Prohealth Business Solutions Pvt. Ltd.
Winner of India 5000 Best MSME Awards 2025
Prohealth Business Solutions Pvt. Ltd.
Winner of India 5000 Best MSME Awards 2025
Details
Prohealth Business Solutions Pvt. Ltd.
Private Limited Company
Hospital, Clinic and Consultation
Leading Service Provider of Cost & Process Optimization Solutions.
2018
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Gautam Buddha Nagar
Noida - 201301
Uttar Pradesh
Introduction
Prohealth Business Solutions Pvt Ltd is driven by the vision that healthcare should be simple for patients, transparent for providers, and fair for everyone involved. The company’s mission is to close the gap between doctors, insurance companies, and patients so that medical care is never delayed by billing or paperwork complexities. With expertise in medical billing, coding, and revenue cycle management, Prohealth serves healthcare providers across the United States, working as an extension of their teams and managing every stage of the billing process from patient encounter to final payment.
The process begins when a physician documents a visit. Prohealth ensures that the medical record fully supports the services provided, while also verifying insurance coverage in advance to reduce surprises for patients and denials for providers. Certified coders assign CPT, HCPCS, and ICD-10 codes accurately, in compliance with CMS guidelines and specialty-specific requirements. Claims are reviewed and scrubbed for errors before submission through secure, HIPAA-compliant systems. Each claim is tracked until acceptance, and denials are addressed promptly through documentation review and appeals. Payments are posted precisely, accounts reconciled, and outstanding claims monitored daily to meet deadlines and prevent revenue leakage.
Prohealth goes beyond processing claims by analyzing patterns to identify recurring issues and implementing corrective measures to minimize future losses. The company also prioritizes patient trust by providing clear billing statements and direct support to resolve queries. Compliance is maintained through regular audits, continuous staff training, and strict adherence to CMS, HIPAA, and payer requirements, with full audit trails for every transaction.
Serving individual physicians, clinics, hospitals, surgical centers, diagnostic facilities, and DME suppliers, Prohealth focuses on improving revenue, reducing denials, and protecting compliance. More than just a billing company, it is a trusted partner in healthcare delivery, ensuring that financial operations support clinical excellence and patient care.
Director Details
Mr. Vikas Jacob
MBA Healthcare management and Clinical research
Mr. Vikas Jacob is the CEO and Director of Prohealth Business Solutions Pvt Ltd, with over 19 years of experience in the Medical Billing and Revenue Cycle Management (RCM) industry. His professional journey has been driven by a single mission: to bridge the gap between patients, doctors, and insurance providers so that healthcare operates efficiently and compassionately.
Throughout his career, he has witnessed the obstacles that billing complexities place on doctors, the delays patients face due to insurance confusion, and the financial challenges providers endure when claims are mishandled. Recognizing the need for a better solution, he founded Prohealth Business Solutions Pvt Ltd, a company dedicated to ensuring that administrative hurdles never prevent timely patient care.
Mr. Vikas Jacob leadership emphasizes empowering doctors to focus on healing, providing patients with financial clarity, and streamlining insurance processes to be fair, fast, and transparent. By combining advanced technology, analytics, and a human-centered approach, he ensures that every claim reflects more than data—it represents a real person waiting for care.
Holding a master’s degree in Healthcare Administration and Clinical Research Management, he blends academic expertise with hands-on operational experience. Under his guidance, teams have successfully reduced claim denials, improved cash flows, and enhanced overall RCM performance for healthcare providers globally.
Beyond metrics, Mr. Vikas Jacob is passionate about mentoring teams, supporting local healthcare initiatives, and volunteering his expertise to improve access to care. For him, RCM is not just a backend function but a vital bridge connecting patients, providers, and payers, ensuring that every patient receives timely treatment, every doctor is fairly compensated, and insurance processes remain transparent and just.
