Dedicated FTE
One trained person working set hours in your system, who learns your office or your clients and stays on your work.
Dental · Medical · Billing & RCM Companies
Offshore Billing and RCM Support for US Dental Practices, Medical Practices, and Billing Companies
We're an offshore billing and revenue cycle team. We log into the software you already use and work the tasks that pile up when an office or a billing company is stretched thin: eligibility, claims, posting, denials, and A/R follow-up.
Eligibility & benefitsChecked before the visit
Charge entryEntered from the chart
ClaimsScrubbed and sent daily
Payment postingTied to the deposit
DenialsCorrected or appealed
A/R at 30 / 60 / 90 daysFollowed up until resolved
One team, three kinds of clients: dental, medical, and billing companies.
2021the year Medgeene was founded
10+ yearsof combined team experience in billing and revenue cycle work
Nearly 5years working with US clients
0%of your collections taken. Fixed or hourly pricing only
What is Medgeene?
Medgeene Solutions is an offshore revenue cycle management (RCM) and billing company founded in 2021, with a delivery center in Coimbatore, India and a US office in Sheridan, Wyoming. The team works on the client's hours. Led by Managing Director Agustus John Surya, the team of 25 has more than a decade of combined experience and has worked with US clients for nearly five years. It supports US dental practices and DSOs, US medical practices, and US billing and RCM companies, with pricing as a Dedicated FTE, a Flat Retainer, or Hourly at $10 per hour, never a percentage of collections.
Last updated:
- ServicesEligibility and benefits verification, charge entry, claims, payment posting, denial management, A/R calling
- ServesUS dental practices and DSOs · US medical practices · US billing and RCM companies
- DeliveryOffshore, from Coimbatore, India, working your business hours · US office in Sheridan, Wyoming
- PricingDedicated FTE · Flat Retainer · Hourly at $10/hour · no percentage of collections
- ExperienceFounded in 2021 · 10+ years of combined team experience · nearly 5 years with US clients
- Leadership & teamAgustus John Surya, Managing Director · a team of 25
Real-World Problems
Where the Money Gets Stuck
Revenue rarely disappears all at once. It leaks at the handoffs: a check nobody ran, a claim that went out incomplete, a denial nobody had time to chase. Here's how that looks in three kinds of offices, and what we do about it.
Dental Practices & DSOs
A claim waits behind the schedule
A crown claim comes back asking for an x-ray. The front desk is checking in a hygiene patient, so it sits. Thirty days later it's an aging balance, and the next call about it is to the patient.
How we help
- Verify benefits and frequency limits before the visit
- Send claims with the attachments the plan expects
- Work denials and aging claims daily, inside your system
Medical Practices
A denial shows up weeks after the visit
The visit happened and the claim went out. Then the denial reads CO-197, authorization absent. By the time anyone looks, the appeal window is closing and the schedule is full.
How we help
- Check referral and prior authorization needs at scheduling
- Enter charges with the modifiers and units the provider documented
- Work denials by code and track which ones keep repeating
Billing & RCM Companies
A new client lands on a full team
You signed a client last month and its aged A/R came with it. Your team is at capacity, follow-ups slip, and the client starts asking where the numbers are.
How we help
- Take overflow work under your name, in your platform
- Triage inherited A/R by age, payer, and balance
- Follow each client's rules from its own written checklist
What We Do
Eight Services, Four Stages of the Revenue Cycle
Each stage feeds the next, so a problem caught early doesn't turn into a bigger one later. You can hand us all of it or just the piece that's behind. Details are on What We Do.
- Stage 1
Patient Access
Get the patient scheduled, verified, and entered correctly, before anything downstream can go wrong.
- Appointment SetupBookings, recalls, and insurance details captured at the first call.
- Eligibility & Benefits VerificationCoverage and benefits checked and noted in the chart before the visit.
- Patient DemographicsPatient and insurance details entered accurately the first time.
- Stage 2
Claim Preparation
Turn the visit into a claim that can be paid the first time.
- Charge EntryProcedures and diagnoses entered the way the provider documented them.
- Claims SubmissionClaims checked, attached, and sent daily, with rejections worked right away.
- Stage 3
Claim Resolution
Go after what wasn't paid automatically: denials and aging balances.
- Denial ManagementDenials corrected, appealed when it makes sense, and tracked to their cause.
- A/R CallingUnpaid claims followed up until they're paid, denied, or escalated.
- Stage 4
Payment & Reporting
Close the loop on the record, so what you see matches what was paid.
- Payment PostingPayments and adjustments posted accurately and tied to the deposit.
Your Software
We Work in the Systems You Already Run
No migration, and no new software for your staff to learn. We connect through encrypted remote access and work in what's already there.
