Medical Billing Companies & Consultants in Woodbridge, NJ

Transcure is a medical billing and revenue cycle management firm that has worked with healthcare providers since 2002. Its clients range from single-physician offices and ambulatory clinics to multi-provider groups and hospitals, and it adjusts the scope of each engagement to the size of the organization. The company names two head offices, one in Woodbridge, New Jersey and one in the Dallas, Texas area. Its published locations include an office on Amboy Avenue in Woodbridge, a site in Farmers Branch, Texas and an address in Oviedo, Florida. According to the company, its staff includes over 1,100 certified coding and billing professionals.

Services

Transcure can take over the full billing cycle or handle selected parts of it. Its core offerings include:

• Insurance eligibility and benefits checks before visits
• CPT, ICD-10 and HCPCS coding by AAPC-certified coders
• Claim preparation, scrubbing and electronic filing
• Denial handling, appeals and accounts receivable follow-up
• Posting of payer and patient payments with reconciliation
• Billing audits that look back over 90 days of claims
• Provider credentialing, covering CAQH profiles, PECOS and enrollment with payers
• MIPS reporting and consulting, plus laboratory billing

The company also offers medical website design and custom healthcare software development as add-on services.

Technology and AI agents

One feature that sets Transcure apart is a group of seven in-house AI agents, each built for one stage of the revenue cycle. ELIXA verifies coverage and PRIA handles prior authorizations. CODIN reads clinical notes to suggest codes and checks them for NCCI and MUE edits, and CLAIR scrubs claims against payer rules. DEXA sorts denials and drafts appeals, ARIA ranks open receivables by how likely they are to be collected, and REMITA matches ERAs and EOBs to expected payments before posting them. The firm also uses robotic process automation and gives clients a live reporting tool, the Master Command Dashboard, which tracks first-pass rates, days in A/R, denial patterns and collections.

How engagements work

Transcure's billers work inside the client's existing EHR, so practices do not have to switch systems. Supported platforms include Epic, athenahealth, eClinicalWorks, NextGen, AdvancedMD, Tebra, CareCloud, Cerner and Practice Fusion. Onboarding starts with an assessment call and a questionnaire about specialty, software and providers. This is followed by a kickoff meeting to arrange system access, written workflow procedures, a go-live date and then regular performance reports. Each client is assigned a dedicated account manager. Fees are a percentage of collections, and the company says it charges no setup fees.

Specialties and credentials

The firm says it bills for over 40 specialties. These include pain management, orthopedics, nephrology, neurology, oncology, cardiology, gastroenterology, podiatry, pediatrics, OB/GYN, psychiatry, primary care, dental and ambulatory surgery centers. Its coders also account for state-level payer rules in markets such as New York, Florida, Texas, California and Pennsylvania. Transcure reports that it is HIPAA compliant and ISO 27001 certified, and that it is working toward AICPA SOC 2. Case studies on its site describe work for a Nevada pain care group, an Idaho kidney practice and a psychiatry practice that adopted the firm's automation tools.