“The best medical billing companies in Bethlehem, PA, include Transcure. It is a leading provider known for its AI-powered RCM system. Their dedicated AI agents handle each step of the billing cycle, helping practices reduce denials and speed up payments. Other reputable Bethlehem-area billing partners include Medi-Kal Billing, Coding & Billing Solutions, and Clayburn Medical Billing.”
St. Luke’s University Hospital is the center of a medical hub in Bethlehem, PA, that serves a population of 325,000 in Northampton County. A large number of small to large-sized practices also exist that deal with major payers like Highmark, Capital Blue Cross, and Cigna.
With over 95% of the population having insurance, healthcare providers in Bethlehem need efficient medical billing to balance patient care with reimbursements. This is why most clinics and hospitals are turning to outsourcing to reduce denials, improve days in A/R, and minimize administrative overload.
Outsourcing brings payer-specific expertise, appeals teams, and compliance controls that practices in Bethlehem find hard to replicate in-house. The following are the top 10 medical billing companies in Bethlehem, PA, known for their reliability:
- Transcure
- Medi-Kal Billing & Consulting Services
- Coding & Billing Solutions
- Allstar Medical Billing, LLC
- Clayburn Medical Billing, Inc.
- Medical Billing Inc. of Delaware Valley
- Medical Billing Professionals
- Medwave Medical Billing, LLC
- KCS MedLogic LLC
- Medical Billing & Consulting Group LLC
Now, let’s take a closer look at the top medical billing companies in Bethlehem, starting with Transcure, which stands out for its exceptional reliability and local expertise.
1. Trancure
Transcure is an end-to-end medical billing company in Bethlehem that has supported practices for over 23 years. We help practices decrease their administrative cost by up to 79% using our dedicated AI agents. These help automate each stage of the RCM process with a 99.5% accuracy.
Our platform supports over 40 specialties with an average of 99% first-pass clean-claim rate. We also run actionable case studies and audits that show measurable revenue uplifts and shorter A/R cycles for client practices. Bethlehem healthcare providers can even claim a free $2000 audit.
Clinics and hospitals that register for our full-cycle RCM services can receive complimentary credentialing and aging A/R recovery services. We also strictly follow HIPAA, CMS, and payer guidelines to protect sensitive data and keep you audit-ready.
| Best For | Practices wanting AI-powered RCM to speed payments and reduce denials. |
|---|---|
| Key Highlights |
|
| Founded In | 2002 |
2. Medi-Kal Billing & Consulting Services
Medi-Kal Billing & Consulting Services LLC is a medical billing agency with over 15 years of prior experience in the industry, courtesy of its founder, Marian Sun. Based in Easton, PA, Medi-Kal helps healthcare practices in the region by offering a full suite of RCM services.
Their consulting practice also trains your staff in revenue cycle workflows to build a more efficient billing department. The company’s experienced director is CRCE-certified, underscoring their expertise in practice financial operations.
| Best For | Small and medium practices wanting personalized billing support. |
|---|---|
| Key Highlights |
|
| Founded In | 2018 |
3. Coding & Billing Solutions
Founded by Sheri Hovan, Coding & Billing Solutions is a medical billing firm that Bethlehem practices utilize for full-cycle RCM. Their team, boasting more than 25 years of HIM and coding experience, is entirely based in the U.S.
CBS also offers clinical documentation improvement (CDI), helping practices accurately reflect the severity of patient conditions. This helps unlock higher reimbursement for their clients, as they serve over 75 hospitals across the nation.
| Best For | Healthcare systems needing accurate coding and auditing for revenue optimization. |
|---|---|
| Key Highlights |
|
| Founded In | 2010 |
4. Allstar Medical Billing, LLC
Allstar Medical Billing, LLC is a small billing company agency in Bethlehem with over 10 years of experience. They offer full RCM services tailored to your practice’s needs. Integrated with top billing software, Allstar helps practices reduce errors and speed up their revenue cycle.
They provide a dedicated account manager for personalized support, ensuring you always have a go-to contact for billing questions. Because their work is done entirely in the U.S., practices benefit from close communication and tight quality control.
| Best For | Small practices desiring hands-on billing with personalized service. |
|---|---|
| Key Highlights |
|
| Founded In | 2014 |
5. Clayburn Medical Billing, Inc.
Clayburn Medical Billing, Inc. is a revenue cycle management firm with over 15 years of experience in the industry. Based in Media, PA, they are deeply committed to precision, ensuring zero to minimal rejections due to billing or coding errors.
