Capital Area Human Services District

The buyer seeks a contractor to provide comprehensive revenue cycle management and billing services for its outpatient behavioral health clinics. The contractor will handle the entire billing process from patient registration through payment collection. Key objectives include timely and accurate claim filing, high claim acceptance rates, low error rates, and reducing bad debt percentage.

• 2/10/2025 - RFP Posted
• 2/20/2025 - Deadline for Questions
• 2/25/2025 - Answers to Questions Posted
• 3/12/2025 - Proposal Due Date
• 3/13/2025 - Proposal Opening

• Minimum 3 years experience providing described services
• Registered to do business in Louisiana
• Principal place of business in continental United States
• Sufficient financial resources to conduct program
• No terminated contracts for non-performance in past 5 years

• Review client registration and verify insurance coverage
• Maintain payer authorization records in EHR system
• Submit and monitor claims through payer adjudication process
• Manage denials and appeals for rejected claims
• Post payments and reconcile accounts
• Generate monthly revenue cycle management reports
• Implement and provide training on EHR processes
• Ensure compliance with billing regulations and policies
• Verify patient eligibility and obtain prior authorizations
• Review and submit client bills following collection policies