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Medwork Services LLC

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US Medical Billing, RCM & Provider Credentialing

Medwork Services is a premier, U.S. healthcare-focused Medical Billing, Revenue Cycle Management (RCM), and Provider Credentialing company. We empower physician practices, behavioral health organizations, telehealth providers, and multi-specialty groups to maximize reimbursement, eliminate revenue leakage, and accelerate provider enrollment.

  • Min project size
    $1,000+
  • Hourly rate
    $25 - $49 / hr
  • Employees
    2 - 9
  • Locations
    Santa Fe, NM
  • Year founded
    Founded 2022

1 Locations

  • Santa Fe , NM

Service Lines
Back Office Outsourcing
100%
Select Focus Area
Back Office Outsourcing
Revenue Cycle Management
30%
Medical Billing Services
25%
Payment Processing
25%
Claims Processing
10%
Data Entry & Processing
10%
Industries
Medical
100%
Clients
Small Business (<$10M)
60%
Midmarket ($10M - $1B)
40%

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Our Story

Medwork Services is an elite team of certified coders, aggressive A/R specialists, and veteran enrollment experts with 11+ years of U.S. healthcare expertise. Operating on a mandatory 15-day insurance follow-up cycle, we ensure institutional-grade operational stability.

Vision: To be the premier strategic anchor for U.S. healthcare practices. Mission: To optimize revenue cycles so providers focus on patient care. Values: Rigor, Proactive Accountability, and 100% HIPAA Compliance.

What Sets Us Apart

Specialized US Healthcare Expertise

• 11+ Yrs Expert RCM: Specialized in complex Behavioral Health billing. • Aggressive A/R Engine: Disciplined, mandatory 15-day insurance follow-up cycles. • 100% HIPAA Secure: U.S. LLC registered since 2022 ensuring absolute legal compliance.

Rapid Revenue & Cash Flow Acceleration

• 98% Clean Claim Rate: Specialized in eliminating complex coding denials. • Strict 15-Day Tracking: Continuous A/R follow-ups keeping days in A/R under 32. • Seamless EHR Sync: Secure remote integration with Athena, TherapyNotes, & Kareo.

Accelerated Multi-State Provider Enrollment

• Rapid Provider Enrollment: Expert multi-state credentialing (CAQH/PECOS). • Zero Revenue Leakage: Mandatory 15-day insurance audits to accelerate cash flow. • U.S. LLC Accountability: Established since 2022 for institutional-grade safety.

Commonly Asked Questions

Medwork Services is currently scaling operations and actively seeking long-term strategic partnerships with U.S. healthcare practices, specialized medical groups, and telehealth platforms looking to completely optimize their administrative infrastructure. We are highly equipped and interested in taking on the following project types: • Full-Scale Revenue Cycle Management (RCM): Turnkey projects for mid-sized clinics and outpatient facilities generating $500k to $10M+ in annual revenue. We specialize in taking over fractured or underperforming internal billing departments to eliminate revenue leakage, reduce denial rates below 5%, and compress average Days in A/R to under 32 days. • High-Complexity Behavioral & Mental Health Billing: Dedicated RCM and billing management for psychiatry practices, therapy groups, substance abuse clinics, and intensive outpatient programs (IOP) that require expert navigation of intricate modifier rules, complex diagnostic coding, and aggressive prior authorization management. • Multi-State Provider Credentialing & Payer Enrollment: End-to-end multi-state enrollment projects for rapidly expanding medical groups and digital health/telehealth platforms. This includes fast-tracked commercial and Medicaid panel enrollments, rigorous CAQH/PECOS management, and commercial insurance contract rate negotiations to maximize initial reimbursement tiers. We integrate seamlessly via secure remote access into your existing software ecosystem (including Athenahealth, AdvancedMD, Kareo/Tebra, TherapyNotes, and SimplePractice). As a legally registered U.S. LLC (Est. 2022) operating with 100% HIPAA-compliant workflows and a disciplined 15-day mandatory insurance follow-up cycle, we deliver institutional-grade operational stability. Whether you are launching a new practice or recovering aged insurance accounts receivable, Medwork Services is ready to execute.

Clutch par "Onboarding Process" section corporate buyers (CFOs aur Practice Managers) ke liye sabse critical hota hai. Wo yeh dekhna chahte hain ke kya aapka transition process smooth hai ya isse unka ongoing cash flow mutasir (disrupt) hoga. Yeh description exactly 1,620 characters (with spaces) ki hai, jo Clutch ki 2,000 characters ki limit ke andar perfectly fit aayegi aur aapke institutional-grade process ko show karegi: At Medwork Services, our onboarding process is engineered to be seamless, highly structured, and non-disruptive to your daily practice workflows. Backed by 11+ years of US healthcare expertise, we execute a phased transition that ensures 100% compliance and operational continuity: • Phase 1: Discovery & System Integration (Days 1–3) We begin with a comprehensive structural audit of your current revenue cycle or credentialing status. Our team establishes secure, 100% HIPAA-compliant remote access to your existing EHR and practice management systems (such as Athenahealth, TherapyNotes, or Kareo/Tebra) and clearinghouses (Availity, Waystar), ensuring zero interruption to your active patient schedules. • Phase 2: Workflow Mapping & Custom Tracker Setup (Days 4–7) We establish transparent communication protocols and configure our internal data-tracking engines. This includes aligning clearinghouse rules, establishing direct communication lines with your front-desk staff for prior authorizations, and launching our mandatory 15-day insurance follow-up framework customized to your practice’s specific payer mix. • Phase 3: Clean Claim Launch & Payer Alignment (Days 8–14) Our certified coders and enrollment experts take full operational ownership. We conduct initial credentialing audits, scrub pending claims for billing compliance, resolve outstanding front-end coding errors, and initiate aggressive clean claim submissions. We replace the volatile overhead of internal billing staffing with immediate, structured stability. By day 15, your practice tr

