TecronixTecronix

Healthcare: Safe, Compliant, Patient-First Delivery

Clinical and non-clinical staffing across hospitals, health systems, physician groups, payers, and revenue cycle — with privacy and safety controls built-in. Managed services available for access, coding, AR, denials, and HIM.

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Why tecronix for Clinical & Revenue Cycle

We align staffing and managed services to quality-of-care, throughput, and compliance. Screening includes credentials, licensure, and scenario-based exercises for accuracy and bedside/service standards. Programs are measured on SLAs and outcomes.

  • License/credential verification and primary source checks
  • HIPAA/PHI awareness, privacy by design, least-privilege access
  • Quality gates: chart audits, coding accuracy, call QA rubrics
  • Staffing waves to stabilize coverage across shifts and units

Functions We Cover

Patient Access

Scheduling, registration, insurance verification, eligibility & prior authorization.

Coding & HIM QA

Inpatient/outpatient/professional coding, audits, queries, DNFB/discharged not final coded.

AR & Denials

Follow-up, appeals, payer-specific workflows, overturn narratives, and P2P escalations.

Cash Posting

Payments, remits, zero-pay, adjustments, refunds, and reconciliation.

Billing

Claims submission, scrubber edits, corrections, and re-bills.

Self-Pay & Early-Out

Statements, inbound calls, payment plans, charity screening.

Outcome-Based Programs

Outcome
Denials Management

Overturn rate and TTR targets with payer playbooks, appeal templates, and evidence capture.

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Outcome
Eligibility & Prior Auth

Clean auths and reduced preventable denials with checklists and exception paths.

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Outcome
DNFB Cleanup

Age and dollar thresholds with daily cadence, RCA on recurring edits, and dashboarding.

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Roles We Fill

  • Registered Nurses (Med/Surg, ICU, ED, OR, PACU)
  • Licensed Vocational/Practical Nurses (LVN/LPN)
  • Certified Nursing Assistants (CNA)
  • Allied Health (RT, PT/OT, Pharm Tech, Lab)
  • HIM & Coding (Inpatient/Outpatient, Pro-Fee, Auditors)
  • Revenue Cycle (AR follow-up, Denials, Billing)
  • Patient Access & Scheduling (Front Desk, Auth/Referrals)
  • Case Management & Utilization Review
  • EHR Analysts & Trainers (Epic/Cerner/Meditech)
  • Clinical Informatics & Data
  • Healthcare Finance & Compliance (HCC, CDI)
  • Leadership (CNO, Directors, RCM Leaders)

How We Engage

Staffing

Contract, C2H, and direct hire for clinical and non-clinical roles; credential and compliance workflows integrated.

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Managed Revenue Cycle

Access, coding, billing, and AR/denials teams with SLAs, QA sampling, and dashboards.

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Clinical Ops & EHR

Throughput, documentation quality, and EHR adoption programs with training and rounding.

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KPIs We Drive

  • Overturn rate & time-to-resolution (TTR)
  • Clean claim rate & first-pass yield
  • DNFB days & discharged-not-final-coded backlog
  • Cash posting timeliness & unapplied balances

How We Staff RCM

  1. Success profile: payer mix, volumes, DNFB/AR aging, and compliance constraints.
  2. Scorecards: accuracy, throughput, payer fluency, and documentation hygiene.
  3. Evidence summaries: appeal quality, coding audit results, and RCA of denials.
  4. Onboarding: playbooks, coverage plan, calibrations, and escalation matrix.

Compliance & Privacy

  • BAAs where PHI is in scope
  • Least-privilege access and audit logs
  • Retention schedules and evidence capture
  • Training and policy acknowledgments

Recent Outcomes

Patient Access Stabilization

Abandonment −22% and auth turnaround improved with staffing + SOPs.

Coding Accuracy

+5.1 pts accuracy with audit/feedback loop and targeted training.

AR Backlog Reduction

Aging >90 days down 18% in 8 weeks via denials workstream.

Compliance & Safety

HIPAA/PHI handling, OSHA awareness, immunization and fit-testing (role dependent), and incident reporting standards.

Credentialing

Primary source verification, license monitoring, skills checklists, and ongoing CE tracking where required.

Healthcare FAQs

Do you cover multiple facilities and shifts?

Yes — we plan for multi-site coverage and surge staffing across days/nights/weekends.

Can you run managed revenue cycle?

Yes — access, coding, billing, AR/denials with SLAs, QA, and dashboards.

How do you verify credentials?

Primary source checks, license monitoring, and role-based competencies validation.

Do you work in our EHR?

We align to your EHR (Epic/Cerner/Meditech) with least-privilege access controls.

Need clinical or revenue cycle support?

Tell us your units or work queues — we’ll propose staffing or a managed program.

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