Experian Health’s survey reveals that more than 41% practices are facing 10%+ denial rates. That means lots of missed revenue opportunities for practices around the states. Especially for practices in bigger cities, like Newark, this means thousands of dollars lost due to poor billing.
However, top medical billing companies in Newark, New Jersey, handle claim denials by providing efficient billing services. Among the bigger names, you should prefer the following billing companies as your partner:
- Transcure
- Medexa RCM
- Quest MBS
- Elite Billing Solutions LLC
- Optimal Billing Solutions
- PGM
- RevPro Healthcare Solutions
- Akshar MediSolutions
- CEC – Dental Billing and Medical Billing Company
- Konnext Solutions
1. Transcure
Transcure is the best medical billing company in Newark, New Jersey, with 1100+ AAPC-certified billers and coders. Our first-pass clean claim rate exceeds 98%+, which also helps us reduce the A/R days by at least 30%. As a result, practices working with Transcure see up to a 20% increase in revenue.
In addition, Transcure employs advanced AI agents that perform prior authorization and bill thousands of claims within minutes. These AI agents have been tried and tested and have displayed a success rate of 99.99%. The good thing is that Transcure employs these billing agents without charging anything extra to the clients.
Other than that, Transcure’s local presence in Woodbridge allows it to adapt to local regulations and billing laws. Transcure is also HIPAA and ISO27001-compliant, which means no compromise on client data and patients’ privacy. Apart from that, Transcure also supports billing of more than 40 specialties, including Radiology, Cardiology, and Pain Management.
| Best For | Hospitals, Surgery centers, Radiology centers, and practices of all sizes |
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| Service Area | Newark, Woodbridge, NJ, and all 50 states |
2. Medexa RCM
Medexa RCM is headquartered in Newark (96 Clinton Ave), and promotes AI-driven billing, coding, and credentialing. They integrate with 15+ EHR systems, including AdvancedMD and CareCloud.
Their certified coders and billers work across more than forty specialties to maintain billing accuracy and reduce payer rejections. Medexa’s services extend to provider credentialing, HIPAA-compliant audits, and denial-analysis tools.
| Best For | Practices requiring a specialized billing firm and tech-driven analytics |
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| Service Area | Newark, NJ region and nationwide reach |
3. Quest MBS
Located in Avenel, New Jersey, Quest MBS provides medical billing and coding services to practices across the state, including in Newark. They specialize in full-cycle medical billing, including claim entry, submission, denial appeals, and payment posting.
Quest MBS emphasizes precision with a 99% clean-claim submission target and up to 30 % revenue increase for clients. They leverage tailored workflows and claim audits to boost practice collections while ensuring data security and HIPAA compliance.
| Best For | Multi-specialty practices in Newark and New Jersey needing clean claims |
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| Service Area | Avenel, Newark, and broader New Jersey practices |
4. Elite Billing Solutions LLC
Elite Billing Solutions LLC specializes in full-cycle medical billing services, including patient billing for Medicare, Medicaid, and private insurers. Founded by Ebony Williams with 15+ years of billing experience, the firm focuses on cleaning up AR and maximizing reimbursements for behavioral health practices.
In addition to core billing functions, they also deliver credentialing and re-credentialing support, billing evaluations, and HIPAA-compliant data workflows. Their process includes tracking claims end-to-end until payment is received, ensuring no revenue is left uncollected.
| Best For | Medical and behavioral-health practices near Newark needing AR recovery and credentialing support |
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| Service Area | Linden, NJ office servicing Newark and the surrounding Northern New Jersey practices |
5. Optimal Billing Solutions
Optimal Billing Solutions combines medical billing services with workflow customization specifically tailored for each specialty. With a 98% clean claim rate, Optimal Billing Solutions helps practices reduce their average A/R days to 28 days.
Their services for 50+ medical and dental specialties rank them among the best medical billing companies in Newark and the New Jersey region. Additional services include patient eligibility verification, carrier follow-up, payment posting, and the option to co-source billing internally.
| Best For | Practices in Newark needing billing precision and contract leverage |
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| Service Area | Newark, NJ, and the greater Tri-State area |
6. PGM Billing
With 100% payer reach and $1 billion in claims billed annually, PGM Billing stands among the top medical billing companies in Newark. They bill for over 30 specialties while boasting as much as 50% reduction in denials.
