Healthcare Operations Partner

Built for healthcare teams that need operations to move with the same confidence as care.

We help practices, hospitals, and health systems turn billing, intake, and revenue operations into a dependable, human-led engine that supports every patient visit.

100+ healthcare teams supported Human-led operations
Operations that feel as personal as the care: billing, intake, and revenue operations combined into one dependable workflow
Our Services

Our Full Suite of Services

Proactively optimize your workflows with specialized, industry-certified billing experts who manage every stage of the cycle.

Medical Billing

Claim submission, coding review, eligibility verification, payment posting, denial follow-up, A/R recovery and monthly revenue reporting for practices in all 50 states.

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Revenue Cycle Management

End-to-end billing management from registration through claims, denials, and patient balances.

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Eligibility and Benefits Verification

We confirm active coverage, plan type, co-pay, deductible status, authorization requirements and any behavioral or specialty carve-out before the visit.

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Medical Coding Review

Certified coding specialists review ICD-10-CM, CPT, HCPCS, modifiers and payer-specific requirements before submission, and flag documentation gaps back to the provider.

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Charge Entry and Encounter Reconciliation

Charges are entered from the documented encounter and reconciled against the appointment schedule, so a completed visit that never produced a claim is caught in days.

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Claim Submission and Scrubbing

Every claim is checked against NCCI edits, modifier logic, diagnosis pointer alignment, place of service, provider identifiers and payer-specific formatting before it leaves.

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Payment Posting and Reconciliation

We post ERAs and EOBs line by line, reconcile against the deposit, record contractual adjustments and patient responsibility, and flag underpayments and payer take-backs.

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Denial Management and Appeals

We identify denial root causes by CARC and RARC code, correct and resubmit what is reversible, file written appeals with supporting documentation, and track payer responses.

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A/R Recovery and Follow-Up

We work aging claims by payer, age bucket, denial status and filing deadline rather than by balance size, so the claims closest to expiry are touched first.

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Prior Authorization Support

Benefit checks, clinical packet submission, unit and expiry tracking, renewals and peer-to-peer escalation, scoped per payer and per service.

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Provider Credentialing and Enrollment

Payer enrollment, CAQH maintenance, NPI and taxonomy setup, revalidation tracking and panel status monitoring, so a provider is never seeing patients unpaid.

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Patient Billing and Collections

Patient statements generated from the actual remittance, with clear balance explanations, multiple payment options, good faith estimates and a defined collections workflow.

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Monthly Reporting and Analytics

Clean claim rate, denial trends by payer and reason code, A/R aging, payer performance, collections against expected reimbursement, delivered monthly.

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Company Overview

A Partner Built for Healthcare Teams

We help independent practices, clinics, and specialty groups reclaim time, reduce administrative friction, and improve financial clarity through a partnership model designed to feel like an extension of your own team.

Built for independent healthcare teams: our approach combines operational rigor, clinical nuance, and transparent communication

Our approach combines operational rigor, clinical nuance, and transparent communication so leadership, clinicians, and staff can focus on care while the business side runs with confidence.

Dedicated Support

A named team for every client

Consistent communication and escalation paths that feel personal.

Clinical Context

Billing that respects care delivery

We understand the clinical workflows that billing must support.

Transparent Performance

Real-time visibility into results

Clear reporting and proactive insights that help leadership act faster.

Who We Are

A healthcare partner that acts like an internal team.

We are a specialized billing and operations partner for independent practices, clinics, and specialty groups. Our model is built to support the unique demands of healthcare leadership, clinicians, and staff who need more than just transactional support—they need a partner that understands clinical workflows, payer complexity, and the pressure of running a business.

Who We Serve

Designed for teams that value clinical continuity and financial clarity.

We support independent practices, multisite clinics, and specialty groups that want to protect their clinical culture while improving billing efficiency, reducing denials, and gaining better visibility into performance.

Operating Philosophy

We prioritize transparency, accountability, and clinical context.

