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Medical billing and back-office roles, and what each one costs

Soft Home Global staffs 22 back-office roles for United States practices, billing companies and contractors, from $1,500 to $2,500 per seat per month. Each seat is one full time trained person working forty hours a week on US hours, inside your own system. One seat, one month, cancel any time.

The prices are on this page because you should not have to sit through a discovery call to find out whether a vendor is in your range.

$1,700

AR Calling & Denial Management

Aged accounts receivable called until they close, and denials read, appealed and tracked.

$1,900

Prior Authorization

Submitted before the date of service and chased through the payer's decision window.

$1,700

Eligibility & Benefits Verification

Batch checks against tomorrow's schedule, captured in your system, exceptions flagged early.

$2,500

Medical Coding

Certified coders held to your audit, with a documented sample reviewed weekly.

$2,200

Credentialing & Enrollment

Applications, revalidations and payer follow-up, with every enrollment's status visible.

$1,600

Certified Payroll Processing

Davis-Bacon and state prevailing wage, filed weekly into whichever portal the agency uses.

$1,500

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.

$1,500

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.

$1,600

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.

$1,500

Medical Records & Release of Information

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.

$1,700

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.

$1,900

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.

$1,600

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.

$1,500

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.

$2,300

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.

$1,900

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.

$1,800

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.

$2,100

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.

$2,000

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.

$1,800

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.

$1,600

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.

$1,700

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.

What is included in every seat

Full time, your hours

Forty hours a week during United States business hours in your time zone. Not shared across three clients, not part time, not offshore-hours-only.

Inside your system

A named login you issue, in the system you already use. No software to buy, no data routed through anything of ours.

Friday, in writing

What was done, what the numbers were, and what went wrong. Including the weeks that went badly.

All 22, side by side

How the pricing compares to hiring locally →

Three ways to check us before you commit to anything.

Where this leads

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.

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Or write to ops@softhomeglobal.com