Medical Revenue Cycle Management, Billing, Coding and Accounts Receivable Services
Overview
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SUMMARY
DESCRIPTION
The issuing organization is seeking a contractor to provide comprehensive medical revenue cycle management services, including medical billing, coding, insurance follow-up, collections, denials management, and accounts receivable management for professional fees. The scope calls for end-to-end support backed by demonstrated experience managing full-service third-party revenue cycle operations in academic healthcare environments.
The selected contractor is expected to have local, regional, and national academic health insurance billing and collections experience, along with expertise in standard-of-care determinations and clinical fee-for-service billing across multiple specialties in both inpatient and outpatient academic physician practice settings. Coders must maintain a minimum coding accuracy rate of 95 percent, and the contractor must have a backup staffing plan that ensures coder replacement within one week to reduce risks related to timely filing deadlines.
In addition to operational support, the contractor must provide regular quarterly coding education sessions for coders and interested providers to help optimize revenue and improve revenue cycle performance. A pre-bid meeting is scheduled for July 30, 2026, and questions must be submitted by August 4, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 12, 2026.
- Who is a good fit for this opportunity?
- Medical revenue cycle management firm with end-to-end billing and collections capabilities
- Proven experience serving academic health systems and physician practice groups
- Expertise in professional fee billing for inpatient and outpatient multi-specialty settings
- Certified coding staff able to maintain at least 95% coding accuracy
- Strong denials management, insurance follow-up, and accounts receivable recovery experience
- Scalable staffing model with documented coder backup and rapid replacement capacity
- Ability to deliver quarterly coding education and provider training
- Established compliance-focused processes and performance reporting for healthcare revenue operations
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.