Our philosophy is simple: we should make your life easier, not more complicated. That means clear reporting, proactive communication, and a workflow that respects the way your team already operates. We do not just process claims; we help you understand what is working, where revenue is at risk, and how to make better decisions faster.

98.5%
Clean Claim Rate
$2.4M+
Revenue Recovered
500+
Healthcare Providers
35%
Reduction in Denials
Compliance & Quality

Compliance, Security, & Quality Assurance

We support healthcare operations with responsible handling, audit readiness, coding quality checks, privacy-conscious workflows, and accountable team oversight so organizations can operate with confidence.

Responsible handling of healthcare operations

We support healthcare organizations by prioritizing privacy, accuracy, and accountability across operational workflows. Our approach is built around clear oversight, documented controls, and a culture of quality-minded execution.

  • Privacy-conscious workflows designed to protect sensitive healthcare information.
  • Audit readiness supported through organized documentation, follow-up tracking, and status visibility.
  • Coding quality checks and operational reviews to help maintain accurate and consistent output.
  • Team accountability through clear roles, escalation paths, and ongoing quality-minded oversight.

Assurance points across healthcare operations

  • Operational workflows designed to protect sensitive information and support privacy-conscious handling.
  • Documentation and follow-up tracking maintained to support audit readiness and operational visibility.
  • Quality checks applied to help ensure coding accuracy, consistency, and operational reliability.
  • Team accountability supported through clear roles, escalation paths, and ongoing operational oversight.
Adaptable billing support for every stage of growth

Adaptable billing support for every stage of growth

We support independent practices, multisite clinics, specialty groups, and growing healthcare organizations with workflows that reflect their payer mix, service lines, and operational needs.

Meet the Medaura Team

Operational assurance in action

A visual snapshot of the responsible handling, quality checks, and accountability that support healthcare operations.

  • Privacy-conscious workflows designed to protect sensitive healthcare information.
  • Audit readiness supported through organized documentation and follow-up tracking.
  • Coding quality checks applied to help maintain accuracy and consistency.
  • Team accountability supported through clear roles and ongoing operational oversight.
Operational assurance in action: responsible handling and quality checks across healthcare operations

Our approach emphasizes responsible handling, documented controls, and accountable team oversight to support healthcare organizations operating with confidence.

Quality assurance and accountability

  • Quality checks applied to help ensure coding accuracy and operational consistency.
  • Documentation and follow-up tracking maintained to support audit readiness and operational visibility.
  • Team accountability supported through clear roles, escalation paths, and ongoing operational oversight.
Our Partnership Journey

How We Work With You

A clear, collaborative process—from first conversation to continuous performance improvement—so you always know what to expect.

Built for Healthcare Operations Teams: 48 hours average onboarding time
1
Discovery

Understanding Your Practice

We start with a dedicated discovery session to learn your specialty, payer mix, current workflow pain points, and revenue goals—no assumptions, just deep listening.

2
Workflow Mapping

Custom Workflow & System Design

Our team maps your entire revenue cycle—from scheduling and eligibility checks to coding, claims, and collections—then designs a tailored operating model.

3
Onboarding

Seamless System Integration

We integrate with your EHR and practice management software, train your team, and configure payer rules—all within 48 hours so your operations never skip a beat.

4
Launch

Go Live With Confidence

Your dedicated Medaura team takes over billing operations. Claims go out clean, payments are posted promptly, and you receive real-time visibility into every dollar.

5
Continuous Improvement

Ongoing Optimization & Reporting

Monthly performance reviews, denial trend analysis, and proactive payer strategy updates ensure your revenue keeps growing—not just staying stable.

Ready to start your partnership with Medaura?

Most practices see measurable improvements within 30 days of going live.

Why Medaura

Built for healthcare leaders who need billing to feel reliable, transparent, and human.

We combine clinical expertise, operational rigor, and accountable service so your team can focus on care instead of chasing claims.

HIPAA-compliant workflows, dedicated account managers, real-time reporting dashboard, specialty-specific workflows, and proactive workflow guidance

What makes the experience different

We designed billing around the people who actually run healthcare practices: leaders who need visibility, reliability, and a partner who acts like an extension of their team.

