Medical Billing Companies & Consultants in Jersey City, NJ
There are 4 medical billing companies listed in Jersey City, New Jersey. Each listing shows the firm's background, address, phone number and website so you can compare your local options before you reach out. You can also browse medical billing companies across New Jersey or see medical billing companies nationwide.
Amromed LLC
Based in Jersey City, New Jersey, Amromed LLC manages the financial side of healthcare operations for its clients. Its work centers on making sure providers get paid, and therapy practices are its primary audience. Applied behavior analysis (ABA) billing sits at the heart of the business, though the firm also handles broader medical billing for physician groups, clinics, hospitals and healthcare-sector investors nationwide. Peter Browne founded the firm and serves as its chief executive. His goal in launching it was to relieve therapy practices of paperwork and give them steadier cash flow.
Billing and Collections Offerings
Clients may outsource every step, from confirming a patient's insurance to closing out the last balance, or they may choose a single piece of that process. The firm's advertised offerings cover:
- Confirming a patient's plan ahead of appointments, including whether particular procedures are covered and how much the patient will owe personally
- Scrubbing claims prior to filing and promptly correcting any that payers send back
- Recording electronic remittance advice (ERA) and manually entered payments, then matching those entries to EFT transfers and deposited paper checks
- Spotting claims that payers settled for less than the correct amount and pursuing the balance owed
- Working payer denials and pinpointing their root causes so the same errors are not repeated
- Pursuing outstanding receivables on a monthly cycle, guided by aging data
- Issuing bills to patients one or two times per month through postal mail or electronic delivery
- Completing credentialing and insurer enrollment for newly added clinicians
- Coding for both facility and professional claims, temporary management, and supplemental back-office staffing
Proprietary Platforms
Beyond services, the firm markets software it built in-house. TherapyPM serves as its practice management platform, and the portfolio also includes CredNgo, Biller Log and AbaDATA. According to Amromed, its staff can operate within any billing platform a client has already adopted. Biller Log and CredNgo act as a bridge between the firm's internal workflows and client systems, allowing onboarding to move fast. Reporting utilities developed internally convert operational figures into key performance indicator summaries for each account. Other listed offerings include website creation, app development, QuickBooks-based bookkeeping and business process outsourcing.
Client Service Model and Areas of Expertise
Every account is assigned a single point of contact. Clients receive summaries of billing activity, deposits and receivables percentages on a weekly or monthly schedule, and tailored reports are available on request. The firm states that it replies to correspondence from insurers within a day or two. Fees are tied to collection results, with rates adjusted for each practice's size and field. Apart from ABA and other therapy services, Amromed reports that its billing staff and credentialed coders support a wide range of physician fields. Among them are bone and joint care, anesthesia services, women's health and childbirth, oral health practices, care delivered in hospital ERs, urinary tract medicine, and cosmetic and reconstructive procedures.
Company History
Amromed traces its roots to 2012, when it began by taking on billing duties for physicians. Its corporate history also identifies 2020 as the year the limited liability company was established. The firm presents itself as a HIPAA business associate. It reports that 98 percent of its claims are accepted on first submission and that its coding is 97 percent accurate. For organizations evaluating vendors, its chief appeal is the combination of outsourced billing and in-house, therapy-oriented software available from one source.
Ste 13
Jersey City, NJ 07310
Caduceus, Inc. (CaduceusHealth)
Caduceus, Inc., which does business as CaduceusHealth, is a revenue cycle management firm based in Jersey City, New Jersey. It handles the business side of medical practice for physician groups and large healthcare networks. The company was founded in the late 1990s and has spent close to three decades working on provider billing, claims and denial resolution. That makes it one of the more established outsourced billing firms in the New York and northern New Jersey area.
Who they serve
Most of its clients are large, multi-provider organizations such as hospital-affiliated physician networks and ambulatory care groups, not individual solo practices. The company has reported a team of more than 300 people working across 26 states. It has also reported supporting roughly 4,000 to 4,200 providers in about 400 medical practices. It works across many medical specialties and with the major electronic health record systems.
