so a date never passes unwatched.
Builds the roster first: every provider against every payer, by location and tax ID, with each application's real status taken from the payer's own record rather than from memory.
$2,000 a seat, a month
Behavioral Health & ABA Billing
Behavioral health and ABA billing goes wrong at the authorization, not at the claim. Blocks of units run out mid-treatment, billed units have to match what the signed session note documents, and rendering and supervision rules differ payer to payer. Telehealth adds another layer. When nobody owns the authorization calendar, treatment carries on uncovered and the practice writes off work it has already delivered.
One authorization register: authorized units, date span, units used, units left and renewal date for every active client, updated daily.
$1,800 a seat, a month
Dental Billing & Insurance Coordination
Dental runs on detail a coverage-active check never shows: two policies to coordinate, an annual maximum that resets on the plan's own year and then gets spent, waiting periods, frequency limits, missing-tooth and replacement clauses, alternate benefit rules. Read thinly, the front desk quotes a number that turns out to be wrong, the patient gets a bill months after the work, and the practice either writes it off or argues with someone it wants to keep treating.
Checks the benefit before the appointment: maximum used to date, deductible, waiting periods, frequency history, downgrades, and writes down what the carrier would not confirm.
$1,600 a seat, a month
Hospital Patient Access & Pre-Registration
Wrong plan on file, an authorization that does not cover what is actually scheduled, no estimate, nothing collected at the desk — these things are decided before the patient arrives and paid for months later. The seat works the scheduled list ahead of the date of service and fixes those accounts while they are still cheap to fix. Left undone, the same accounts come back as denials, write-offs, and patients who will not pay a bill nobody warned them about.
Pulls the scheduled list days ahead and pre-registers each account: demographics, guarantor, employer, subscriber and plan detail captured before arrival.
$1,700 a seat, a month
How it works
Four steps, about ten days
From the first call to a person working your queue takes about ten days, and most of that is training on your workflow. Nothing is billed until somebody is working.
- Day 0
A twenty minute call
You describe the queue that is not getting worked. We say whether a seat suits it. If it does not, we say that instead of selling you one, because a seat pointed at the wrong work fails in month two and we would rather lose the sale.
No discovery call about budget. The prices are already published.
- Day 1 to 2
Paperwork and access
A Business Associate Agreement is signed before anybody sees anything. You issue a named login in your own system, at whatever permission level you are comfortable with. Nothing is copied out to a platform of ours.
BAA first. Access second. Never the other way round.
- Day 3 to 8
Training on your workflow
A week learning your payer mix, your documentation habits and what "done" means on your worklist. This is not billed on top, because a person who has not learned your account is not yet doing the job you are paying for.
Not charged. It is our cost of getting useful.
- Day 10
Working, and reporting
Your queue is worked during your business hours. Every payer call is logged with the reference number and the outcome. A written report lands every Friday, including the weeks that went badly.
Cancel on thirty days notice, any month, for any reason.
What you can check before you talk to us
We are early, and we would rather you knew
There are no client logos on this page because we do not yet have a wall of them. What we can show you is everything a vendor normally makes you book a call to find out.
22
roles with a published price
From $1,500. No quote, no discovery call.
51
states and territories covered
Worked on your clock, not ours.
47
specialties written up
Denial by denial, not a logo wall.
51
guides, none behind a form
A resource you must trade an email for is an advert.
How to check us out before committing anything
Ask for a reference and we will give you a name and a number rather than a quote we wrote ourselves. Ask what we will refuse to do and the answer is on the security page in writing. Start with one seat for one month and cancel on thirty days notice if it does not work: that is a small enough bet that the risk is a number rather than a feeling.
Who we help
Three kinds of buyer, one kind of work
Medical practices
Aged AR, denials, eligibility and prior authorization, worked by specialty. 47 specialties covered denial by denial.
By specialty →
Construction contractors
Weekly Davis-Bacon and state certified payroll, classifications and fringe checked before filing, rejections chased to accepted.
Certified payroll →
Billing companies
White-label capacity so you can take the next client without a hiring cycle. Your brand stays in front of them.
For billing companies →Why the time zone matters
Our night shift is
your working day
Pakistan runs nine to twelve hours ahead of the United States. A claim that hits your worklist at five in the afternoon is being called on at nine the same evening our time, and the note is waiting for you when you open your laptop.
- Payer calls placed during US call-centre hours, not queued for tomorrow
- Overnight turnaround on eligibility and authorization queues
- Your staff arrive to worked accounts rather than a backlog
- No overlap gap: the shift is built around your clock, not ours
Claims you can actually check
Every competitor page you read today claims twenty years and twenty-eight thousand providers. Some of those numbers are real. Many are not, and there is no way for you to tell which.
Ours: the floor and the equipment are built, and your person is named before you pay. The founder is personally on the account, and the reporting is unusually plain because there is no account-management layer making a bad week look average.
More about the company →Security
Stated as refusals, because
those cost something to keep
Most security pages list what a vendor has. Certificates are cheap. These are the things we will not do.
Named individual logins
One account per person, always. We will not use a shared login even if you offer one, because an audit trail that cannot name a person is not an audit trail.