  • Trust-first operations.HIPAA-compliant workflows, audit-ready reporting, and clear accountability across every claim.
  • Expertise you can rely on.Dedicated account managers, AAPC-certified coders, and specialty-specific workflows built for your practice.
  • Accountability in real time.Real-time reporting, proactive guidance, and a dashboard that shows exactly where your revenue is moving.
  • An experience that feels human.Direct communication, specialty-specific workflows, and a service model designed to reduce billing friction.

The proof is in the partnership. We do not just process claims. We help practices move from uncertainty to predictable cash flow with a team that acts like an extension of their own.

People & Proof

Expertise You Can Trust

Medaura is built on human judgment, operational rigor, and a team that understands what practices need to collect more, faster, and with fewer denials.

15+
Years of billing leadership
100%
AAPC-certified billing team
99%
First-pass clean claim rate

“Medaura gave us a billing partner that actually understands our practice, communicates clearly, and helps us resolve issues before they become denials.”

AR
Alicia Reed
Practice Administrator, Northside Family Medicine
Meet the people behind the claims: certified billing experts, practice advisors, and operations leaders
Service Capabilities

Comprehensive Revenue Cycle Operations

One connected service suite that consolidates front-desk verification, charge capture, coding, claim submission, and denial follow-up into a single, coordinated workflow designed to reduce friction, accelerate reimbursement, and keep clinical teams focused on care.

A unified revenue cycle service

This service brings together the essential operational steps that turn patient encounters into clean claims, faster reimbursement, and better visibility for leadership. It is built for practices that want one accountable partner across intake, coding, submission, and follow-up.

6
Core capabilities. One coordinated workflow across the patient-to-payment cycle.
100%
Operational ownership. One accountable partner from intake through denial resolution.
Real-time
Visibility. Clear reporting across claims, denials, and revenue performance.
Revenue cycle operations: eligibility, coding, submission, and follow-up workflows

Eligibility & front-desk verification

Verify patient demographics, insurance coverage, and visit-specific benefits before the encounter to reduce downstream rework and prevent avoidable denials.

  • Real-time payer checks and coverage confirmation
  • Front-desk readiness checks for demographics and visit details
  • Escalation support for coverage issues and missing information

Charge entry & coding

Translate patient encounters into accurate, compliant charges through structured coding, modifier validation, and charge capture review.

  • ICD-10, CPT, and HCPCS coding with modifier validation
  • Charge capture review against encounter documentation
  • Compliance checks for coding edits and payer-specific rules

Typical deliverables

  • Daily claim submission and tracking across electronic clearinghouse and payer responses.
  • Weekly or monthly reporting on claim volume, denial trends, and revenue performance.
  • Escalation support for denials, underpayments, and payer follow-up that requires human intervention.
Consultation

Let's talk about your billing team's next step

Reach out for a practical conversation about your billing workflows, payer challenges, and where your team needs the most support.

A reassuring next step for your team

When you reach out, you'll get a human conversation instead of a sales pitch. We'll listen to your billing operations, understand where your team is spending extra time, and outline a practical path forward.

Here's what happens after you reach out

1

A billing specialist will connect with you within one business day to understand your practice, payer mix, and current challenges.

2

We'll schedule a consultation that fits your schedule so you can share workflows, payer friction, and the metrics that matter most to your team.

3

You'll leave the conversation with a clearer view of where support could make the biggest difference and what a practical next step looks like.

No pressure—just a practical conversation about your billing team and where support could help.

Contact actions

Prefer to start with email? Share your practice name, current billing challenges, and the best time to connect.

Email us to start the conversation.

Or schedule a consultation at a convenient time.

Human support for your billing team

Human support for your billing team

We work alongside billing managers, coders, and practice leaders to understand payer friction, workflow bottlenecks, and where support can make the biggest difference.

What you can expect

  • A conversation focused on your billing workflows, payer mix, and where your team is spending extra time.
  • Practical recommendations for follow-up, coding, and payer escalation support.
  • A clear next step that aligns with your team's goals, timeline, and operational priorities.