01
A dedicated pod — not a call queue
Your practice is supported by a named billing specialist, coder, and denial analyst who know your payers, your EMR, and your goals.
Direct contacts · No ticket numbers
US-Based RCM PartnerConnect. Code. Collect.
Turn claims into predictable cash flow
Pro Nexus RCM helps US practices reduce denials, accelerate reimbursements, and gain full visibility into revenue performance — without adding administrative burden to your clinical team.
- ✓Claims submitted within 24–48 hours of documentation
- ✓Dedicated billing pod — not a call-center queue
- ✓Weekly KPI reviews with denial and AR visibility
No PHI on web forms · Response within 1 business day
Trusted operations
Works with your EMR
HIPAA-alignedBAA availableUS-based teamCPC-certified coders
EpicAthenaeClinicalWorksAdvancedMDKareoAvailityEpicAthenaeClinicalWorksAdvancedMDKareoAvaility
15+
Years combined RCM leadership
98%+
Clean claim rate target
HIPAA
Aligned operations
CPC
Certified coding team
Measured outcomes
What partners see after structured onboarding
Benchmarks from practices that completed our 30-day onboarding program. Your results will vary by specialty and payer mix.
↓ 32%
Average denial rate reduction
within 90-day onboarding
↑ 18%
Net collections improvement
year one, partner average
↓ 11
Days in AR vs. baseline
across partner practices
$2.4M+
Annual revenue recovered
client aggregate
*Results vary by specialty, payer mix, and prior billing performance.
Get your practice benchmarkPlatform
View all servicesFull revenue cycle, modular by design
Start with the service you need today. Scale to full RCM when you're ready — with one accountable partner and one clear view of performance.
Medical Billing
Accurate charge capture, claim scrubbing, and payment posting — delivered by a dedicated specialist who knows your payers.
Revenue Cycle Management
End-to-end revenue cycle management from eligibility through collections — one partner, one performance standard.
Credentialing
Proactive payer enrollment and re-credentialing so new and existing providers can bill without delays.
Prior Authorization
Pre-visit authorization workflows that keep schedules moving and claims clean.
Medical Coding
Certified ICD-10 and CPT coding review aligned to your specialty, payers, and audit risk.
Denial Management
Systematic denial triage, appeals, and root-cause prevention to stop recurring revenue loss.
AR Recovery
Structured follow-up on aged receivables and payer underpayments to recover revenue already earned.
Reporting & Analytics
Real-time visibility into claims, denials, AR aging, and payer performance.
Not sure where to start? Talk to a billing strategist
Why Pro Nexus
Billing partners should answer for outcomes — not activity
We combine certified expertise, specialty-specific workflows, and transparent reporting so you always know where revenue stands and who owns the result.
02
Built for your specialty and payer mix
Billing rules, coding standards, and denial workflows are configured for how you actually practice — not from a one-size-fits-all template.
35+ specialties · Payer-specific rules
03
Revenue visibility you can act on
Dashboards and scheduled reports cover clean claim rate, denials, AR aging, and net collections — reviewed with you monthly.
24/7 dashboard access · Weekly KPI reviews
04
A structured path to switching
Our 30-day onboarding program includes workflow mapping, optional parallel-run billing, and go-live QA — so cash flow stays protected.
Average go-live: 21 business days
Specialties
Payer and coding rules vary by specialty. We adapt to yours.
Select your clinical focus to see common payers, coding nuances, and denial triggers we address every day.
Primary Care
Billing workflows built for high-volume E&M visits and chronic care management.
View Primary Care guide →Common payers
- ·Medicare
- ·Medicaid
- ·Blue Cross Blue Shield
- ·UnitedHealthcare
- ·Aetna
Denial triggers we prevent
- ·Duplicate service edits on same-day procedures
- ·Missing referring provider for specialist referrals
- ·Incorrect place of service for telehealth visits
Implementation
Go live in 30 days with full visibility
You will know what happens at every stage — from discovery through go-live and ongoing optimization.
- 01
Days 0–2 · Discovery
We assess your payer mix, current KPIs, EMR workflow, and revenue goals.
- 02
Days 3–7 · Billing audit
You receive a leakage analysis covering denials, AR exposure, and quick-win opportunities.
- 03
Days 8–21 · Onboarding
EMR integration, payer setup, workflow configuration, and team alignment.
- 04
Days 22–30 · Go-live
Claims flow with QA checkpoints. Parallel-run available to protect cash flow.
- 05
Ongoing · Optimize
Monthly business reviews, denial prevention, and continuous KPI improvement.
30-Day Onboarding Checklist
A step-by-step guide for practices transitioning billing partners.
Proof
Measured outcomes — not marketing claims
Before-and-after results from partner practices. Anonymized where required by compliance.
Behavioral health · 12 providers · Southeast US
Multi-Location Mental Health Group
A growing mental health group reduced denials and gained weekly revenue visibility after switching from an in-house billing team.
“Within four months, our denial rate dropped from 14% to under 6%. Pro Nexus gave us weekly visibility we never had with our previous vendor.”
| Metric | Before | After |
|---|---|---|
| Denial rate | 14.2% | 5.8% |
| Days in AR | 47 | 34 |
| Net collections | 91% | 97% |
| Clean claim rate | 89% | 96% |
Urgent care · 6 locations · Midwest US
Midwest Urgent Care Network
A six-location urgent care network accelerated claim submission and recovered aged AR from a prior billing transition.
“They recovered revenue we had written off and gave our providers clear coding feedback without slowing down patient flow.”
| Metric | Before | After |
|---|---|---|
| Claim lag | 5.2 days | 1.4 days |
| AR over 90 days | $380K | $94K |
| Net collections | 88% | 95% |
| Denial rate | 11% | 6% |
View all case studies · Request a reference in your specialty
Customers
Results practice leaders can measure
From denial reduction to AR recovery — our partners see outcomes in the metrics that matter to their bottom line.
HIPAA-alignedBAA availableUS-based teamCPC-certified coders
↓8% denials“Our denial rate dropped from 14% to under 6% in four months. For the first time, we have weekly visibility into what is being worked and what is being recovered.”
$286K recovered“They recovered revenue we had effectively written off — and gave our providers specific coding feedback without disrupting patient throughput.”
↑6% net collections“The monthly business review changed how we think about billing. We see the numbers, understand the trends, and know exactly who to call.”
FAQ
Questions practice leaders ask before they switch
Straight answers on timelines, compliance, pricing, and what to expect from a Pro Nexus partnership.
- Most practices complete onboarding in 21 to 30 business days. We offer a structured 30-day program with optional parallel-run billing so your cash flow is protected throughout the transition.
- Yes. We work with Epic, Athena, eClinicalWorks, AdvancedMD, Kareo, and other major platforms. We adapt to your existing workflow — not the other way around.
- Pricing is transparent and aligned to your practice size and scope of services — typically a percentage of collections. There are no hidden fees. You receive a custom quote after your discovery call.
- Yes. We follow HIPAA-aligned workflows with encrypted data handling and trained staff. A Business Associate Agreement is provided for every client before billing work begins.
Still evaluating your options?
Schedule a free 15-minute call. We will help you determine if we are the right fit.
Schedule free assessmentFree assessment
Find where revenue is leaving your practice
Book a 15-minute consultation with a US-based billing specialist. We will review your goals, identify likely leakage points, and outline a clear path forward — at no obligation.
- ✓No obligation · No PHI required
- ✓Response within 1 business day
- ✓BAA available for all clients
Select your challenges below so we can prepare for your call.