Medical Billing Companies & Consultants in Jackson, NJ

Overview

ElectroBills is a medical billing firm based in Jackson, New Jersey. Since 2002 it has handled claims and revenue cycle work for healthcare and health and human services organizations. A group of billing specialists started the company, and two of its founders still run it: Mark Sax as President and Mordechai Golovenzitz as CFO. The firm says it has more than 40 billing professionals. Its leaders take part in daily operations and oversee accounts themselves instead of leaving client relationships entirely to junior staff.

The company acts as an outsourced billing partner for providers who would rather spend their time on care than on chasing reimbursement. Its work covers the full claims cycle. It prepares and submits claims, checks patient eligibility, follows up on unpaid or rejected items, and researches and resubmits problem claims. It also works down aged accounts receivable. Agencies that need it can also have ElectroBills track prior authorizations and handle provider credentialing. Clients get reports they can customize to break out data by payer or provider, track outstanding balances and spot denial patterns.

Specialties and Industries Served

ElectroBills focuses on sectors with especially complex billing rules, particularly programs funded by Medicaid and Medicare. Its stated areas of focus include:

• Autism therapy and ABA programs, supported by a dedicated Director of ABA Services
• Home health and home care agencies
• Hospital inpatient and partial care programs
• Medicaid waivers, including NHTD and TBI
• Adult and pediatric medical and social day care
• Physician practices, from small to large
• Psychotherapy and mental health providers
• Rehabilitation, including physical, speech and occupational therapy
• Substance use treatment providers and facilities

For care delivered at home, the firm separates skilled home health services paid by Medicare from personal care paid by Medicaid, and says it bills for both. That includes agencies managing several waivers, managed care organizations and Medicare Advantage plans at once.

How Engagements Work

Onboarding happens in three stages. First comes a kickoff call, where the team reviews the client's current workflow, looks for bottlenecks and repeated errors, and drafts an implementation plan. Next, ElectroBills either gets access to the client's own system or moves the client onto its billing technology. It then reviews past claims to find what is causing denials, delays and old receivables. Finally, billing starts with those fixes already in place. Buyers should note that providers do not have to switch their current EHR, EMR or billing software, because the firm can work inside whatever platform a practice already uses.

What Sets Them Apart

ElectroBills compares itself with larger billing operations that offer one standard package. It stresses individual service, assigned account managers, and principals who will visit client sites to fix problems in person. Before claims go out, staff apply rules specific to each payer and run quality checks to cut down on rejections. The company publishes its own figures of a 99% net collection rate, a denial rate under 2% and 99% client retention. It also calls itself a high-volume claims submitter with long-standing ties to payers and regulators, and it emphasizes secure handling of patient data and keeping up with current payer and regulatory requirements.

Skylark Medical Billing & Collections is a revenue cycle company headquartered in Jackson, New Jersey. It takes on the financial and administrative side of running a healthcare practice, including billing and collections work. The firm operates out of Ocean County and considers a group of surrounding Central Jersey communities its local territory. Those communities include Lakewood and Jackson, along with Old Bridge, Marlboro, Manalapan, Freehold, Howell, Brick, Beachwood, Toms River and Point Pleasant. The company also says it serves providers in other parts of the United States.

Specialties and background

According to the company, it has spent over eight years in the integrated medicine field. Its strongest experience is with chiropractic, physical therapy, occupational therapy, acupuncture and medical pain management. That focus makes Skylark a natural fit for rehabilitation-focused and multidisciplinary offices that bill for a combination of these disciplines. The firm characterizes its team as experienced and easy to approach. It treats prompt turnaround, individual attention and fair pricing as central to the way it does business.

Services offered

The company's work is built on four main offerings, backed by a broader range of supporting revenue cycle functions:

• Medical billing, which involves managing a practice's charges and the money coming in
• Collections from insurers and patients, with monthly statements and installment options
• Prior authorizations, plus guidance on what each payer requires before care is approved
• Credentialing, enrollment with payers and negotiating contracts with insurance networks
• Confirming that a patient's insurance coverage is active and applicable
• Translating services into the correct codes and making sure every billable item is recorded
• Sending claims to payers through widely used industry software
• Registering patients, booking appointments and reviewing payments
• Assistance with maintaining medical records

For collections, Skylark follows up on past-due accounts and works with patients through reminders and payment arrangements spread over time. On the credentialing front, the company cautions that approval into an insurance network may take up to 120 days, even when every form is completed correctly. It presents itself as a resource that helps practices navigate that enrollment timeline.

How it works with clients

Skylark says it avoids a one-size-fits-all approach. Instead, it designs a revenue cycle strategy tailored to each individual practice. Staff collaborate directly with providers to ensure that money owed for services is collected. They also identify opportunities for the practice to increase its income. Onboarding starts when a prospective client fills out a registration form. The team then reviews that information and reaches out to discuss what the practice needs from its billing. Offices interested in an independent look at their existing billing can ask for a complimentary assessment before signing on.

In addition, the firm cites connections with a network of partners across the healthcare industry. It says these relationships give clients access to up-to-date expertise, tools and technology for billing and collections. For practices near Lakewood, Skylark offers a nearby choice that is especially well matched to chiropractic, therapy, acupuncture and pain management offices. It suits practices that want a single provider to manage billing, collections, authorizations and credentialing together.