Medical Billing Companies & Consultants in Clifton, NJ

All Claims Paid Medical Billing is a New Jersey corporation that handles outsourced billing work for healthcare providers across the country. The company says it has been in medical billing for more than 15 years, and it takes on practices of very different sizes, from a single doctor working alone to multispecialty physician groups and outpatient facilities. Its pitch to buyers is about money and staff time: steadier cash flow, lower administrative costs, and front-office employees who can spend more of their day with patients instead of on paperwork.

How the Service Works

The model is a full back-office service. A practice sends its paperwork to the company, and the billing team keys in new patient records, demographic updates, charges, and payment postings on an overnight cycle. Clients can check the results online the following morning. Every entry is then proofread a second time against the source documents, a quality step the firm notes that many in-house offices lack the staff to do.

Before anything goes out, claims are run through validation routines that the company describes as matching the edits payers apply. Errors the billing staff can correct are fixed on the spot. Anything that needs information from the practice is flagged in the client portal so the office knows what to supply. The aim is to cut down on payer rejections caused by avoidable coding or data problems.

Core Services

• Overnight entry of demographics, charges, and payments, with full proofreading
• Claim scrubbing, plus electronic claim submission, typically in 24 to 36 hours
• Tracking of transmission reports and handling of electronic rejections
• Follow-up within 30 days on claims that payers have not acknowledged
• Review of accounts aged 60 days or more, and appeals of denied claims
• Printing and mailing of paper primary claims, secondary and tertiary claims, and patient statements
• A patient billing line that the company staffs on the practice's behalf

Secondary claims and patient statements go out as soon as the primary payer's payment has been posted. If a balance stays unpaid despite that work, the team either fixes the underlying problem or moves the account to an uncollectible section of the portal so the practice can decide what to do next. Patient statements carry the company's own number, which means billing questions from patients come to the firm and not to the practice.

What Sets It Apart

The feature the company stresses most is document digitization. It scans all the paper a practice sends, including intake forms, superbills, hospital face sheets, and explanation-of-benefits statements, and attaches each image to the matching billing or payment record. A user looking at a posted payment can open the EOB behind it, and a charge line links back to its superbill. Clients also get round-the-clock web access to their account activity and can run common practice management reports from any internet-connected computer. The company also promotes sign-up for an electronic health record system through its site. Its mailing address is in Emerson, New Jersey, while directory listings place its office in Clifton, and it serves medical practices nationwide.

Smart Choice Medical Billing Services LLC is a revenue cycle firm in Clifton, New Jersey, a short drive from Paterson. It works mainly with private physician practices, from offices with one provider to larger groups. The firm takes over the paperwork involved in getting claims paid, which leaves clinicians more time for patients. It also handles federal arbitration cases for out-of-network providers under the No Surprises Act. Many general billing vendors do not offer that kind of arbitration work.

Services

The firm covers the whole claims cycle, from first entry through final collection. The services it lists include:

• Claims entry every business day
• Sending claims electronically or on paper
• Correcting and resubmitting rejected claims
• Follow-up, appeals and negotiation with payers
• Billing for commercial insurers, government programs and self-pay accounts
• Posting payments and adjustments
• Denial management and claim tracking
• Patient statements with up to three past-due reminders, plus answers to patient billing questions
• Recovering receivables and managing collections
• Custom reports sent weekly or monthly
• Arbitration filings for non-participating providers

Specialties

Smart Choice says it has worked in a wide range of clinical fields. These include obstetrics and gynecology, internal medicine, hematology and oncology, pulmonology, chiropractic, plastic surgery, pediatrics, podiatry, orthopedics and sports medicine, and colorectal care. The company says it will also take on practices in specialties not on that list.

How engagements work

A new client starts with a free consultation. The team reviews the practice's concerns and goals and gives advice on improving profitability. Practices can send demographics and superbills by fax or email, or have documents picked up or dropped off. If a client already keeps electronic records, the billers check and adjust each entered claim before it goes out to make sure it is billed correctly. Insurers usually pay the provider directly, mostly with electronic remittance advice. When paper explanations of benefits arrive, the firm needs copies so it can post payments, adjustments and patient balances. It also needs receipts or check copies for co-pays and self-pay amounts collected at the office. Smart Choice can work in a client's existing web- or server-based system, as long as that system supports functions such as ERAs and reporting. It can also run the billing on its own management software.

Background and credentials

Owner Fred Yarazavi leads the company. He has more than ten years of experience in healthcare as a billing manager and claims specialist. His team includes billers, coders and accounts receivable specialists, and each client gets a dedicated account manager. Smart Choice says it is certified by New Jersey's state banking and insurance regulator. The firm stresses regular status updates and open communication with clients. It uses analytical tools to spot trends in practice performance and works only on revenue cycle management.