Billing Outsource Service

RFP issued: March 20th, 2026

Non-mandatory pre-proposal meeting: April 8th, 2026 at 2:00 pm EST

Questions due: April 14th, 2026 at 5:00 pm EST

Proposal due: April 28th, 2026 at 3:00 pm EST

The project seeks a vendor to provide comprehensive billing outsourcing services, including the collection of missing patient information from all sources prior to insurance claim submission or direct billing. The awarded contractor must maintain Worker’s Compensation Insurance for all employees involved with this contract.

Key responsibilities include electronic filing of insurance claims and timely mailing of direct patient bills after verifying run ticket information, with claims not accepted electronically to be submitted using CMS 1500 forms. The contractor is responsible for follow-up billing upon new information regarding a patient such as additional insurance data, updated addresses, or changes in responsible parties. They must also electronically receive and incorporate data files from Medicare and other insurance companies to keep patient accounts up to date.

The vendor will follow a strict invoicing schedule: the first invoice is to be sent no later than 10 days from dispatch, the second at 30 days, and the third within 60 days. Accounts with no payment activity at 91 days are to be forwarded to a collection agency. Additionally, the contractor must provide 24/7 online access to account information, including reports on run tickets, payments, balances, adjustments, refunds, aging, accounts to collections, and overall status. The contract will be for one year. All questions regarding the RFP must be submitted by April 14, 2026, and a non-mandatory pre-bid meeting is scheduled for April 8, 2026.