Services
CaduceusHealth offers a full outsourced revenue cycle program, and clients can also use parts of it on their own. Its main service areas include:
- End-to-end revenue cycle management and medical billing
- Professional coding services
- Claims processing and follow-up on accounts receivable
- Denial management, appeals and denial reporting
- Automated charge entry
- Analytics and business intelligence reporting
- Management services organization (MSO) support
- Clinical operations support for healthcare networks
How they work with clients
Much of the company's work runs on the athenahealth platform, and the two companies are formal partners. Through this partnership, client organizations can move both their records system and their revenue cycle to one setup without buying extra hardware. CaduceusHealth staff work with practices during onboarding and afterwards, and client leaders get near real-time visibility into financial results. The company is also known for its reporting. It turns billing data into dashboards that network executives can use to spot problems and track performance. Practices that already use athenahealth, or are thinking of switching, may find the company's experience with that system especially useful.
Background and locations
The company's headquarters are in downtown Jersey City, and it has a second office in Easton, Pennsylvania. Its founder, Jim Bonomo, led the business for most of its history. Over the years it built detailed knowledge of how individual payers respond to particular codes and changing authorization rules. In 2026 the healthcare AI company Innovaccer bought CaduceusHealth's assets to combine its billing operations with an AI-driven operations platform. Buyers comparing billing partners should note that the company is now part of a larger technology group. It offers long experience with large physician networks, a close tie to athenahealth, and a focus on data and reporting.
Suite 720
Jersey City, NJ 07302
Konnext Solutions
Konnext Solutions is a healthcare administration firm based in Jersey City, New Jersey, that supports medical practices and facilities across the United States with billing, revenue cycle work and payer credentialing. Its clients range from clinicians preparing to open a new office to established groups adding providers or trying to tighten cash flow, and the company positions itself as a single operational partner that links enrollment, claims and growth support rather than splitting each piece among different vendors.
Billing and revenue cycle services
On the revenue side, practices can engage Konnext for one narrow task or for broader ownership of the cycle from patient intake through final payment. Published offerings include:
- Medical billing and medical coding
- Claim scrubbing and electronic submission
- Eligibility and benefits checks before visits
- Prior authorization coordination
- Denial handling and recovery of aging insurance receivables
- Posting and reconciling payments
- Revenue leakage reviews and RCM audits
Its prior authorization team tracks payer rules, supporting documents, submissions and follow-up, then passes approved visit counts, units and date ranges to scheduling and billing staff, with one named contact for open items. The firm notes that the practice keeps clinical judgment and documentation responsibility and that an approval is not a promise of payment. Konnext reports a 99% clean claim rate.
Credentialing and practice support
Credentialing is a second core line. The company handles individual and group enrollment, Medicare and Medicaid applications, commercial payer participation, CAQH and PECOS upkeep, revalidation, contracting, and the cleanup of stalled or incomplete applications. It states that its staff have submitted more than 5,000 credentialing applications and bring over a decade of combined experience. For new or expanding offices, Konnext also offers start-up planning, EHR/EMR selection and implementation help, practice assessments, website and digital marketing work, lead generation, and healthcare-trained virtual assistants. These assistants can take on eligibility queues, authorization follow-up, referral tracking, non-clinical calls and billing administration under supervision and defined access limits, on either a dedicated or shared basis.
Specialties served
The firm lists a wide specialty range, with behavioral and mental health highlighted. Other areas include primary care, internal medicine, pediatrics, cardiology, OB/GYN, orthopedics, neurology, gastroenterology, chiropractic, urgent care, physical, speech and occupational therapy, ABA therapy and substance use treatment. On the facility side it supports acute and inpatient care hospitals, ambulatory surgery centers, skilled nursing, home health agencies, medical transportation providers and multi-specialty groups.
