Medical Billing Companies & Consultants in Randolph, MA

Based in Randolph, Massachusetts, The Behavioral Health Billing Collaborative, LLC is a medical billing company whose client base consists solely of mental and behavioral health practitioners. Those it serves include independent clinicians operating on their own as well as group practices of varying sizes. Alongside claims and billing work, the firm provides consulting and administrative assistance. Because it takes on practices throughout the Commonwealth, providers in Brockton and elsewhere on the South Shore fall within its reach.

Billing and Collections Offerings

The company manages each stage of the revenue process, starting with confirming a patient's benefits ahead of the initial appointment and ending with the resolution of outstanding balances. Core offerings include:

• Pre-intake benefit checks that confirm whether a policy is in force, identify copayment, coinsurance and deductible amounts, flag any authorization needs, and verify that the clinician is credentialed with the insurer
• Monitoring of referrals and prior authorizations, supported by reports that help clients stay on top of them
• Loading of charges into the firm's practice management software, generally completed a few business days after they arrive
• Electronic claim transmission via a clearinghouse that screens each submission for mistakes before it goes to the insurer
• Recording of payments from both patients and insurers, including adjustments and the movement of balances to secondary coverage
• Monthly patient statements, plus responses to patient questions about billing that do not involve clinical matters
• Reporting every month on charges, receipts, year-to-date results and revenue patterns
• Pursuit of unpaid receivables and handling of denied claims, with notice to the client whenever a denial requires their involvement

Areas of Expertise

The firm's background spans a wide variety of behavioral health care. It bills for outpatient counseling, medication management, and therapy provided within nursing homes and assisted living settings. Its work also extends to virtual care, workers' compensation cases, claims to the Veterans Administration and Employee Assistance Program services. In addition, it lists Suboxone and methadone treatment, psychological and neurological assessment, transcranial magnetic stimulation (TMS) and applied behavior analysis (ABA) among its specialties.

Client Approach

True to the word "Collaborative" in its name, the company positions itself as an extension of each practice rather than an outside vendor. Early in the relationship, the firm and the client settle on financial targets and the outcomes they anticipate. These targets are revisited on a recurring basis, allowing the strategy to shift as needed. The scope of work is shaped around each practice's circumstances, whether that means a clinician launching a brand-new office, a well-established group handing off its billing to an outside party, or a practice aiming to grow its income. Practices weighing outsourcing, a switch from their current billing vendor, or improvements to in-house administration can request a consultation at no charge. Pricing is calculated as a percentage of net collections and varies with the service tier selected.

Founder and History

Anita L. Theberge is the company's founder and owner. Her first exposure to the field came during college, when she held a part-time billing job supporting two independent practitioners, one in psychiatry and the other in social work. She went on to a twenty-seven-year tenure at a community health center, advancing from an entry-level billing position to Director of Patient Accounts. In that post she oversaw a team of over a dozen employees covering billing, front-office operations and referral coordination, and she answered to the Chief Financial Officer. Afterward she worked for four years as an account manager with a long-standing medical billing firm, then launched her own business. Practices seeking a specialized partner may find appeal in the firm's exclusive behavioral health focus, its practical billing expertise, and its commitment to privacy and precision.