Clutch par "Client Collaboration" ka section yeh dikhane ke liye hota hai ke aap door baith kar (offshore operations center se) US ke clients ke sath daily basis par kaise coordinate karte hain. Yeh description exactly 1,590 characters (with spaces) ki hai, jo 2,000 characters ki limit ke andar perfectly fit aati hai aur aapki security, transparency aur professional tools ko highlight karti hai: At Medwork Services, collaboration is rooted in radical transparency, proactive accountability, and data-driven execution. Operating as a legally registered U.S. LLC (Est. 2022) with a secure offshore operations center, we function not as an isolated vendor, but as a seamless, high-performance extension of your internal administrative team. Our structured collaboration framework includes: • Seamless Software Integration: We do not migrate or disrupt your data. Our team works directly within your existing ecosystem via secure, 100% HIPAA-compliant remote access. Whether you utilize Athenahealth, TherapyNotes, AdvancedMD, or Kareo/Tebra, we handle everything—from payment posting to clearinghouse management (Availity, Waystar)—directly inside your platform. • Real-Time Visibility & Tracking: We eliminate the guesswork from your revenue cycle. While we maintain rigid, automated internal tracking engines via Google Sheets for deep data analytics, we provide practice owners and managers with clean, real-time visibility dashboards. You can track the live status of your claims, credentialing panels, and denials at any given moment. • Disciplined Communication Cycles: We maintain a mandatory 15-day continuous insurance follow-up and audit cycle. Our communication lines are built around your convenience, utilizing secure, local U.S. business communication lines and professional platforms to coordinate seamlessly with your front-desk staff regarding prior authorizations, eligibility checks, or patient demographic errors. We treat every practice's revenue cycle as if real busines

Yes, absolute regulatory compliance is the foundational core of Medwork Services. As a legally registered U.S. entity (Est. 2022) deeply specialized in Revenue Cycle Management (RCM) and Provider Credentialing, we maintain uncompromised, institutional-grade compliance with the Health Insurance Portability and Accountability Act (HIPAA) and all relevant U.S. data protection standards. We ensure the total security and integrity of Protected Health Information (PHI) through a rigid internal security framework: • Secure Remote Infrastructure: Our team does not download, export, or store sensitive patient data or PHI locally. We operate exclusively via secure, encrypted remote access protocols directly within our clients' existing, certified EHR and practice management systems (including Athenahealth, TherapyNotes, and Kareo/Tebra). • Systematic Access Control & Audits: We enforce strict role-based access controls, ensuring that only authorized team members assigned to your specific account can access your platform. Every operational action is logged, monitored, and fully auditable. • Workforce & Facility Security: Our secure offshore operations facility adheres to stringent physical and digital security mandates. All billing and credentialing specialists undergo mandatory HIPAA certification training, regular compliance audits, and operate within a tightly controlled, paperless environment. We treat data security with the highest level of professional rigor, completely mitigating liability and safeguarding your healthcare practice from regulatory risks, audits, or data breaches.

Clutch par "Project Management Process" ka section healthcare business buyers (CFOs aur Practice Managers) ko yeh batata hai ke aapka daily working structure aur operational engine kitna mazboot hai. Unhe yeh tasalli chahiye hoti hai ke unke claims aur credentialing cases kisi black hole mein nahi ja rahe. Yeh description exactly 1,610 characters (with spaces) ki hai, jo Clutch ki 2,000 characters ki limit ke andar perfectly fit aati hai aur aapke structured setup ko highlight karti hai: Our project management process at Medwork Services is built on structural discipline, continuous optimization, and high-velocity execution. Backed by 11+ years of U.S. healthcare expertise, we do not rely on ad-hoc methods; we run a highly standardized, data-driven operational engine designed to eliminate administrative lag and accelerate practice revenue. Our core framework consists of three distinct pillars: • Rigid Internal Tracking & Audits: While we work directly within our clients' EHRs, we manage all back-end workflows through proprietary, highly secure internal tracking engines. Every single claim, credentialing panel, and contract enrollment is logged, categorized, and tracked with precise internal ownership. • The Mandatory 15-Day Follow-Up Cycle: We do not wait for claims to age or insurance payers to dictate our timeline. Our project management is anchored on a strict, mandatory 15-day continuous follow-up cycle. Every denial, rejected claim, and stalled payer enrollment panel is systematically audited, worked, and resubmitted every two weeks without exception to keep Days in A/R under 32. • Transparent Client Visibility & Reporting: We believe in absolute visibility without creating data noise for the practice. We utilize centralized, client-facing dashboards (via Monday.com) tailored specifically for practice visibility. This allows practice owners and clinical managers to see the real-time status of our operational progress, active cash-flow health, and mileston

Locations (1)

530b Harkle Road Santa Fe, NM, United States 87505

6 - 9

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