Direct Access to a Global Healthcare Workforce
Emcore eliminates all intermediaries and brings the benefits of a global workforce directly to your organization.
At Emcore, our focus is enabling healthcare organizations to extend the workforce with global resources as a cost-effective solution to combat labor shortages while maintaining flexibility and control over mission critical processes.
Accounts Receivable (AR) Management
Prioritized. Resolved. Recovered
We work the right accounts, in the right order, with the right approach—turning your AR backlog into recovered revenue.
Strategic Prioritization
We use payer behavior, denial history, and system notes to prioritize follow-up. Whether it’s aged high-dollar claims or fast-turn payers, our AR teams adapt to your priorities and financial goals.
Seamless Integration
All follow-up occurs directly within your instance, under your policies. No third-party portals, no black-box routing—just aligned, accountable work.
Complete Resolution
From initial follow-up to escalation, our staff manage claims to closure—including documentation requests, status calls, and payer appeals if needed.
Full Transparency
We participate in daily huddles and maintain client-aligned trackers to ensure clarity on outstanding balances, action status, and resolution timelines.
AR recovery isn’t just about capacity—it’s about precision, focus, and consistency. That’s where we come in.
Denials Management
Improve. Appeal. Recover.
Denials reveal where your revenue cycle is breaking down. We fix the process, not just the claims—preventing future denials while recovering current ones.
Intelligent Triage
We leverage internal logic, denial codes, and system notes when triaging and routing denials for highest-value impact. Worklists are continuously optimized based on real-time performance and claim status.
Prevention Focus
Our teams log and analyze root causes—from documentation gaps to payer-specific quirks—feeding insights into upstream workflows, training, and automation triggers.
Appeals Management
Emcore staff manage appeals by denial type and payer policy, with audit trails, outcome tracking, and resolution feedback loops embedded in your system.
Continuous Improvement
Weekly huddles, monthly trends reviews, and shared denial insights keep both teams aligned on reducing avoidable write-offs and improving clean claim rates.
We don’t just manage denials—we close the loop to prevent them from happening again.
Coding Services
Clean Claims Start Here.
Our coders improve the quality and reliability of your revenue cycle, one chart at a time—turning clean coding into faster payments and fewer denials.
Outpatient Focus
We focus exclusively on outpatient specialties—from Emergency Department E/M levels to physician office coding and recurring services. No DRG distractions, no overextension.
Edit Resolution
Coders resolve issues like patient status mismatches, invalid modifiers, and diagnosis-to-procedure inconsistencies to drive down DNFB and speed up claim submission.
Compliance Focus
Whether coding denials or prospective encounters, our team identifies recurring documentation gaps and flags risks for client review—enabling cleaner claims and fewer appeals.
Quality Assurance
Teams are structured with a team lead, process coach, and dedicated quality auditor. Daily production tracking, monthly audits, and coder-specific coaching keep accuracy high and rework low.
Clean coding isn’t just about compliance—it’s the foundation of faster payments and fewer denials.
Prior Authorization
Fast. Accurate. Complete.
We manage prior authorizations with the same urgency and precision as your own team—minimizing delays, reducing denials, and protecting revenue.
End-to-End Ownership
From intake to payer submission to follow-up, our teams handle the full prior auth process—including documentation review, benefit checks, and escalation workflows when needed.
Seamless Execution
All work is performed directly in your EHR and payer portals. Our staff integrate seamlessly with schedulers and clinical teams to avoid handoff delays and ensure clear audit trails.
Specialty Expertise
We support high-volume, high-variability specialties like radiology, cardiology, orthopedics, and pain management—with staff trained on payer-specific nuances and documentation requirements.
Performance Tracking
Daily dashboards and weekly performance reviews ensure auth aging, approval rates, and turnaround times are always visible—and always improving.
We don’t just submit the prior auth—we make sure every order is positioned for reimbursement success.
Eligibility & Insurance Verification
Verified. Cleared. Resolved.
We prevent front-end misses and downstream denials through rigorous eligibility verification—turning coverage issues into clean claims.
Financial Clearance
Our global teams act as an extension of your patient access function—performing eligibility and benefits verification directly in your system, without disrupting patient workflows.
Coverage Verification
From plan status to co-pay amounts, our staff verify and document eligibility through payer portals or calls, following your SOPs.
Coverage Updates
We work eligibility-related rejections and denials to closure—correcting insurance details, resolving COB issues, and revalidating coverage to reduce avoidable write-offs.
Workflow Alignment
We update eligibility information directly in your system to prevent repeat errors. We also surface recurring patterns to front-end teams, supporting continuous improvement.
Eligibility isn’t a formality—it’s a safeguard for your revenue. We ensure it’s right from the start and corrected quickly when it’s not.
Get in touch with us
Email Us
info@emcoreglobal.com
