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+01 (987) 257813

AJ Medical Billing Solution - Hero Section

Maximize Your Revenue with Expert Medical Billing.
We Specialize in Denial Management
RCM Optimization
Eligibility Verification
Medical Coding
A/R Management
Credentialing

Unlock your practice's full financial potential. Our dedicated specialists ensure accuracy, compliance, and faster reimbursements, so you can focus on patient care.

Built for compliance
HIPAA Compliant
CMS Guidelines
Medicare Enrollment
Medicaid Enrollment
CAQH Profile Management
EHR / EMR Experience
ICD-10 & CPT Certified
HIPAA Compliant
CMS Guidelines
Medicare Enrollment
Medicaid Enrollment
CAQH Profile Management
EHR / EMR Experience
ICD-10 & CPT Certified
98%Clean claim rate on first submission
14dAverage reimbursement turnaround
30%Average revenue lift in year one
<5%Denial rate across managed practices
Medical billing specialist reviewing a patient chart with a provider
Clinical staff entering insurance and charge data on a laptop
Medical billing desk with claim paperwork and a laptop
$1.4M+ Recovered from aged A/R last year
Who we are

A billing department that sits outside your office

AJ Medical Billing Solution runs the financial side of small and mid-sized practices across the United States. Certified coders, A/R specialists and credentialing staff — organised the way a good in-house billing team would be, without the payroll, the software licences or the turnover.

Providers come to us with the same three problems: claims going out with errors, denials nobody has time to appeal, and no clear view of what is owed. We fix those in that order.

  • Works inside your existing EHR — no software to buy or migrate
  • Coders assigned by specialty, not by whoever is free
  • Month-end review call with the person who owns your account
Why practices stay with us

Billing you can hand over and stop worrying about

Certified coders, payer-specific rules, and a named account manager who knows your practice by its first name — not a ticket number.

HIPAA compliant end to end

Encrypted transfers, access-controlled systems, signed BAAs, and staff trained on PHI handling every quarter.

Experienced billing team

AAPC-certified coders and A/R specialists who have worked your specialty, your payers, and your clearinghouse before.

End-to-end revenue cycle

From the moment the appointment is booked to the last dollar posted — scheduling, coding, claims, A/R, credentialing.

A dedicated account manager

One person owns your account, answers your calls, and joins your monthly revenue review. No call-centre queue.

Transparent reporting

Monthly dashboards showing collections, A/R aging, denial reasons, and payer performance. Nothing hidden, nothing rounded.

Fast turnaround time

Charges entered within 24 hours, claims scrubbed and submitted the same business day, denials worked within 48 hours.

Customized billing solutions

Full-service RCM, coding-only, credentialing-only, or A/R clean-up — scoped to how your practice actually runs.

Audit-ready documentation

Every claim, correction, and appeal is logged with a full audit trail, so a payer request never turns into a scramble.

Our services

Every stage of the revenue cycle, in the order your practice lives it

Take the whole cycle or just the part that is leaking money. Each service below is delivered by a specialist team, not a generalist.

Appointment scheduling & patient registration

  • Appointment scheduling and calendar management
  • Patient demographics capture and verification
  • Insurance information entry into your EHR
  • Appointment reminders to cut no-shows

Insurance eligibility verification (VOB)

  • Benefits verification before the visit
  • Active coverage confirmation with the payer
  • Copay, deductible and coinsurance breakdown
  • Out-of-network and benefit-limit flags

Referral & prior authorization management

  • Referral verification and tracking
  • Prior authorization submission with clinical notes
  • Follow-up until approval is in hand
  • Expiry monitoring and re-authorization

Medical coding & charge entry

  • CPT, ICD-10 and HCPCS code assignment
  • Correct modifier application
  • Charge entry and validation against the chart
  • Under-coding and over-coding review

Claims creation & submission

  • Claim preparation and payer-rule mapping
  • Claim scrubbing before it ever leaves
  • Electronic and paper claim submission
  • Clearinghouse rejection management

Payment posting & reconciliation

  • ERA and EOB posting, line by line
  • Patient payment posting
  • Daily deposit reconciliation
  • Underpayment and contract-variance catching

Denial management & appeals

  • Root-cause denial analysis by payer and code
  • Corrected claim submission
  • Written insurance appeals with documentation
  • Prevention rules fed back into coding

Accounts receivable (A/R) management

  • Insurance follow-up on every aged claim
  • Patient balance follow-up and statements
  • Aging bucket reporting: 30 / 60 / 90 / 120+
  • Old A/R recovery projects

Provider credentialing & payer enrollment

  • Medicare and Medicaid enrollment
  • Commercial payer contracting and enrollment
  • CAQH profile setup and attestation
  • Recredentialing before it lapses
Revenue cycle management workstation with laptop and stethoscope

Revenue cycle management & reporting

The layer that ties the other nine together — one team owning the whole cycle, with numbers you can act on at the end of every month.

  • End-to-end RCM ownership
  • Monthly financial reporting
  • KPI dashboards for every provider
  • Revenue optimization recommendations
  • Payer mix and fee schedule analysis
  • Practice performance benchmarking
Specialties we serve

We already know your payers and your codes

Billing rules change by specialty. Ours are set up per specialty, not copied from a template.

