Medical Billing Companies & Consultants in Jeannette, PA

DeMonte Medical Billing Solutions LLC is a family-run billing firm based in Jeannette, Pennsylvania, a small community east of Pittsburgh and close to Greensburg. Joanne and John DeMonte have owned and run the company for more than a quarter century, and it now has a team of about 25 people. The firm serves medical practices that would rather outsource their claims, collections and payer enrollment work than keep staff in-house to do it.

Billing and practice management support

The company's main offering is fully outsourced billing combined with back-office administration for provider practices. Its staff don't just handle one step: they manage each claim from before the patient's visit until it is paid. The work usually includes:

• Checking each patient's coverage and benefits before appointments
• Requesting authorizations and tracking their status
• Submitting claims to commercial and government payers of every type
• Recording payments from insurers and from patients
• Following up on denied, delayed or outstanding claims
• Providing detailed reports on account activity
• Reviewing front-office procedures and training practice staff

Credentialing and enrollment

DeMonte also handles provider credentialing for new practices and established groups. Its team sets up and maintains CAQH profiles and enrolls clinicians with insurance plans, including Medicare and the state Medicaid program. It also handles periodic re-credentialing so network participation doesn't lapse, tells payers when a practice location changes, and obtains both Type 1 individual and Type 2 organizational NPI numbers. Practices can get billing and enrollment from a single vendor instead of using separate outside contractors.

How the firm works with practices

DeMonte presents outsourcing mainly as a way to reduce overhead and run the office more smoothly. Clients don't need to buy and maintain their own billing software and hardware. They also avoid the cost of hiring and retraining billing staff when people leave, and they spend less on payroll, taxes, benefits and paid time off for those roles. The company says its coverage doesn't stop when an employee goes on vacation, so claims keep moving all year. It also says it helps with friction between providers and patients over billing, and that handing off this work can improve cash flow.

What sets them apart

For practices in the Greensburg and Westmoreland County area, DeMonte is a local, owner-run alternative to large national billing companies, with both revenue cycle and credentialing support under one roof. The firm says its guiding principles are client satisfaction, integrity and doing more than clients expect. Because the founding owners have run it for so long, practices get continuity in who oversees their accounts. The website doesn't name any medical specialties, so buyers should ask whether the team has worked in their field and with their payer mix before signing an agreement.