ISBEE Set Aside - FBSU Claim Management / Revenue Cycle Management (RCM) Service

The Indian Health Service is seeking a contractor to provide Claims Management and Revenue Cycle Management services for the Fort Belknap Service Unit. The contractor will be responsible for managing the financial process from patient registration through payment collection, including patient registration, claims management, billing technology, and accounts receivable functions. The contractor must have experience with electronic health record systems and be able to integrate with the Indian Health Service EHR and RPMS environments. The contract will be for a base year and four option years, with a total duration of five years. • The contractor must be able to provide support for unlimited users. • The contractor must be able to integrate with the Indian Health Service EHR and RPMS environments. • The contractor must be able to manage the financial process from patient registration through payment collection. • The contractor must be able to provide accurate and timely claim submission, efficient billing operations, and effective collection of Medicare, Medicaid, and Commercial insurance. • The contractor must be able to optimize reimbursement, improve cash flow, and maintain compliance.