Medical Billing Companies & Consultants in Vega Baja, PR

Professional Billing Solution Corp., which calls itself PBSC, is a medical billing company based in Vega Baja, Puerto Rico. Its office is on the Carretera 2 corridor in Barrio Algarrobo. The firm works for healthcare providers that bill health insurance plans.

It handles the billing, the collection of payment and the administrative follow-up that keep money coming in for a medical practice. Practices on the island's north coast that want to hand off their claims work to a local team will find PBSC worth a look.

What the firm does

PBSC's main job is getting claims paid by Puerto Rico's health plans. It says it builds a strategic billing plan for each client that fits the rules and standards of each insurer, so that invoices are paid faster. It also does gestoría, a local term for handling the paperwork and dealings between a provider and its payers. That work goes beyond simply sending out claims. Its job ads for medical billers describe the daily work, which includes:

• Preparing and submitting medical claims to insurance companies
• Checking patient coverage before billing
• Following up so that payments arrive on time
• Settling billing disputes with insurers
• Keeping records of patient accounts and billing activity
• Working with diagnosis coding, including ICD-10

How it works with clients

Being open with clients is central to how PBSC works. The company says it sends regular reports to clients and also gives them online access to their financial data. That way a practice can see how its accounts are doing and how well the billing is working without waiting for an update.

PBSC also tracks the frequent changes in health plan rules and tells clients about them. This helps providers adjust before a rule change cuts into what they get paid.

Team and structure

The company says its team of 28 people is organized into departments that follow the steps of the revenue cycle. Each group looks after one part of the path a claim takes, from the first billing to the final payment. The website has a page about the revenue cycle and a page about its accreditations.

It also links to the AAPC, the national group for medical coding and billing professionals. That link points to coding credentials and training standards, but the firm doesn't name specific certifications on its home page. Its job ads describe PBSC as a small business, and its in-house staff also includes accounting and administrative roles.

What sets it apart

PBSC is a Puerto Rico company that focuses on billing to local health plans, and its website links to the Hecho en Puerto Rico program. The site also has a section of educational resources for people who want to learn more about billing topics. It is active on Facebook and Instagram.

For providers comparing billing partners, PBSC's main selling points are its local office in Vega Baja, a team organized by revenue cycle stage, and regular reporting that lets clients see their billing results.