Medical Billing Companies & Consultants in Springfield, MA

Prospa Billing is a company that handles billing for healthcare practices. Its office is in the Springfield Technology Park in Springfield, Massachusetts. Most of its work is for dental offices, but it also bills medical claims for oral surgery and describes its services as covering both medical and dental billing. Its clients range from single-dentist offices to dental service organizations (DSOs) that run several locations. It works with practices across the country, not just in western Massachusetts.

The firm takes over a practice's whole billing cycle so office staff spend less time on insurance paperwork. It says its goal is to increase collections and reduce unpaid balances, without the cost of keeping billing staff in-house. Its main services are:

• Checking patient eligibility and benefits before treatment
• Preparing and sending dental claims, with a target of submitting them within 24 hours
• Recording insurance payments and adjustments, and filing secondary claims
• Following up on overdue accounts and collecting unpaid balances
• Handling denied claims and preparing appeals
• Producing clear statements for patients

Specialties Served

Besides general dentistry, Prospa Billing has billers experienced in pediatric dentistry, orthodontics, endodontics, periodontics and oral and maxillofacial surgery (OMS). Oral surgery is a particular focus. Surgical procedures often have to be billed to medical insurers as well as dental ones, so the team includes a specialist in dental-medical cross coding and a senior client success manager who works only with OMS accounts. Practices thinking about signing up can ask for a free billing audit that estimates how much revenue they may be losing.

How They Work With Practices

The company says it works alongside each client's front office rather than simply taking the work away. Its billing specialists are based in the US and work remotely. Its staff have experience with many practice management systems, including both older installed software and cloud-based tools. An operations manager sets up workflows and helps new offices get started, and client success managers handle day-to-day contact. The firm says it follows American Dental Association guidance to keep its billing accurate and compliant. Its office is open weekdays during regular business hours, Eastern time.

Background and Team

Prospa Billing was founded by a group of medical professionals, who still own it. Chief executive Manny Sidhu has about ten years of experience selling services to the healthcare industry, and the company says it has managed billing for more than one hundred clients. Many staff members have long careers in dental offices. One specialist has twenty-seven years in the field, twenty-two of them in oral surgery. Others have worked as office managers, financial coordinators, billing managers, and supervisors of collections and billing teams. At least one manager holds certifications in dental coding and billing. Prospa is the best fit for dental and oral surgery practices that want billers who know both dental and medical insurance rules. It is not a general billing service for physicians.