-
Working inside Kareo (Tebra): what LedgerBPO does
Kareo Tebra bookkeeping services from LedgerBPO give medical practices a named billing agent and accountant who work inside your Tebra account: scrubbing claims before submission, posting ERAs, working denial worklists, sending patient statements, and reconciling every insurance and patient deposit to the general ledger. HIPAA-trained staff, a signed BAA, and one team for billing and books.
01 / 06 -
Your subscription, your data
Kareo Tebra bookkeeping services from LedgerBPO give medical practices a named billing agent and accountant who work inside your Tebra account: scrubbing claims before submission, posting ERAs, working denial worklists, sending patient statements, and reconciling every insurance and patient deposit to the general ledger. HIPAA-trained staff, a signed BAA, and one team for billing and books.
02 / 06 -
Inside your file
Claims scrubbed, ERAs posted and denials worked inside Tebra
03 / 06 -
Reconciled on a calendar
Insurance and patient deposits reconciled to QuickBooks Online monthly
04 / 06 -
Reviewed before you see it
HIPAA-trained staff working under a signed BAA
05 / 06 -
A named accountant, a backup and a team lead
Inside your own software, on a fixed close calendar, with a reply from a person within 1 business day. Call +1-657-777-0006 or start a quote.
Get a custom quote 06 / 06
Why businesses on Kareo (Tebra) outsource
Kareo, now Tebra, gives a small practice everything it needs to bill: charge capture, a clearinghouse, ERA posting and patient statements. It does not give the practice the hours to use them. Claims wait in the rejection queue, ERAs auto-post with unexplained adjustments, denials age past timely filing, and the deposits in the bank never get tied to the payments posted in Tebra.
One team for billing and books changes that. Our HIPAA-trained billing agent works claims and denials inside your Tebra account every day, while the accountant reconciles Tebra's payment reports to the bank and the general ledger each month. The physician sees one number for collections that agrees everywhere, and the practice manager stops being the billing department after hours.
What we do inside Kareo (Tebra)
Claim scrubbing and submission
Encounters are checked for missing modifiers, diagnosis pointers and eligibility before submission, and clearinghouse rejections in Tebra are corrected and resubmitted the same day.
ERA and EOB posting
Electronic remittances are reviewed before auto-posting is accepted, paper EOBs are posted by hand, and contractual versus non-contractual adjustments are coded so write-offs are visible.
Denial worklists
Denied and underpaid claims are worked from Tebra's denial and A/R reports by payer and reason, appealed with records where warranted, and tracked to resolution.
Patient statements and balances
Patient responsibility is stated on your cadence through Tebra's statement service, with balances after insurance verified before the first statement goes out.
Insurance follow-up calls
Our billing agents call payers under your practice name on claims past the expected payment date, and log every reference number in Tebra.
Collections reconciled to the general ledger
Tebra payment and deposit reports are matched to bank deposits and posted to QuickBooks Online or Xero, so revenue, refunds and patient credits reconcile monthly.
Integrations we reconcile
- QuickBooks OnlineDeposit summaries by payer posted from Tebra reports and matched to the bank feed.
- XeroPractice revenue and refunds posted from Tebra payment reports and reconciled to the bank.
- GustoPractice payroll journals posted and reconciled alongside billing collections.
- Tebra PaymentsPatient card and online payments batched by Tebra Payments matched to bank deposits.
- Bill.comPractice vendor bills approved and paid through Bill.com, reconciled to the same ledger.
Migration to and from Kareo (Tebra)
Moving to Kareo (Tebra)
Moving a practice onto Tebra means loading providers, payers, fee schedules and patient demographics, and deciding what happens to open A/R in the old system. We map the fee schedule and payer list, set up ERA enrollments with each payer, run the old system's A/R down in parallel, and reconcile the first month's Tebra deposits to the bank before the old system is retired.
Moving from Kareo (Tebra)
Leaving Tebra for AdvancedMD, athenahealth or another system starts with the open A/R. We work claims to a defined cut-off, export A/R aging, payment history and patient balances, re-point ERA enrollments to the new clearinghouse, and reconcile the final Tebra deposits to the ledger. Patient statements switch on a date you announce.
Common Kareo (Tebra) reconciliation problems we fix
Rejections sitting in the queue
Clearinghouse rejections never reach the payer until someone fixes them. We clear the Tebra rejection queue daily so claims are in process, not stuck.
ERAs auto-posted with hidden adjustments
Auto-posting accepts underpayments as contractual write-offs. We review remittances against the fee schedule and flag underpaid lines for appeal.
Denials past timely filing
A denial ignored for sixty days becomes unrecoverable. We work the denial worklist by age and reason so appeals go out inside payer deadlines.
Deposits do not match posted payments
The bank shows one figure, Tebra another, the ledger a third. We reconcile all three monthly and document every difference.
Patient balances stated before insurance finishes
Statements sent early create refunds and complaints. We confirm the insurance adjudication before the first patient statement runs.
Other healthcare billing platforms
Frequently asked questions
Do you work inside my existing Kareo or Tebra account?
Yes. You add our staff as users in your Tebra account with the roles you set, and we sign a business associate agreement first. Patients, payers, claims and payment data stay in your account. Access is logged and removed the day the engagement ends.
How much do Kareo Tebra bookkeeping services cost?
Pricing depends on volume and scope, so we send a custom quote within 1 business day. The main drivers are monthly claim volume, the number of providers and payers, whether you need denial management and patient calls as well as posting, and whether the practice's books are included.
Are your staff HIPAA trained?
Yes. Every team member who touches PHI completes HIPAA training, works under a signed BAA, uses MFA and role-based access, and is covered by access logs. We do not claim any certification; we describe the controls we run. Our medical billing page lists them.
Will you call insurance companies and patients?
Yes, under your practice name. Insurance follow-up calls chase claims past the expected payment date. Patient billing calls explain balances and take payment through your own portal; our agents never store card data. See our insurance follow-up calls page for the process.
How do you reconcile Tebra collections to my books?
Each month we match Tebra's payment and deposit reports to bank deposits, post revenue by payer class, record refunds and patient credits, and reconcile the practice's QuickBooks Online or Xero file. The result is one collections figure that agrees in Tebra, the bank and the ledger.
Can you take over an old A/R backlog in Tebra?
Yes. We age the open claims, work them by recoverable value and payer deadline, write off what cannot be recovered with your approval, and report the outcome. This is scoped as a cleanup project before day-to-day billing starts. Timely filing limits by payer decide the order of work.
Ask an AI assistant to summarize this page
Opens the assistant with a prefilled prompt so you can check our claims against the page yourself.