Navigating the dynamic and complex revenue cycle arena is a challenge for many health plans, health care vendors, and providers.
We simplify it
About Us
Our focus is to help your business grow and run smoothly. We understand the challenges faced with the claims processing and recovery environment. Sunlit Cove Healthcare consultants provide subjects matter experts and professionals in the healthcare industry to enhance your business. Our consulting services are available to assist with your day-to-day operations, and provide expertise in growth and change management.
Our Services
Revenue Cycle Management
Our skilled professionals assist with all aspects of the revenue cycle and specialize in
- Project management
- Completion management
- Mentoring and educating the revenue cycle management team
Audit and Reconciliation
Our subject matter experts resolve account conflicts by
- Reviewing denials and determining root cause
- Researching payments to expedite account resolution
- Reconciling patient account balances
Process Improvement
We provide an independent assessment of your workflow and assist in
- Identifying "best practices" to enhance your day-to-day efficiency
- Building effective back office business processes
- Creating policy and procedure documentation to maintain high performance
Managed Care Contract Review
We provide a contract expert to review your managed care agreements to
- Enhance claim resolutions
- Prevent incorrect reimbursements
- Identify contract language issues
Growth Management
A sudden increase in the number of clients presents several challenges. To support this, we provide
- Interim office management
- Assistance to complete overflow work through transition phases
New Client Startups
We understand the challenges of taking on new clients. We will help
- Transition clients to your organization
- Support your staff with initial process implementation