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Medical Billing

Supercharge Your Revenue Cycle with Expert Medical Billing

Maximize revenue, reduce denials, and ensure compliance with Pena4’s tailored medical billing solutions.

 
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Effortless Billing, Maximum Revenue, and Total Compliance

Pena4’s medical billing solutions handle claim submission, charge entry, follow-ups, and denial management - improving reimbursements, fewer denials, and reduced administrative burdens. Let our experts simplify your billing process and maximize your revenue.

Tech Edge Meets Human Precision
Why Pena4 is the Right Billing Partner

At Pena4, we merge advanced billing technology with expert human oversight to deliver accurate, compliant,
and timely medical billing services and let you focus on patient care!

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Tech Edge Meets Human Precision

Pena4 combines smart billing technology with experienced professionals to deliver fast, accurate, and compliant medical billing, so you can focus on patient care.

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Accurate Patient Registration

We ensure every patient detail is verified, pre-authorizations are secured, and referrals are streamlined to reduce errors and avoid costly denials.

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Eligibility & Benefits Verification

Our team verifies coverage, secures approvals for high-cost services, and ensures payer compliance—minimizing administrative delays and improving claim success rates.

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Efficient Prior Authorizations & Referrals

We handle complex pre-approvals for procedures and medications, reducing provider workload and accelerating patient access to care.

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Clean Claims Submission & Management

From claim creation to EDI management, we ensure timely, error-free submissions - accelerating reimbursements and minimizing rejections.

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Proactive Denial Management & Appeals

We recover lost revenue through timely appeals, strong documentation, and expert navigation of payer regulations turning denials into dollars.

Our Tech Edge with Human Expertise Includes:

Delivery within 24-hour turnaround through domestic, offshore, or hybrid models, leverages certified ICD-10, CCS, and CIC medical coders for precision, and provides scalable solutions tailored to your organization’s needs.

 
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Award | Pena4
 

Award-Winning Performance, Trusted Globally!

Recognized as a Great Place to Work 2025-2026, ranked in the OA500 Global Index, and endorsed by 2025 Black Book Market Research with top ranking in Coding Staffing Solutions and HIM Advisory & Consulting Services, our achievements reflect the trust and excellence we deliver every day.

Related Services

Revenue Cycle Management

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Revenue Cycle Management

Optimize your revenue cycle with comprehensive RCM solutions. We manage claims, payments, and analytics for better revenue.

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Medical Coding

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Medical Coding

Accurate medical coding ensures proper documentation and compliance. Our experts streamline the process for maximum efficiency.

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CDI

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CDI

Enhance patient records with precise clinical documentation. Our CDI services improve accuracy and reimbursement rates.

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Medical Coding Auditing Tool

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Medical Coding Auditing Tool

Our medical coding auditing tool safeguards your revenue cycle integrity. Identify coding errors and optimize compliance with Guru Auditor.

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Request a Consultation Today!

Partner with Pena4 to enhance efficiency, ensure compliance, and boost your bottom line with our expertise.

This is one of very few vendor relationships I have experienced in my 35 years as an HIM where I truly feel like we are partners with the same goal in mind-quality health information.

Cindy Penner

The Ottawa Hospital

I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.

Craig Chase

Catholic Health Services

Very responsive team, expert knowledge, and easy to work with.

John Samuels

Better Health Advisors

Always on point with Turn Around Time requirements.

Lordy Josama

One Brooklyn Health System

Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!

Ray Cosner

Mt. Sinai Health System

It has been such a pleasure to work with Pena4 and their team. They have highly educated coders and I do not need to be involved in their internal processes, they know how to get the job done and with great quality.

Bonnie DiAntonio

RWJ Barnabas South

Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.

Jade Johnson

Mount Sinai Hospital MSH/MSQ

Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.

Valerie Oselmo

BronxCare Health System

Pena4 staff was helpful and accommodating to our professor and students' needs.

Dasantila Sherifi

Rutgers University

Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.

Craig Chase

Catholic Health Services

Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!

Sonia Shiels

Joseph Brant Hospital

We hired HIMonCall to assist with coding to meet our mandated fiscal year deadlines. We were able to meet this deadline successfully with the help of these contract coders and the work was delivered on time, as promised.

Monique Rasmussen

Providence Health Care

Blogs

18Mar

Pena4 Recognized as a Leading Provider of HIM Services and Coding Solutions in Black Book Research 2025

Pena4, a trusted leader in healthcare information management (HIM) and coding staffing solutions.

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20Nov

Introducing Pena4’s “Guru Auditor”

In the ever-evolving landscape of healthcare’s revenue cycle, ensuring that medical codes accurately...

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04Dec

Pena4's Commitment to Community: A Tradition of Giving Back

At Pena4, giving back isn't just an annual event — it's an intrinsic part of the corporate culture.

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21Mar

Balancing Automation and Expertise: The Role of Human Oversight in AI-Driven Medical Coding

The integration of artificial intelligence in various healthcare sectors has skyrocketed in recent years.

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Clients

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