Medical Billing Companies & Consultants in Wyckoff, NJ

PremierProBilling LLC is a medical billing company based in Wyckoff, New Jersey, in Bergen County. It takes on the revenue cycle work for medical practices that would rather not run billing themselves. The firm says it has more than a decade of experience and is accredited by the Better Business Bureau. It mainly serves physicians and outpatient clinics that want to send out claims faster, get paid sooner and spend less on administrative staff. Clients can outsource their whole billing operation to the firm or hire it for specific tasks such as credentialing and payer contracting.

Core Billing and Revenue Cycle Services

Billing work starts with careful data entry. Before any claim goes out, the team checks patient demographics, coordination of benefits, insurance status, ICD-10 and CPT codes, modifiers, physician notes and authorizations. Charges are entered and claims are filed electronically or on paper, usually within a day of receiving the billing information. Staff then check claim status every day so that problems are caught early.

• Checking insurance eligibility and benefits, including referrals, network status and patient cost-sharing
• Getting prior authorizations for planned treatments and CPT codes
• Coding claims, scrubbing them for errors and reviewing them before submission
• Filing claims electronically and tracking them daily
• Fixing, resubmitting and appealing rejected or denied claims
• Sending patient statements and following up on unpaid patient balances
• Working accounts receivable, with weekly reports that track every claim

Credentialing and Payer Contracting

The company also helps providers join insurance networks. Its credentialing service handles the paperwork physicians and clinics need before payers will reimburse them, so practices can start seeing insured patients sooner. Its contracting service guides providers through network rules and helps them secure agreements with health plans so they can be paid as in-network providers. New practices and growing practices that need to enroll with payers quickly may find this especially useful.

Specialties Served

Much of the firm's billing work is for therapy and musculoskeletal practices. The specialties it lists include:

• Chiropractic
• Acupuncture
• Pain management
• Physical therapy
• Occupational therapy
• Orthopedics

Approach and Distinguishing Points

PremierProBilling emphasizes close, long-term relationships with clients and works directly with each practice's own staff. It says its goals are to collect everything a practice is owed, prevent avoidable coding and billing errors, and free providers from dealing with insurers. The firm states that clients should see higher revenue within four to six weeks of handing over their account. It also highlights lower labor and overhead costs, knowledge of individual payer policies, and regular reports that keep practice owners informed. Its office is open on weekdays and Saturday mornings. Specials are offered for new clients and for credentialing and contracting work, so practices comparing billing vendors in northern New Jersey should ask about them.