Mystrika
ProRCM LLC provides end-to-end medical billing and revenue cycle management for US healthcare providers. The agency handles claim submissions, eligibility verification, denial management, and KPI reporting. It serves physicians, clinics, and hospitals with HIPAA-compliant services.
ProRCM LLC is a medical billing and revenue cycle management (RCM) agency founded in 2018 and headquartered in Albany, New York. The agency specializes in end-to-end billing services for US healthcare providers, including physicians, clinics, and hospitals. It employs a team of under 49 professionals and offers an average hourly rate of $35.
The agency provides a comprehensive suite of services covering the entire revenue cycle, from charge entry and payment posting to accounts receivable follow-up and denial management. ProRCM LLC executes patient eligibility verification, prior authorizations, and complex claim denials remediation with high first-pass resolution rates. It ensures full HIPAA compliance and strict adherence to ICD-10, CPT, and HCPCS coding standards.
ProRCM LLC integrates with all major commercial payers, including Medicare, Medicaid, TriCare, VA, and Workers Comp. The agency leverages real-time eligibility verification, automated medical necessity checks, and advanced denial pattern analysis to reduce AR days and accelerate reimbursements. It also provides detailed KPI reporting, such as net collection rate, first-pass resolution rate, and days in AR.
The agency serves clients across the health care, hospitality, and wellness and fitness industries. It works with startups, small businesses, medium businesses, and enterprise or corporate clients. ProRCM LLC offers 24/7 secure access to billing data and dedicated US-based support to help clients achieve predictable cash flow and regulatory compliance.
No Google reviews are available for ProRCM LLC at this time. The agency's profile on DesignRush lists a range of expertise areas including BPO, business consulting, CRM consulting, and managed services, with specific skills in medical billing, claims processing, and document verification.
ProRCM LLC's portfolio includes work for clients in the wellness and fitness, health care, and hospitality industries. The agency focuses on optimizing revenue capture and preventing revenue leakage across ambulatory, surgical, and hospital settings through proactive denial trend identification and payer-specific rule tracking.
Services
- BPO
- Business Consulting
- CRO
- ERP Consulting
- ECM Consulting
- Big Data Analytics
- Managed Services
- CRM Consulting
- HR Outsourcing
- Customer Support
Industries Served
Team Size
Pros
- Specializes in end-to-end medical billing and revenue cycle management
- Offers real-time eligibility verification and denial pattern analysis
- Provides detailed KPI reporting and 24/7 secure access