Medical Billing Companies & Consultants in Valhalla, NY

Xpert Billing Services Inc is a medical billing firm based in Valhalla, in Westchester County, New York. It works with healthcare practices in Westchester, Dutchess, Rockland and Nassau counties and New York City, and it also takes clients in other states. The company says it has more than 28 years in the business. In 2023 it took its current name after an acquisition of Medex Billing Associates. The staff and client accounts stayed the same through that change. The firm reports handling more than 90,000 claims each year.

Revenue Cycle and Billing Services

The firm can run a practice's whole revenue cycle, so providers can spend less time on paperwork and more on patients. Its core work covers:

• Claims processing, with claims checked for errors before they go out, sent electronically or on paper, and submitted to all major payers
• Full revenue cycle management, from checking insurance eligibility and getting pre-authorizations through to payment posting
• Handling denied claims, filing appeals and following up on unpaid accounts receivable
• Patient statements that are easy to read, with benefit checks and flexible ways to pay
• Financial reports that track days in A/R, net collection rate, denial trends and their causes, and how profitable the practice is

Credentialing and Payer Enrollment

Credentialing is a newer, separate service. The firm helps new practices and newly hired providers get set up, keeps CAQH profiles up to date, and enrolls providers with many insurance carriers. It handles the full credentialing process for both new and established practices, so clients can get billing and enrollment from one vendor.

Specialties Served

The company trains its billing teams for each medical field it serves, since each one has its own coding and payment rules. It currently works with dermatology, cardiology, psychiatry, psychology, primary care and ophthalmology practices. It recently added dedicated programs for physical therapy and rehab, and for behavioral health, including substance use disorder treatment. The firm describes both of these fields as especially complex to bill.

How It Works With Clients

Practices that already have billing software do not need to switch systems. The firm's billers log into the client's current EHR, practice management system and clearinghouse, so records stay where they are and office staff keep their usual routine. Practices without a system can use the firm's own platform. Every account gets one dedicated biller based in the United States, and nearby practices can meet with the team in person. The company says it does not use offshore call centers. It sends claims within 24 to 48 hours of receiving documentation and reports a high clean-claim rate. Its processes include HIPAA safeguards such as access controls, audit trails and encryption.

Fees are a percentage of what the practice collects, so the firm earns more only when its clients do. It does not require long-term contracts. New clients can try the full service, including claims, coding, denial work and reporting, through a 30-day trial at no cost.