Medical Billing Companies & Consultants in Paramus, NJ

Headquartered in Paramus, New Jersey, Alliance Medibilling, LLC manages claims and the broader revenue cycle for a varied roster of healthcare clients. These include independent doctors, multi-provider practices, hospital administrators, pharmacies, durable medical equipment suppliers, independent diagnostic testing facilities, and ambulatory surgical centers. Organizations may outsource their entire billing and collections function to the firm, or they may engage it for a single task such as credentialing or coding.

Core Services

According to Alliance Medibilling, its central aim is to increase provider income through careful claims handling. The firm files electronic claims with Medicare and the large medical plans, and it pursues reimbursement from Medicaid, Blue Cross/Blue Shield, commercial carriers, workers' compensation programs, no-fault and personal injury insurers, and self-paying patients. Its offerings cover:

• Claim filing, both electronic and on paper, along with payment posting
• Code assignment performed by Certified Professional Coders
• Collections handled by a licensed agency in line with HIPAA rules
• Aging reports tracking outstanding insurer and patient balances
• Credentialing services for physicians, pharmacies, and facilities
• Retrospective and prospective chart audits and reviews
• Practice management consulting and compliance assessments
• Verification of insurance eligibility and securing prior authorizations
• Appeals work, PIP arbitration, and establishment of UCR fee schedules
• Contract negotiation and renegotiation with payers

Specialties Served

Alliance Medibilling reports billing experience across a broad mix of clinical fields. On the surgical side, it supports orthopedic, colon and rectal, and plastic and cosmetic procedures. Its medical-practice clients include internists, gastroenterologists, neurologists, rheumatologists, and dermatologists. The firm also works with anesthesia providers, practices treating chronic pain, imaging and radiology groups, foot and ankle (podiatric) offices, sleep study centers, chiropractors and physical therapists, and providers delivering care through virtual visits. Beyond these areas, the company provides instruction in niche billing topics such as durable medical equipment, home infusion, compound and intrathecal billing, and hormone replacement therapy.

How It Works With Clients

Every client is paired with a dedicated account manager, or with a small team when the account is large, so office staff reach familiar contacts who already understand their files. Firm representatives also visit each client once a month to assist personnel in person. Remote service is available too, and the company is compatible with a number of practice management and pharmacy platforms, among them Medisoft, CureMD, eClinicalWorks, Practice Fusion, AllMeds, EZClaims, QS1, and PioneerRx. Prospective clients may request a complimentary audit that identifies gaps in their existing billing before committing to an engagement.

Quality Controls and Credentials

Several safeguards are built into the firm's operations. Each of its coders carries the Certified Professional Coder designation, and all staff members are required to complete continuing education. The company states that, every quarter, two outside auditing firms examine a random selection of its work and provide feedback on areas for improvement. In a client testimonial, an anesthesia group credited Alliance with securing its credentialing in the Blue Cross network and negotiating its fee schedule, adding that its patient numbers grew by roughly 50 percent as a result.

The company additionally operates an educational arm. Through webinars, workshops, and conferences, it covers coding, medical and pharmacy billing, auditing, compliance, and practice management, addressing subjects like ICD-10, HCC coding and risk adjustment, and evaluation and management services. Organizations seeking outsourced billing paired with continuing staff education may find this combination particularly practical.

Microwize Technology is a healthcare technology and revenue cycle company based in Paramus, New Jersey. It works with medical practices, ambulatory surgery centers and other provider organizations. It combines outsourced billing with practice management software, electronic health records and managed IT. That lets one vendor handle the financial, software and infrastructure sides of a practice. The company says it has more than 25 years of experience. Its offerings span claims work, compliance programs and staff training.

Billing and Revenue Cycle Services

Microwize offers three ways to engage. A practice can hand over its whole revenue cycle, from insurance checks and charge entry through payment posting, denial work, receivables and reporting. A practice that wants to keep its in-house team can outsource only the tasks that need extra attention. The third option is a dedicated remote billing employee who works inside the client's own systems and procedures, alongside its existing staff. Its billing work includes:

• Insurance eligibility checks and patient pre-registration
• Charge capture from electronic superbills
• ICD-10, CPT and modifier coding by certified coders
• Electronic or paper claim filing on CMS-1500 and UB04 forms
• Remittance review and payment posting
• Denial, rejection and multi-level appeal handling
• A/R analysis, follow-up and recovery of underpayments
• Patient balance collection based on fee schedules

Specialties Served

Beyond general medical billing, the firm has specialty programs for ambulatory surgery centers, family practices, plastic surgery, podiatry, and emergency and non-emergency medical transport. For surgery centers, it assigns billing and coding managers to each account. It uses AAPC-certified coders with surgical coding experience and tracks results with KPI-based quality reporting. It offers a free aging analysis, cleanup of stalled receivables and backlogs, authorization work, and temporary cover when in-house staff are on leave or retiring. Family practices get primary-care coding support and an automated eligibility system meant to cut down on unpaid claims. Physician credentialing and payer enrollment are also available as a separate service.

Software and Technology

Microwize sells and supports well-known practice management and EHR platforms, including MEDISOFT, LYTEC and APRIMA, each available as an on-premises or cloud version. It provides implementation, onsite and online training, on-demand courses and ongoing support for these products. Its Vosita brand includes an AI receptionist tool. Other practice features include patient e-pay, online appointment booking, electronic funds transfer and telemedicine. The company also offers healthcare managed IT, including monitoring, cybersecurity, cloud management, backup and disaster recovery, hardware as a service and VoIP phone systems.

Compliance and Added Programs

Its regulatory services include MACRA reporting, HIPAA compliance support, chronic care management and remote patient monitoring. Buyers comparing billing vendors may want a single partner that can manage claims, run the billing software and help with quality reporting and IT. Microwize stands out for offering all of these, plus flexible staffing models that range from full outsourcing to one embedded remote employee.