Medical Billing Companies & Consultants in Union, NJ

Located in Union, New Jersey, Berkshire Medical Technologies provides practice management support to doctors and healthcare offices throughout Connecticut, New Jersey and New York. The company says it has been assisting physicians across the tri-state region since 1996. Its stated mission is to relieve care providers of paperwork and data-entry chores, freeing them to devote more attention to the people they treat. To accomplish this, it brings together outsourced billing, revenue cycle oversight, electronic health record assistance and programs designed to keep patients loyal.

Billing and Revenue Cycle Services

Comprehensive medical billing forms the backbone of what Berkshire does. The firm holds that full reimbursement begins the moment a patient first calls the office, well before any claim is filed. Its staff assigns codes, then assembles and transmits both primary and secondary claims to government payers and private insurance carriers. The team also pursues denials in order to reduce the number of rejected submissions. On the revenue cycle side, Berkshire relies on certified coders, seasoned billing personnel, analysts and specialists who audit claims. Together they monitor every claim from its initial filing, through the clearinghouse, and through any resubmission to the insurer. The company additionally claims skill in disputing rejected claims while they are under adjudication. Its principal offerings are:

• Coding of medical services, including ICD-10
• Filing of primary and secondary claims
• Handling and appeal of denials
• Review and analysis of claims
• Oversight of the revenue cycle
• Assistance, instruction and charge-capture optimization for e-MDs
• Programs for patient relationships and retention

e-MDs Expertise

A particular specialty for Berkshire is serving offices that run the e-MDs software suite. The firm works with these practices to strengthen their charge capture, cutting down on delayed and erroneous claims. With fewer rejections, practices carry less bad debt and receive payment sooner, improving their accounts receivable position. Berkshire employs a training manager devoted specifically to e-MDs users, and the company's president personally supervises e-MDs support. As a result, the firm is well suited to e-MDs offices seeking a single vendor for both billing and software assistance.

Patient Engagement

Beyond billing, Berkshire supplies customer relationship management services for healthcare offices. These include straightforward loyalty gestures, such as sending patients birthday wishes, as well as booking yearly and semiannual exams and follow-up appointments to encourage return visits.

Clients, Team and Approach

Most of the client endorsements published by the company come from New Jersey offices, among them OB/GYN, internal medicine and family practices as well as groups with multiple locations; a Pennsylvania pediatrics office is also represented. These clients say Berkshire helped them navigate relationships with dozens of insurance carriers, pursue denial appeals systematically and align their fee schedules with actual payer reimbursement, which lowered underpayments. A pediatric client noted that the firm helped families grasp their financial responsibility under high-deductible plans, enabling the office to collect more during visits. President Owen Carey heads the staff, which also includes a billing manager in charge of advanced billing instruction, a lead billing associate, a training manager and a number of billing associates. Organizations looking for a compact regional partner familiar with area insurers and with e-MDs may find Berkshire an appropriate choice.