Hello and Welcome

 

I would like to thank you for visiting our New Provider page and I am happy to provide you with some additional information about the services we offer.

 

My name is Emily Pasternak and I am the Owner and Founder of Gelida Medical Billing. I have been billing for midwives since 2016 . I received my training with the AAPC as a Certified Professional Biller and retain my membership with the AAPC to stay up to date with annual coding and billing changes in our industry. My husband and I had our babies with midwives here in Alaska and love to support the midwifery community in any way we can.

 

Gelida Medical Billing is a locally owned and operated medical billing services tailored to midwives in our state. We do utilize the electronic clearinghouse CollaborateMD to create claims, reduce claim aging, store and navigate patient benefits and notes, track monthly and annual reporting, send client statements, process credit cards, utilize online payment portals, ensure clean claim scrubbing and level II claim edits and more. We also utilize MedForward Forms as a HIPAA secured platform to collect electronic superbills from providers on the go and Patient Registration Forms from office or at home. 

 

Why choose Gelida Medical Billing?

• Saves the Provider valuable time.

  • The average Alaskan midwife performs 16-30 clinical visits per month when attending 2-3 births in the same time. Filing claims, updating payer agreements and fee schedules, verifying benefits, applying for network exceptions, contracting for in-network rates, handling claim denials, applying payments, following up with insurances for claim status, sending patient statements, all require valuable time otherwise spent taking care of what really matters- your clients. Without a designated medical biller, the provider can spend 600+ hours a year billing for themselves.

 

• Gelida Medical Billing is locally owned and operated, built around the values of our Alaskan midwives and the community.

 

• Gelida Medical Billing prides itself in being 98% paper FREE. Cutting down on waste and doing our part to protect the environment. Our aim is to someday achieve a 100% paperless business.

 

• Gelida Medical Billing strives to provide quality customer support, taking care of both the provider AND the clients. 

 

• A quality Billing Service also offers…

  • Payer agreements, credentialing and network contracting assistance

  • Patient Benefits Eligibility and Verification 

  • Service Pre-Authorizations and Network Exceptions

  • A Provider Reference manual at time of signing - outlining our work process and expectations as well as business standards and services

  • Electronic Clearinghouse and quality claim follow-up

  • Annual Auditing

  • Detailed Monthly Reporting for easy and full transparency

  • Client Statements

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How does it work?

Once your account is set-up, you will receive an email with all of your login information and direct links to patient registration forms, superbills, and your provider page on our website where you can direct new patients to register their insurance and learn more about your billing policies. 

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New patients will need to complete a Patient Registration Form online which is sent directly to you and your biller upon completion. 

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Your biller will call the insurance company to get information about their benefits as they apply to your care plan. After the call, your biller will send the provider a Verification of Benefits with a full estimate and break down of what is covered, how well it it covered and a patient estimate. 

If you are an out-of-network provider, your biller will include information about how to obtain a network exception and/or file for a network exception on your behalf. 

 

Whenever you see a patient, you would complete a "Superbill" online. This is how your biller will create your claims and send them to the insurance within 1-2 business days. 

 

All insurance payments and/or requests for more information are sent directly to the provider. We ask that you scan and send a copy of all insurance correspondence and soon as possible so we can respond and update our records as quickly as possible. 

 

Once insurance has paid your claims, your biller will send a statement to your patients for any remaining balance according to your practice policies. The patient can return payment in the provided addressed envelope with check or card payments directly to the provider. Once your biller receives a confirmation of payment from the provider, the claims are updated and closed. 

 

Your biller will generate monthly reports to show outstanding claims, insurance payments, a list of "superbills" so you may audit what was and maybe what was not sent to us for billing, a list of patient payments and a list of any incomplete or troublesome claims needing additional information from the provider. You will also have full access 24/7 to all of this information with a secure login to our software. 

 

Claims denied? Your biller will work on them each week until they are resolved. 

Patient pending Alaska Medicaid approval? Your biller will check on their eligibility status every week until they are enrolled and send the claims out immediately. 

Patients not paying their balances? We will work with your collections agency to forward any and all proof of billing and consent to pay forms included in their patient registration process. 

Home birth or Midwives is not covered? We can help you navigate non-covered service appeals, discounts and alternative billing protocols. 

Billing for a birth tub rental? We can help you build a non-covered Durable Medical Equipment (DME) financial plan for patients to help them get approval or make payments.

Does your patient have questions about their insurance estimate or their bill? They can email us directly (our information is included on their statements) to get a detailed breakdown and learn more about their patient rights and insurance appeal process. 

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What is the cost?

Our pricing is a commission based schedule, meaning we are not paid unless you are paid. By doing so, Gelida Medical Billing is able to help small businesses and local providers while meeting everyone's financial needs.

• New Account Set-up Fee $150.

• Monthly Minimum Investment is $75 OR 7% Commission.  Whichever is higher. Varies Based on Practice Size and Claim Volume.

• One Time Consultation  Per Hour (NA for account holders) $40.00

 

How do I sign up?

Contact Emily Pasternak at emily@gelidabilling.com or complete the new account request form below. 

We will send a new account application and based on your individual needs, we will contact you for more information to initiate services. 

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Note: Space is limited. We currently limit on-boarding so our billers can prioritize our current practices. 

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We hope to hear from you soon.

 

Emily Pasternak