Dental Practices & DSOs
Your practice management system
Our team has worked in Dentrix, Dentrix Ascend, Dentrix Enterprise, Eaglesoft, Open Dental, Curve Dental, Denticon, Carestream Dental, tab32, Dentimax, and Practice-Web, and through clearinghouses like DentalXChange and Vyne Dental. For a DSO, we can set up one checklist across locations so every office gets worked the same way.
Medical Practices
Your EHR and clearinghouse
Our team has worked in eClinicalWorks, athenahealth, NextGen, AdvancedMD, Tebra (Kareo), DrChrono, ModMed, CareCloud, and Greenway, and through clearinghouses like Availity, Waystar, Office Ally, and Change Healthcare. Using something else? Tell us. If it's one we haven't used, we'll say so up front and plan a short ramp-up.
Billing & RCM Companies
Your billing platform, under your name
We log into your billing platform, and into your clients' systems where needed, under your naming. Each client gets its own checklist, so one client's rules never bleed into another's.
How We Work
How We Keep the Work Accurate
Billing mistakes are usually small: a rule nobody wrote down, a question that got guessed at, a change that never reached the person doing the work. We build the routine around that.
A written checklist for every account
Your rules, your payers, and who to call when something's unclear, all on paper. We work from the checklist, not from memory.
Questions get asked
When something doesn't fit the rules, it goes on a list for you to answer. We'd rather ask than guess.
A weekly report
What was worked, what was collected, and what's waiting on you, so you're not left wondering.
Inside your system
We connect through encrypted remote access. Patient data stays in your software, and no PHI is stored on our computers.
A Typical Week
What You'd See From Us, Day to Day
Handing off billing work only works if you can see what's happening. The rhythm is the same for every office and every client.
Daily
Charge entry, claims, posting, and payer follow-up, worked inside your system, during your business hours.
Weekly
A written report on what was worked, collected, and escalated.
When rules change
We ask you to confirm the change in writing before we act on it.
As questions come up
They go on an open-items list, with the account each one belongs to.
Work completedEligibility checks, claims sent, payments posted, denials worked.
Billed, collected, outstandingAmounts billed, amounts collected, and what is still open, so you can see where the cycle stands.
A/R agingBalances by 30, 60, 90, and 120+ days, with what was done on each.
DenialsReasons grouped by payer and provider, so repeat causes are visible.
Needs your inputOpen questions that are waiting on someone in your office.
The report is set up with you at the start. This is a layout preview, not client data.
How We Help
Three Ways to Work Together, and None Is a Cut of Your Collections
Pick the structure that fits how your office or your company runs. The full comparison is on How We Help.
Flat Retainer
A fixed monthly price for a scope you agree on. Easier to budget, and it doesn't swing with claim volume.
Hourly
$10 / hour
Pay for the hours worked, with no monthly minimum. A way to start small, like clearing a backlog or trying one task.
FAQ
Common Questions
What does Medgeene do?
We're an offshore billing and revenue cycle management team. We work inside your software on the tasks that tend to pile up: eligibility and benefits checks, charge entry, claims, payment posting, denial work, and A/R follow-up.
Who do you work with?
Three kinds of clients: US dental practices and DSOs, US medical practices, and US billing and RCM companies that need extra capacity behind their own client work.
Do we have to switch software?
No. We log into the system you already run, through encrypted remote access. Nothing gets migrated, and your staff keep working the way they do now.
How does a billing company usually start?
Small. Most start with one client account or one task, such as A/R over 60 days. You share that client's rules, we write them into a checklist and confirm it back to you, and you review the results each week before deciding to add more.
How is patient information protected?
We connect to your system through encrypted remote access, no PHI is stored on our computers, and our facility uses biometric access control. The work stays inside your software.
Which software have you worked in?
Dental: Dentrix, Dentrix Ascend, Dentrix Enterprise, Eaglesoft, Open Dental, Curve Dental, Denticon, Carestream Dental, tab32, Dentimax, and Practice-Web, plus the DentalXChange and Vyne Dental clearinghouses. Medical: eClinicalWorks, athenahealth, NextGen, AdvancedMD, Tebra (Kareo), DrChrono, ModMed, CareCloud, and Greenway, plus Availity, Waystar, Office Ally, and Change Healthcare. Billing companies: we work in your platform. If you use something we haven't, we'll say so up front.
How is pricing set up?
Three ways: a Dedicated FTE working set hours for you, a Flat Retainer for a fixed monthly scope, or Hourly at $10 per hour with no minimum. We never take a percentage of your collections.
How long does it take to get started?
Most offices and billing companies go live within 3 to 5 business days once we have remote access and the rules we need to follow: fee schedules and payer notes for a practice, or a client's SOPs for a billing company.
What hours does your team work?
Yours. Our team works on your time, so you reach us during your business day and questions get answered while your office is open.
Will patients or clients notice a difference?
No. The work is white-label. Patients keep dealing with your front desk, and a billing company's clients keep dealing with their usual contact.