Hospital, Clinic Billing and Revenue Cycle Management Services
Location:
Washington, United States
Posted on:
Deadline:
Summary:
Washington seeks an experienced provider for hospital and clinic billing and revenue cycle management to improve accuracy, reimbursement, and compliance.
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This RFP seeks a qualified vendor to provide comprehensive hospital and clinic billing and revenue cycle management services. The goals are to improve billing accuracy, optimize reimbursement, ensure regulatory compliance, and enhance overall financial performance, all while delivering exceptional value through high-quality services.
Services required include patient access and front-end services, insurance eligibility and benefits verification (including robust experience with health plan communications via phone, web portal, and real-time eligibility checks), as well as supporting prior authorization and medical necessity verification processes. The vendor will be responsible for implementing coding edits, validation, and handling inpatient, outpatient, and professional coding, thereby supporting end-to-end revenue cycle operations for healthcare facilities.
Interested vendors must submit all questions regarding this RFP no later than March 24, 2026.
Best-fit vendors:
• Proven experience in hospital and clinic billing and revenue cycle management
• Expertise with health plan communications and eligibility systems
• Strong knowledge of regulatory compliance for healthcare billing
• Track record of supporting large healthcare facilities or systems
• Capability to handle inpatient, outpatient, and professional coding services
