Get Smart on Revenue Collection.
Starmark RCM services cover the full revenue cycle, from insurance credentialing to claim processing and patient billing, with dedicated specialists, HIPAA-compliant workflows, and real-time cloud dashboards.
Spectrum of RCM Services
Comprehensive revenue cycle management covering every step from credentialing to collection analytics.
Scheduling, Registration & Verification
Schedule patient encounters, gather insurance information, verify eligibility in real-time, manage referrals & prior authorizations, create new patient accounts, and collect patient & physician consent forms.
Demographics & Medical Necessity
Validate patient demographics, verify medical necessity, and ensure compliant claim creation with time-of-service updates and follow-up.
Medical Coding
Expert ICD-10 & CPT coding across Hospital & Office E&M, Labs, Endoscopy, Professional & Facility, Home Health/Telehealth, GI Procedures, Infusion/Anesthesia, and RPM & CCM virtual care.
Charge Entry, Billing & Claim Submission
Pre-billing edit resolution, clean claim filing within 48 hours of the service date, payment posting, bank reconciliation, underpayment analysis, and reversals & zero-pay management.
Insurance A/R & Denial Management
Aggressive A/R follow-up, systematic denial analysis & appeals filing, payer trend reporting, credit balance management, and contract variance analysis.
Patient A/R & Contact Centre
Outbound pre-collection calls, customer support for payments, telehealth & appointment reminders, patient statements, balance transfers, and transition to collections. Support in English & Spanish.
Patient & Client Billing
Professional patient statements, payment plans, online payment options, and client invoicing with compassionate communication throughout.
Reporting & Analytics
Real-time dashboards with KPIs: collections, AR aging, denial rates, payer mix, revenue trends, and scheduled report delivery to stakeholders.
Value-Added Services
Provider enrollment & credentialing, fee schedule updates & negotiation support, MIPS reporting, payer policy review, provider education, business reviews, and payer benefit reviews.
Flexible Team Extensions
Scale your billing operations on demand with dedicated Starmark specialists who integrate seamlessly as an extension of your existing team or work within your billing systems.
RCM Across Care Settings & Specialties
Our billing expertise spans the full continuum of outpatient care, from physician offices and surgical centres to high-complexity laboratory services.
Care Settings
Physician Office
Full-cycle billing for primary care, specialist visits, and multi-provider group practices.
In-Office Procedures
Coding and billing for diagnostic procedures, minor surgeries, and in-office treatments.
Surgical / Endo-Centres
Facility and professional billing for ambulatory surgery centres, endoscopy suites, and GI procedures.
Laboratory Services
Specialized billing for clinical, anatomic pathology, molecular diagnostics, and reference laboratories.
Specialties
OB/GYN
Obstetrics, gynecology, prenatal care, and women's health billing with global and split-care coding.
Anatomic Pathology
Surgical pathology, cytopathology, and histology, including technical and professional component billing.
Clinical
Chemistry, hematology, urinalysis, immunology, and routine diagnostic testing across all payer types.
Molecular & NGS
Molecular diagnostics, next-generation sequencing, pharmacogenomics, and genetic testing with prior-auth support.
Multi-Specialty
Cross-specialty billing support for multi-provider practices and integrated care facilities.
What Sets Our RCM Apart
Purpose-built for healthcare with certified expertise, domain depth, and technology that delivers results.
AAPC & AHIMA Certified Coders
Every claim is handled by nationally certified coders who stay current on payer rules, compliance updates, and specialty-specific coding standards.
Multi-Domain Expertise
Deep experience across physician practices, surgical centres, in-house procedures, and laboratory billing, each with its own workflow and payer nuances.
Home-Grown IT Solutions
Proprietary client and patient portals built in-house, giving you full transparency into claims status, payments, and account activity.
Agents & Automation
Intelligent automation handles eligibility checks, claim scrubbing, and follow-up workflows, so your team focuses on exceptions, not routine tasks.
AI for Screening & Predictions
Machine learning models screen claims for denial risk and predict collection outcomes, enabling proactive intervention before revenue is lost.
Penalty-Based SLAs
We put skin in the game with performance-backed service level agreements: measurable commitments on turnaround times, clean claim rates, and collections.
HIPAA-Compliant Operations
All patient data handling, billing workflows, and system access follow strict HIPAA guidelines, with encrypted transmissions, role-based access controls, and regular compliance audits.
Revenue Is Personal
Our specialists understand the nuances of lab and physician billing, and treat your revenue like their own.
A Dedicated Team That Treats Your Revenue Like Their Own
Unlike generic billing services, Starmark RCM is purpose-built for labs and physician practices. Our specialists understand payer-specific rules, specialty coding requirements, and the urgency of clean claims, and they work as an extension of your team.
Plug Into Your Systems
We integrate with your existing practice management and EHR platforms, with no disruption required.
We Work With Your Billing Systems
Our RCM teams are trained and experienced on leading practice management and EHR platforms, so we can plug into your existing infrastructure and start delivering results from day one.
Service Performance Metrics
We back our RCM services with measurable SLAs and penalty-backed guarantees, so you never have to wonder if your billing partner is performing.
First Pass Resolution
Claims adjudicated by payers on first submission without rejections or denials.
Charge Entry Lag
Average time between case sign-out and first billed date, excluding weekends and holidays.
Insurance AR > 90 Days
Aged insurance receivables kept at or below 15% of total insurance AR.
Days in AR
Average insurance days in accounts receivable maintained at or below 30 days.
Timely Filing
All open claims resolved within payer timely filing limits each quarter.
Powering VitalAxis: Lab IT & RCM at Scale
Starmark is the engineering and operations partner behind VitalAxis, a cloud-native LIS and RCM platform serving 200+ lab locations and 1,000+ pathologists nationwide.
See the VitalAxis Story →Get a Free Billing Assessment
Our RCM team will review your current billing process and identify collection gaps, at no cost.