Transform Your Revenue Cycle Into a Growth Engine.

BilRex helps healthcare practices strengthen their revenue cycle with intelligent billing solutions, expert claim management, and data-driven insights. From accurate coding and claims processing to payment optimization and A/R recovery, we deliver reliable RCM support that improves cash flow, reduces administrative burden, and allows providers to focus on patient care.

End-to-End Revenue Cycle Management

From eligibility verification and claims submission (EDI 837) to payment posting (ERA 835) and detailed reporting, our end-to-end RCM process helps you get paid faster and maintain a steady cash flow.

Medical Billing and Coding Services

We handle CPT, ICD-10, and HCPCS coding, along with charge entry, claim scrubbing, electronic submissions, and rejection management—ensuring accurate billing and full compliance.

Denial Management

We proactively manage denials and accounts receivable by identifying the root causes, preparing strong appeals, following up consistently, and tracking resolutions through payer portals and clearinghouses to recover revenue efficiently.

Credentialing & Payer Enrollment

We take care of CAQH profile updates, NPI setup, PECOS maintenance, and payer-specific credentialing—helping you avoid enrollment delays and keep your revenue flowing without interruptions.

Medical Billing Audit Services

By reviewing coding accuracy, analyzing charge capture, and applying NCCI edits alongside CMS guidelines, we help providers minimize claim rejections and see noticeable improvements within the first quarter.

Claim Submission and Scrubbing Services

Nothing is more frustrating than seeing your hard work go unpaid due to a simple formatting error. You can alleviate this stress by partnering with BilRex to achieve a First-Pass Clean Claim Rate of up to 98.5%.

Eligibility & Benefits Verification Services

At BilRex, we verify every patient’s insurance coverage before services are provided, ensuring eligibility, benefits, and policy details are accurate and up to date. Our team works with state Medicaid programs, regional HMOs, and more than 800 commercial insurance payers, supporting practices of every size from independent providers to large healthcare organizations.

Payment Posting and Reconciliation Services

Eliminate payment errors and revenue leakage with our expert Payment Posting Services. We ensure accurate ERA/EOB posting, real-time reconciliation, and faster reimbursements for a healthier revenue cycle.

Charge Entry Services

Optimize revenue and maximize reimbursement opportunities with BilRex’s professional Charge Entry Services. Our experienced team ensures accurate charge entry, precise documentation, and timely claim preparation to reduce billing errors, accelerate reimbursements, and strengthen your revenue cycle performance.

Prior Authorization Services

Our team works closely with healthcare providers and insurance payers to streamline the authorization process, reduce administrative burden, improve approval turnaround times, and ensure patients receive the care they need without avoidable interruptions.