Our Service
Medical Billing Services
Operex provides comprehensive Medical Billing Services designed to support healthcare providers across the United States by improving revenue cycle efficiency, accuracy, and compliance. Our end-to-end billing solutions are delivered by experienced professionals who understand the complexities of U.S. healthcare regulations, payer requirements, and reimbursement processes.
By leveraging structured workflows, advanced billing systems, and strict quality controls, we help reduce claim errors, accelerate reimbursements, and improve cash flow.
Operex’s medical billing services allow healthcare organizations to focus on patient care while we manage the administrative and financial aspects of billing with precision, transparency, and reliability.
By leveraging structured workflows, advanced billing systems, and strict quality controls, we help reduce claim errors, accelerate reimbursements, and improve cash flow.
Operex’s medical billing services allow healthcare organizations to focus on patient care while we manage the administrative and financial aspects of billing with precision, transparency, and reliability.
Streamlined Medical Billing Services
Operex’s streamlined medical billing services are designed to simplify complex billing workflows and eliminate inefficiencies throughout the revenue cycle. Our approach focuses on reducing manual errors, standardizing processes, and improving turnaround times from charge capture to final payment.
By implementing consistent quality checks and optimized workflows, we help healthcare providers reduce administrative burdens, improve billing accuracy, and maintain financial stability. This streamlined process ensures faster claim resolution, improved revenue predictability, and a more organized billing operation that supports long-term growth.
By implementing consistent quality checks and optimized workflows, we help healthcare providers reduce administrative burdens, improve billing accuracy, and maintain financial stability. This streamlined process ensures faster claim resolution, improved revenue predictability, and a more organized billing operation that supports long-term growth.
Claims Processing & Submission
Operex’s claims processing and submission services ensure accurate, timely, and compliant handling of medical claims across multiple payers. Our billing specialists review claims for accuracy, validate coding and documentation, and submit claims in accordance with payer-specific guidelines.
By proactively identifying errors before submission, we reduce denials and rejections while accelerating reimbursement cycles. Our structured approach ensures claims are tracked throughout their lifecycle, providing healthcare providers with visibility, accountability, and consistent revenue performance.
By proactively identifying errors before submission, we reduce denials and rejections while accelerating reimbursement cycles. Our structured approach ensures claims are tracked throughout their lifecycle, providing healthcare providers with visibility, accountability, and consistent revenue performance.
Eligibility Verification
Operex provides thorough eligibility verification services to confirm patient coverage, benefits, and authorization requirements prior to services being rendered. Our team verifies insurance details, policy limitations, co-pays, deductibles, and coverage validity to prevent billing issues and claim denials.
By ensuring accurate eligibility checks upfront, we help healthcare providers improve patient communication, reduce payment delays, and minimize revenue leakage. This service enhances financial transparency while supporting a smoother patient experience.
By ensuring accurate eligibility checks upfront, we help healthcare providers improve patient communication, reduce payment delays, and minimize revenue leakage. This service enhances financial transparency while supporting a smoother patient experience.
Payment Posting & Reconciliation
Operex’s payment posting and reconciliation services ensure accurate recording of insurance payments, patient payments, and adjustments across all accounts. Our professionals post payments promptly, reconcile discrepancies, and identify underpayments or errors for follow-up.
By maintaining accurate financial records, we help healthcare providers gain better visibility into revenue performance and payer behavior. This service supports improved cash flow management, cleaner accounts, and reliable financial reporting.
By maintaining accurate financial records, we help healthcare providers gain better visibility into revenue performance and payer behavior. This service supports improved cash flow management, cleaner accounts, and reliable financial reporting.
Accounts Receivable Management
Operex’s accounts receivable management services focus on reducing outstanding balances and accelerating collections while maintaining positive relationships with patients and payers. Our team monitors aging reports, follows up on unpaid claims, manages denials, and resolves payment issues efficiently.
By applying consistent follow-up strategies and detailed reporting, we help healthcare providers improve collection rates, reduce days in AR, and maintain predictable revenue streams. Our structured AR management approach supports long-term financial stability.
By applying consistent follow-up strategies and detailed reporting, we help healthcare providers improve collection rates, reduce days in AR, and maintain predictable revenue streams. Our structured AR management approach supports long-term financial stability.
Compliance & Regulatory Management
Operex delivers comprehensive compliance and regulatory management services to ensure medical billing operations align with HIPAA, CMS, and payer-specific regulations. Our team follows strict data security protocols, documentation standards, and audit-ready workflows to minimize compliance risks.
By staying up to date with evolving regulatory requirements, we help healthcare providers avoid penalties, reduce risk exposure, and maintain operational integrity. Compliance is embedded into every stage of our billing process to ensure trust and reliability.
By staying up to date with evolving regulatory requirements, we help healthcare providers avoid penalties, reduce risk exposure, and maintain operational integrity. Compliance is embedded into every stage of our billing process to ensure trust and reliability.
Patient Billing & Customer Support
Operex’s patient billing and customer support services provide clear, professional, and empathetic communication with patients regarding billing inquiries, statements, and payment options. Our trained agents handle billing questions, payment plans, and dispute resolution while maintaining patient confidentiality and trust.
By offering responsive and respectful support, we help healthcare providers improve patient satisfaction, reduce confusion, and strengthen patient relationships. This service ensures billing interactions are handled with care, professionalism, and accuracy.
By offering responsive and respectful support, we help healthcare providers improve patient satisfaction, reduce confusion, and strengthen patient relationships. This service ensures billing interactions are handled with care, professionalism, and accuracy.
Emergency Support Services
Operex offers emergency support services to address urgent billing issues, system outages, payer delays, or unexpected claim backlogs. Our responsive teams are equipped to provide rapid assistance during critical situations, ensuring continuity of billing operations and minimal revenue disruption.
By offering flexible and scalable emergency support, we help healthcare providers maintain stability and recover quickly from operational challenges.
By offering flexible and scalable emergency support, we help healthcare providers maintain stability and recover quickly from operational challenges.
Experience the Operex Advantage
Choosing Operex means partnering with a trusted medical billing provider committed to accuracy, compliance, and financial performance. Our combination of industry expertise, secure processes, advanced tools, and dedicated support teams delivers measurable improvements in revenue cycle efficiency and reimbursement outcomes.
With a strong focus on transparency, accountability, and client success, Operex helps healthcare organizations reduce administrative burden, improve cash flow, and achieve long-term operational excellence. Experience the Operex advantage—where expertise meets reliability in medical billing services.
With a strong focus on transparency, accountability, and client success, Operex helps healthcare organizations reduce administrative burden, improve cash flow, and achieve long-term operational excellence. Experience the Operex advantage—where expertise meets reliability in medical billing services.