They also integrate proprietary practice-management software with service workflows to improve revenue cycle performance. Their services include charge entry, claim submission, payment posting, denial appeals, and analytics dashboards.
| Best For | Practices in Newark needing billing precision and contract leverage |
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| Service Area | Newark, NJ, and the greater Tri-State area |
7. RevPro Healthcare Solutions
RevPro Healthcare Solutions delivers full-cycle medical billing services tailored for Newark practices, from claim entry to collections tracking. They also support credentialing, EMR integration, cloud storage, and front-desk workflow optimization.
RevPros’s technology-driven approach helps practices reduce AR days and manage billing operations efficiently. Additionally, they employ both U.S.-based and global teams to ensure billing tasks run 24/7 without any delays.
| Best For | Practices in Newark needing tech-enabled billing precision |
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| Service Area | Newark, NJ, and the broader New Jersey region, with national service capabilities |
8. Akshar MediSolutions
Akshar MediSolutions streamlines medical billing for Newark-area practices by verifying patient eligibility and managing A/R follow-up across specialties. Their process prioritizes accurate demographics, timely payments, and reduced denials through charge posting and submission procedures.
With 10+ years of experience and certified medical coders, they handle credentialing, denial analysis, and support for specialty workflows. Along with that, their services include HIPAA-compliant systems and cloud-based dashboards.
| Best For | Practices in Newark needing billing, plus credentialing and denial support |
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| Service Area | Edison, NJ, serving the Newark region and statewide New Jersey |
9. CEC – Dental Billing and Medical Billing Company
CEC ranks among the top medical billing companies in Newark by providing dual-discipline billing support to practices in Newark and the greater New Jersey region. They manage eligibility verification, claims submission, payment posting, and AR follow-up for both CMS-1500 and ADA-dedicated billing forms.
In addition, CEC offers a global model with on-shore, near-shore, and offshore teams to optimize cost and turnaround time. Their technology stack features real-time dashboards, AI-powered denial identification, and secure documentation workflows.
| Best For | Practices in Newark offering both medical and dental services |
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| Service Area | Newark, NJ, and the broader Northern New Jersey region |
10. Konnext Solutions
Konnext Solutions offers comprehensive medical billing consultancy based in Jersey City, NJ. They cover eligibility checks, charge entry, claims submission, and AR follow-up across 75+ specialties.
Their team supports outsourced billing functions, aiming to prevent revenue leakage and accelerate reimbursements. Beyond pure billing actions, Konnext includes auditing workflows, RVU-based performance reports, automated denial identification tools, and 24/7 consulting support.
| Best For | Practices in Newark and New Jersey requiring billing and credentialing under one vendor |
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| Service Area | Newark, NJ metro and broader Northern New Jersey client locations |
How Our Editors Selected the Top Medical Billing Companies in Newark, NJ?
Our editors reviewed ratings from sites like TrustPilot and Yelp, checked client feedback, confirmed local New Jersey presence, and examined specialty coverage. We prioritized firms with proven claim-accuracy, clear pricing, and regional payer rule familiarity.
What are the best medical billing providers in New Jersey?
The best medical billing providers in New Jersey include Transcure, Park Medical Billing, and Health Quist. All of these options, especially Transcure, boast a higher clean claim rate and decreased A/R days.
What are the benefits of outsourcing medical billing in Newark, NJ?
Outsourcing billing frees practice staff from complex claim submission, denial management, and coding updates. Practices in Newark, NJ gain faster reimbursements, fewer rejected claims, and stronger compliance support by leveraging expert regional billing firms.
How to choose a medical billing company in Newark, NJ?
When choosing a billing company in Newark, NJ, check their track record with your specialty, transparency of fee structure, local payer network knowledge, integration with your EMR and availability of performance reporting.
What percentage do medical billers take in Newark, NJ?
While specific percentages vary by vendor, many billing companies in New Jersey advertise fees starting around 4% to 10% of collections for full-service RCM. You can choose a reputable company like Transcure, since it offers its complete AI-powered RCM suite at 5% of your monthly collections.
Which is the best medical billing company in Newark, NJ?
Transcure is the top medical billing company for Newark, NJ billing. Their AI-automation, NJ payer rules mastery, and specialty support make them a standout among all the other competitors in Newark.
What are the five best medical billing companies in Newark, NJ?
The five best medical billing firms in Newark, NJ, include Transcure, Medexa RCM, Quest MBS, Elite Billing Solutions LLC, and Optimal Billing Solutions. All these billing firms offer efficient RCM services with minimal denial rates and at competitive pricing.
What factors should I consider before hiring a medical billing company in Newark, NJ?
Before choosing a medical billing company, consider their NJ payer system experience, specialty alignment, claim success rates, and software integration. Ensure transparency, client support, and compliance credentials, and Transcure excels across all of them.