How engagements work
Engagements start with a discovery call in which duties, systems, dependencies, fees and timing are agreed before onboarding, so clients are not pushed into a fixed bundle. Konnext describes its model as people-led and supported by technology, with regular status reporting and one accountable contact. It signs BAAs with clients and relevant vendors whenever the agreed scope involves protected health information, and it follows HIPAA-aligned processes. The company also publishes buyer resources, including a billing cost calculator, a credentialing checklist, case studies and a vendor-neutral guide to roughly two dozen EHR platforms and clearinghouses that accepts no paid rankings.
Jersey City, NJ 07306
MD Revenue Group, LLC
MD Revenue Group, LLC, based in Jersey City, operates as an outsourced financial back office for medical organizations that prefer not to manage claims, payment pursuit and insurer paperwork with their own employees. Its customer base spans independent doctors and small group practices as well as hospitals, urgent care and emergency facilities, labs, home health providers and companies offering non-emergency patient transport. According to the firm, more than 200 practices rely on its services.
Services
The company covers the entire financial path of a patient encounter, from initial sign-in through final payment matching. Its core lines of work include:
- Third-party claims processing, which includes capturing patient demographics, verifying insurance benefits, recording charges and sending claims to payers
- Full revenue cycle oversight, with remittance posting and the preparation of bills sent to patients
- Code assignment in CPT, ICD-10 and HCPCS by team members holding CPC and CCS-P credentials
- Root-cause analysis of rejected claims, formal appeals, and pursuit of unpaid balances more than 30 days past submission
- Collection of aged accounts, underpayments that conflict with contract terms, and rejections that were previously left unchallenged
- Credentialing of clinicians, enrollment with insurers, monitoring of renewal deadlines and maintenance of CAQH profiles
- Claims reviews examining roughly three months of submissions to evaluate code accuracy, rejection patterns and slow reimbursement
- Virtual assistants who manage appointments, patient onboarding, coverage verification and similar administrative duties, along with online marketing tailored to medical offices
How They Work With Clients
Every engagement opens with a diagnostic phase. Staff catalog the insurers and clinical fields a practice deals with, then measure a sample of recent claims against benchmarks to pinpoint lost income. After that, coding specialists verify each patient's benefits and apply the proper codes. Before submission, every claim is screened against the particular requirements of the insurer receiving it. Claims that come back denied or short-paid are pursued through a documented appeal process. Practice owners can view money received, amounts outstanding and aging accounts whenever they like through an easy-to-read online dashboard. The firm operates within whatever EHR a practice already uses, sparing employees a software migration, and it does not lock customers into lengthy agreements.
Specialties and Coverage
MD Revenue Group reports handling claims for upward of 50 clinical fields. These include heart care, skin care, bone and joint medicine, digestive medicine, children's health, outpatient surgical centers, primary care for families and adults, behavioral health and general surgery; one testimonial posted by the company was written by a chiropractic practice. Because Medicaid programs and Medicare administrative contractors vary by location, the firm builds distinct processes for each state it serves. Beyond its home state, it lists Massachusetts, Texas, Pennsylvania, California, New York and Florida among its markets. Its payer work extends to private insurance companies in addition to the two federal programs.
Background and Differentiators
The business was launched in 2023 by Faisal and Salwa, who had previously devoted over a decade to assisting doctors dissatisfied with the billing companies they had hired. The firm points to 13 years of collective revenue cycle expertise among its personnel, notes that its team is spread across multiple countries, and emphasizes adherence to HIPAA and the use of coders certified through the AAPC. Its value proposition centers on transparent reporting and a shared-success arrangement in which its compensation is tied to the amounts its customers actually bring in. The company also sponsors an initiative giving independent offices facing money troubles no-cost assessments of their income streams along with business-skills training. Self-reported results include first-pass acceptance on 98 percent of claims, rejection rates below 5 percent once its review is applied, and a customer retention rate of 99 percent. On Yelp, where its score stands at a perfect 5.0, reviewers highlight the team's practical approach to resolving issues and its straightforward communication.
Jersey City, NJ 07306