Nothing leaves the floor
No removable media, no printing, no exports, no personal email. Work happens inside your system and stays there.
BAA before access
A Business Associate Agreement is signed before anyone is given a login. Not after the first week. We will refuse access without it.
Access revoked same day
When somebody comes off your account their access ends that day, and we confirm it in writing.
No data retained
When an engagement ends we confirm in writing that we hold nothing of yours. There is no archive on our side.
Written every Friday
What was done, the numbers, and what went wrong. Including the weeks that went badly, because those are the ones worth reading.
There is no such thing as HIPAA certification
No government body certifies anyone against HIPAA. A vendor showing you a HIPAA certificate has bought a logo from a training company. What matters is the signed BAA and whether the controls hold on a bad week. Read the full posture →
Useful whether or not you hire us
Denial guides written for
somebody with one open right now
Prior authorization absent
The payer required prior authorization for this service and cannot find one attached to the claim.
Claim lacks information or has a submission error
Something on the claim is missing or malformed. On its own the code tells you nothing — the detail is in the remark code that comes with it.
Time limit for filing has expired
The claim arrived after the payer’s filing deadline. This one is usually terminal, which is why it deserves attention before it happens rather than after.
Not deemed medically necessary
The payer does not accept that the documentation supports the service. This is a clinical argument, not a clerical one.
Charge exceeds the fee schedule
A contractual write-off rather than a denial. It only becomes a problem when the allowed amount is wrong.
Included in the payment for another service
The payer is bundling this code into another one on the same claim. Sometimes that is correct and sometimes it is not.
Exact duplicate claim or service
The payer already has this claim. Usually harmless, occasionally a sign that the original is stuck.
May be covered by another payer
The payer thinks somebody else is primary. Until coordination of benefits is corrected on their file, nothing on this claim will pay.
By specialty
The denials that drain a
practice are specialty-specific
Radiofrequency ablation fails for missing relief percentages from the diagnostic blocks. Behavioural health fails on units and place of service. Pick yours.
- Pain Management
- Anesthesia
- Orthopedics
- Ambulatory Surgery Centers
- Behavioral Health
- Cardiology
- Gastroenterology
- Dermatology
- Urology
- Podiatry
- Physical Therapy
- Radiology
- Ophthalmology
- Otolaryngology
- Neurology
- Obstetrics & Gynecology
- Urgent Care
- Primary Care
- Nephrology
- Rheumatology
- Oncology
- Wound Care
- Sleep Medicine
- Chiropractic
- Pediatrics
- Clinical Laboratory and Pathology
- DME and Orthotic Supplies
- Allergy and Clinical Immunology
- Hospitalist Medicine
- Plastic and Reconstructive Surgery
- FQHC Community Health Centers
- Rural Health Clinics
- Geriatric Medicine
- Infectious Disease
- Pulmonology and Critical Care
- Endocrinology and Diabetes
- Vascular Surgery
- Occupational Medicine
- Home Health and Hospice
- Substance Use Treatment
- Cardiothoracic Surgery
- General Surgery
- Emergency Medicine Groups
- Integrative and Functional Medicine
- Internal Medicine
- Family Practice
- Dental Cross-Coding
Questions
Answered without a sales call
A seat costs $1,500 to $2,500 per month depending on the role. The minimum is one seat for one month with thirty days notice. A BAA is signed before anyone gets a login. Staff work United States hours inside your own system.
How much does a seat cost?
Between 1,500 and 2,500 US dollars per seat per month depending on the role. Charge entry and payment posting are 1,500. An AR caller is 1,700. Prior authorization is 1,900. A certified coder is 2,500. Those are the prices we charge, published so you do not have to sit through a call to hear them — and the full list is on the pricing page.
Do you take a percentage of collections?
No. We charge a flat monthly rate per seat. A percentage model means our invoice rises when your revenue rises, which is pleasant for us and expensive for you, and it makes the cost impossible to budget. A flat seat rate is the same number every month.
What is the minimum commitment?
One seat for one month. Cancel with thirty days notice. We do not ask for an annual contract because a company that needs a year-long lock-in to keep a client is telling you something about month two.
How do you handle HIPAA and patient data?
A Business Associate Agreement is signed before anyone is given a login. Every person has a named individual account in your system, never a shared one. Nothing is exported, printed or copied to removable media. When somebody comes off your account their access ends the same day and we confirm it in writing.
What hours do your staff work?
United States business hours, in your time zone. Our floor is in Pakistan, which is roughly nine to twelve hours ahead of the US, so our night shift is your working day. Your AR gets worked while your office is closed.
How long until a seat is productive?
About a week of training on your specific workflow, your payer mix and your system. Full time from day one of that week. You are not charged for a ramp period on top.
Which practice management systems do you work in?
We work inside whatever you already use, through a login you issue. We do not ask you to move systems, buy software from us or route your data through anything of ours.
Are you a new company?
Yes. Soft Home Global is early. The floor and the equipment are built and we are filling seats; your person is named before you pay. We say so plainly rather than claiming a client list we do not have, and it is the reason the founder is on every early account personally.
Next step
One seat. One month. Cancel any time.
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com