Medical Billing Companies & Consultants in Avenel, NJ

Quest Medical Billing Services, which also goes by Quest MBS, is a revenue cycle firm based in Avenel, a community in Woodbridge Township in central New Jersey. It works for healthcare providers that would rather hand off the administrative side of getting paid. Its clients range from solo physicians and small offices to multi-specialty groups, newly opened practices, community clinics and health systems, academic and training practices, and in-house billing teams looking for outside help.

Core billing and revenue cycle work

The firm's main offering is outsourced billing that runs from before a patient visit until the account is closed. Its published service catalog includes:

• Full-service medical and physician billing, plus end-to-end revenue cycle management
• Checking insurance eligibility and benefits ahead of appointments
• Coding support and preparing and submitting claims
• Working denied claims, filing appeals and following up on aging receivables
• Posting payments and reconciling remittances
• Patient statements and support with prior authorizations

Operations, enrollment and practice support

Quest MBS also takes on administrative work beyond claims. It handles provider credentialing and payer enrollment, reviews billing performance through audits and revenue cycle benchmarking, and helps front-desk staff with billing tasks. It also coordinates transcription and indexes medical documents. For larger organizations it offers hospital RCM consulting. Practices that are opening or switching vendors can get help with setup and transition. Others can add staff through augmentation or move their whole billing function to the firm under a managed operations arrangement.

Technology and specialty coverage

Quest MBS works within the systems its clients already use, including EHRs, practice management platforms, billing software and patient portals. Its site covers telehealth billing, chronic care management, remote patient monitoring, interoperability and reporting. It also discusses automated claim editing, robotic process automation and AI-assisted coding tools. The firm lists a wide range of specialties. These include primary care and pediatrics, behavioral health and the therapy fields (physical, occupational and speech), and medical specialties such as cardiology, neurology, gastroenterology, dermatology and oncology. Procedural areas include general surgery, orthopedics, radiology, anesthesiology and ambulatory surgery centers. Smaller fields such as audiology, chiropractic and sleep medicine are also covered.

Background and approach

Ghosia Iqbal leads the company as Managing Director and Chief Executive Officer. Quest MBS markets itself as a New Jersey billing partner and stresses getting claims right on the first submission so that practices make fewer errors and get paid sooner. Its website also has a resource library with billing guides, CPT and ICD-10 references, MIPS quality reporting material, case studies and webinars. Topics include common causes of denials, the difference between credentialing and enrollment, and how to read a remittance. For buyers comparing vendors, the main appeal is the range of services in one place. A practice can outsource its entire revenue cycle to Quest MBS or pick specific pieces, such as credentialing, A/R recovery or an audit.