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Back Office

The back office, reconciled to the penny.

We run your billing, bookkeeping, and payer follow-up every month, and match every dollar to the bank. Your numbers stay right, and nothing slips through.

Book a call A short call, a look at your numbers, a scoped quote.

What we own

  • Bank reconciliation, every deposit matched
  • Insurance follow-up on denials and short-pays
  • Monthly bookkeeping and close
  • A plain report you can actually read

Why this exists

Where practices quietly lose money

Treating is the easy part. The money leaks in the paperwork behind it, and by the time it shows up in the bank balance, it is hard to trace.

Payments that never post

An insurer pays, but it never lands against the claim. The visit reads unpaid, and no one chases it.

Denials nobody works

Denials and underpayments pile up in the clearinghouse. Past the appeal window, that money is simply gone.

Books that don't match the bank

The bookkeeping and the bank drift apart. At tax time it is a scramble, and the picture is never quite trusted.

What we handle

The whole back office, in one place

Keep your biller and your software if you want. We sit over the top, reconcile it all, and own the follow-through.

Bank reconciliation

Every deposit matched to the claim or payment behind it, to the penny, every month.

Payer follow-up

Denials, underpayments, and aging AR worked before the windows close.

Bookkeeping & close

Categorized, reconciled books with a clean monthly close your CPA can build on.

Billing support

Claims submitted and tracked, or a tight handoff with the biller you already use.

Monthly reporting

Cash in, AR outstanding, and what is stuck, in one page you can read in two minutes.

Year-end ready

Numbers that tie out all year, so tax season is a handoff.

How it works

A steady monthly rhythm

Same cadence every month. You send access once; we do the rest and report back.

1

Pull

We gather the month from your bank, EMR, and clearinghouse.

2

Reconcile

Every payment matched to the bank; gaps found and named.

3

Chase

Denials and short-pays worked; AR moved before it ages out.

4

Report

A plain one-page picture of cash, AR, and what needs you.

What you get

Numbers you can trust, every month

  • Books reconciled to the bank.
  • A one-page money report.
  • Denied claims worked and resubmitted.
  • Clean year-end numbers.
  • A person who knows your books.

Why us

Reconciling messy payment data to the bank, penny by penny, is the work we built the firm on. The plan we run for you is the one we run for ourselves.

You get a team that reads financials for a living.

Pricing

Monthly retainer

Scoped to your visit volume and how much you want us to own. Month-to-month after a one-time onboarding.

Get a scoped quote

Questions

The usual ones

Do you replace my biller?

Only if you want us to. Most practices keep their biller and let us reconcile over the top and work what falls through. We can also take billing on fully.

What access do you need?

Read access to your bank, EMR, and clearinghouse. Everything is handled on secure, least-access terms, and we document exactly what we touch.

Does it work with my software?

Yes. We fit your stack rather than forcing a switch. If a tool is fighting you, we will say so, but changing it is your call.

Is there a long contract?

No. A one-time onboarding to get set up, then month-to-month. The work should keep earning its keep, or you should be able to walk.

See what's leaking, then fix it

A short call and a look at your numbers. No pressure.

Book a call