Medical Billing
Complete billing workflows focused on clean submission, timely follow-up, accurate posting, and rapid resolution of preventable issues.
- Charge entry and charge validation
- Claim scrubbing and edits
- Electronic claim submission
- Clearinghouse rejection management
- Payment posting and reconciliation
- Secondary claim workflows
- Payer follow-up
- Patient balance workflow support
Medical Coding
Coding support designed to improve accuracy, documentation alignment, compliance, and reimbursement integrity.
- CPT, ICD-10-CM, and HCPCS coding
- Modifier review
- Diagnosis-to-procedure linkage
- Documentation review
- Coding audits
- Medical necessity review support
- Provider query identification
- Specialty-specific coding workflows
Denial Management
Structured denial operations that focus on both revenue recovery and preventing the same denial from recurring.
- Denial categorization
- Root-cause analysis
- Corrected claims
- Appeal preparation and tracking
- Timely filing review
- Authorization-related denials
- Coding and modifier denials
- Denial trend reporting
Accounts Receivable Follow-Up
Action-oriented AR worklists built around age, value, payer behavior, denial status, and the next required action.
- Aging analysis
- Payer status follow-up
- No-response claims
- Underpayment review
- Reprocessing requests
- Escalation tracking
- High-dollar claim prioritization
- AR trend reporting
Payer Enrollment & EDI
Administrative support for the payer connections that allow practices to submit claims, receive remittances, and access payer tools.
- EDI enrollment
- ERA and EFT setup
- Payer portal coordination
- Payer ID mapping
- Enrollment status tracking
- Provider information validation
- Clearinghouse coordination
- Issue escalation support
Reporting & Analytics
Operational reporting designed to help leadership see performance, identify blockers, and prioritize action.
- AR aging summaries
- Denial trend reporting
- Claims status reporting
- Payment trend analysis
- First-pass acceptance monitoring
- Productivity reporting
- Custom data exports
- Executive performance summaries
Designed to fit your existing operation
Multi-specialty expertise
Support can be adapted to specialty-specific documentation, coding, payer, and workflow requirements.
Compliance-focused workflows
Processes emphasize documentation integrity, current coding standards, payer rules, and defensible billing practices.
Technology flexibility
Our team can work within established EHR, practice management, clearinghouse, and payer portal environments.
Escalation discipline
Issues requiring provider, clinical, registration, IT, or payer action are identified and communicated rather than left unresolved.
Operational visibility
Clients receive reporting that connects claim-level work to broader revenue-cycle performance.
Continuous improvement
Recurring issues are analyzed for root cause so the workflow improves over time rather than generating repeat rework.
Common questions
Yes. Engagements can be scoped around a specific need such as coding, denials, AR follow-up, payer enrollment, payment posting, or reporting.
Yes. Stork supports multi-specialty workflows and can adapt coding and billing processes to the operational requirements of each specialty.
In many cases, yes. The workflow is typically built around the client’s existing systems, access, clearinghouse setup, and payer portals.
We focus on correction and recovery while also categorizing denials, identifying trends, and addressing recurring upstream causes.
Need a focused solution for a specific RCM problem?
Describe your current billing challenge and we’ll discuss the right scope, workflow, and reporting approach.