Eligibility Verification
Elly verifies insurance and benefits before every appointment, eliminating eligibility denials at the source.
INSURANCE VERIFICATIONAbout Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for healthcare practices in San Jose and across Silicon Valley. From coding to collections, every step is connected through Zeus AI and managed by people who stay in your specialty.
>98%
Net Collection Rate
48hrs
Charge Lag
>99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
San Jose and the broader Silicon Valley region are served by Stanford Health Care, El Camino Health, Good Samaritan Hospital, and a growing network of specialty practices. High operating costs and complex payer mixes mean practices in the region need billing teams that capture every dollar of reimbursement. There is no margin for error.
Cosentus provides end-to-end revenue cycle management for practices in San Jose, CA. We manage everything from credentialing and eligibility to coding, claims, denials, patient billing, and collections. Our specialty-organized teams manage your entire revenue cycle from coding to collections.
10 Steps. One Team. Every Dollar.
INSURANCE VERIFICATIONPrior Authorization
Paige tracks every open authorization, preventing procedural delays and timely filing lapses.
AUTHORIZATIONSPre-Service Collection
Priya contacts patients 3–7 days before service with verified cost estimates. 30–40% higher collection rates.
PRE-SERVICECoding & Capture
AAPC-certified coders ensure accurate CPT and modifier selection. Connie assists with code suggestions and accuracy checks.
CHARGE CAPTUREClaim Scrubbing & Submission
Payer-specific edits applied before every submission. Clean claims. Fast payments.
Payment Posting & Reconciliation
Ariel tracks aging claims and flags payment delays. Underpayments escalate to specialists for resolution.
PAYMENT POSTINGAR Follow-Up & Denials
Chris contacts payers proactively. Human denial experts appeal with clinical rationale. 95%+ success.
AR & DENIALSPatient Billing & Collections
Cindy handles balances in 50+ languages with real-time payment processing and payment plan options.
PATIENT COLLECTIONSCredentialing & Contracting
Provider credentialing, re-credentialing, and contract analytics to protect reimbursement rates.
Reporting & Analytics
Real-time dashboards by provider, payer, procedure, and denial category. Weekly reviews and QBRs included.
What We Manage for Practices in San Jose
Credentialing and payer enrollment
Eligibility verification and prior authorization
Medical coding by specialty-trained coders
Claim scrubbing and same-day submission to 1,400+ payers
Denial management with root cause review
Appeals with clinical evidence and payer escalation
AR follow-up and collections
Patient billing, payment plans, and support in 50+ languages
Live analytics and reporting by provider, payer, and procedure
Why Local Knowledge Matters
We Know California Payers
California commercial carriers, Medi-Cal, and Medicare all have distinct rules. Our team submits and follows up on claims against California-specific payer behavior every day.
Organized by Specialty
We don't run a shared billing pool. Your account is managed by a team that works your specialty full time. Anesthesia, orthopedics, pain management, ASCs, behavioral health, multi-specialty. Each with dedicated coders and directors.
National Reach. Local Focus.
Cosentus manages revenue cycles for practices across the country. Your account gets a named team that understands the Silicon Valley healthcare market and the California payer landscape.
Specialties We Serve in San Jose
Anesthesia Billing in San Jose
Orthopedic Billing in San Jose
Pain Management Billing in San Jose
ASC Billing in San Jose
Behavioral Health Billing in San Jose
Multi-Specialty Billing in San Jose
Frequently Asked Questions