Mental Health Psychiatry Behavioral Health Cardiology Family Medicine Internal Medicine Primary Care Mental Health Psychiatry Behavioral Health Cardiology Family Medicine Internal Medicine Primary Care
Telehealth Nurse Practitioners Physician Assistants Urgent Care Group Practices Solo Providers Telehealth Nurse Practitioners Physician Assistants Urgent Care Group Practices Solo Providers
Provider reviewing billing information with a patient on a tablet
How we work

From first call to monthly report

Onboarding takes two to three weeks. You keep your EHR, your staff and your workflow — we plug into it.

Schedule a consultation

A 20-minute call about your specialty, payers and current pain points.

Practice assessment

We audit your A/R, denial reasons and fee schedule, then show you what it is costing.

Onboarding

BAA signed, EHR access set up, workflows mapped, account manager assigned.

Claim processing

Coding, scrubbing and submission run daily. Nothing sits in a queue overnight.

Payment collection

Payments posted, denials appealed, patient balances followed up to zero.

Monthly reports

Collections, A/R aging and denial trends, reviewed with you every month.

Practice staff handling HIPAA-protected patient billing paperwork

Protected health information stays protected

HIPAA is not a badge on our footer. It is how the work is set up, from the first login to the last archived claim.

  • Signed Business Associate Agreement before any access is granted
  • Role-based access — staff see only the records they need
  • Encrypted file transfer and secure messaging, never plain email
  • Annual HIPAA training and signed confidentiality agreements
HIPAA compliance

Four things every provider asks us before signing

Data security

Encrypted storage, controlled devices, and monitored access logs on every system that touches PHI.

Secure communication

Encrypted portals and secure channels for records, EOBs and anything else patient-identifiable.

Confidentiality

Every team member signs a confidentiality agreement, with clear rules on what may leave the system.

Compliance standards

Work follows HIPAA, CMS billing rules and payer-specific requirements, with a full audit trail behind it.

In their words

What providers say after the first quarter

Named references and full case studies are available on request during your consultation.

Our 90-day A/R was the problem nobody in the office wanted to open. They worked through it claim by claim and gave us a denial report that actually explained why. Collections have been steady since.

BH
Behavioral health practiceTwo providers · Florida

Credentialing with two commercial payers had stalled for months before we handed it over. It was submitted properly, chased weekly, and both approvals came through without me having to think about it again.

NP
Nurse practitioner, solo practiceTelehealth · multi-state

The monthly report is the part I value most. I can see collections, aging and which payer is slow, in one page, without asking anyone to pull it together for me.

PC
Primary care groupFour providers · Texas

Our 90-day A/R was the problem nobody in the office wanted to open. They worked through it claim by claim and gave us a denial report that actually explained why. Collections have been steady since.

BH
Behavioral health practiceTwo providers · Florida

Credentialing with two commercial payers had stalled for months before we handed it over. It was submitted properly, chased weekly, and both approvals came through without me having to think about it again.

NP
Nurse practitioner, solo practiceTelehealth · multi-state

The monthly report is the part I value most. I can see collections, aging and which payer is slow, in one page, without asking anyone to pull it together for me.

PC
Primary care groupFour providers · Texas
Common questions

Before you hand over your billing

Do we have to change our EHR or practice management software?

No. We work inside the system you already use. During onboarding you give us role-limited access, and your staff keep the same day-to-day workflow they have now.

How long does onboarding take?

Two to three weeks for most practices. That covers the BAA, system access, payer and fee schedule setup, workflow mapping, and a handover call with your account manager. Credentialing timelines depend on the payer and are tracked separately.

Can you take only part of the revenue cycle?

Yes. Some practices hand over everything; others use us for coding only, credentialing only, or a one-off A/R clean-up. We scope the engagement to the part that is actually costing you money.

What happens to claims that are already denied or aging?

They are reviewed in the practice assessment before we start. Anything still within the appeal window gets worked — corrected, appealed or resubmitted — and you get a report on what was recoverable and what was not.

How do you protect patient information?

Signed BAA before access, role-based permissions, encrypted transfer and storage, secure messaging instead of plain email, monitored access logs, and annual HIPAA training with signed confidentiality agreements for every team member.

What reporting do we get, and how often?

A monthly pack covering collections, A/R aging by bucket, denial reasons by payer and code, and provider-level KPIs — reviewed with your account manager. Ad-hoc reports are available any time you ask.

Free billing audit

Tell us where the revenue is stuck

Send us your practice details and a recent A/R aging summary. Within one business day you will get a written read on what is recoverable, what is causing denials, and what we would change first.

+1 (987) 257-813 info@ajmedicalbillingsolution.com
30 N Gould St, Ste N
Sheridan, WY 82801
Serving practices in all 50 states
Monday to Friday, 9:00am – 6:00pm ET

This form is not a secure channel for patient data. Please do not include patient names, dates of birth, insurance IDs or any other PHI. We will send you a secure link for anything that contains protected health information.

Typical reply time: same business day. No obligation, no contract to sign for the audit.

Physician talking with a patient in a consultation room
Start here

Find out what your practice is leaving on the table

Send us a recent A/R aging report and we will come back with what is recoverable, where the denials are coming from, and what it would take to fix them. No cost, no obligation.

Typical response time: same business day · HIPAA-compliant intake