The company supports a variety of specialties, including podiatry, cardiology, psychiatry, neurology, and rehab medicine. Their RCM services encompass everything from patient registration and insurance verification to claim submission, denial management, and collections.
| Best For | Small-to-mid practices wanting error-free billing and specialty support. |
|---|---|
| Key Highlights |
|
| Founded In | 2010 |
6. Medical Billing Inc. of Delaware Valley
Medical Billing Inc. of Delaware Valley (MBIDV) brings more than 25 years of billing expertise to practices in the region. They specialize in multi-specialty outpatient billing and serve a wide range of practices, from cardiology and OB/GYN to physical therapy and psychiatry.
MBIDV has deep expertise in MIPS / quality reporting to help practices maximize their revenue up to 9%. The company also helps you develop a compliance system to avoid conflicts with self-referral and anti-kickback statutes and extensive fines.
| Best For | Regional practices wanting multi-specialty billing expertise. |
|---|---|
| Key Highlights |
|
| Founded In | 1998 |
7. Medical Billing Professionals
Medical Billing Professionals (MBPros) is a medical billing provider in Bethlehem that offers specialized support for mental health, chiropractic, and physical therapy practices. They offer a per-claim pricing model, with rates ranging from $1.75 to $2.45 per claim.
This significantly reduces costs for small practices compared to percentage-based billing. Their PremiumPlus service includes weekly aging reports and monthly detailed financial reports, giving practices better visibility into accounts receivable.
| Best For | Practices wanting low-fee billing via per-claim pricing. |
|---|---|
| Key Highlights |
|
| Founded In | 1995 |
8. Medwave Medical Billing, LLC
Medwave, based in Cranberry Township, PA, is a seasoned RCM firm with 25+ years of experience in billing and payer contract negotiations. They offer medical credentialing, helping providers enroll with payers and maintain their status.
This Bethlehem medical billing company also provides payer contracting to negotiate better reimbursement terms. Their billing services use HL7 / FHIR integration for effortless data exchange, reducing human error and speeding up claims.
| Best For | Practices requiring payer negotiation and automated billing. |
|---|---|
| Key Highlights |
|
| Founded In | 2000 |
9. KCS MedLogic LLC
Based in Doylestown, PA, is a healthcare RCM and technology company with a long list of proprietary software. One of their standout products is CODERITE, which helps ensure coding accuracy, reducing errors that might otherwise lead to denials.
KCS MedLogic also offers comprehensive web-based claim management software, ICLAIM, and EMRX for handling patient flow. Bethlehem practices having issues with patient collections can get CHOICE PAY to streamline the process.
| Best For | Practices seeking modern RCM and consulting with technical support. |
|---|---|
| Key Highlights |
|
| Founded In | 2022 |
10. Medical Billing & Consulting Group LLC
Medical Billing & Consulting Group LLC is a medical billing firm with more than 15 years of experience serving practices in Eastern Pennsylvania. They offer full-cycle services, and their team handles 10+ specialties, including radiology, neurology, dermatology, and primary care.
By helping maximize revenue while reducing administrative burdens, they enable practices to focus more on patient care than on billing headaches. Based in Jenkintown, PA, they’re well-suited for local or regional practices that value a boutique, hands-on approach.
| Best For | Practices looking for long-term, regionally trusted billing support. |
|---|---|
| Key Highlights |
|
| Founded In | 2003 |
How Our Editors Selected the Top Medical Billing Companies in Bethlehem, PA?
Our editors used a careful, research-driven approach to select these medical billing companies. We analyzed providers listed on Google Business Profiles, Yelp, local directories, Google SERPs, and regional business listings.
We then evaluated each company based on key factors, including experience, service quality, specialty expertise, and the completeness of their RCM offerings. This process ensured that only the most reliable and well-established billing partners serving Bethlehem, PA made it onto our top list.
What Are the Best Medical Billing Companies in Pennsylvania?
Among the top medical billing companies in Pennsylvania is Transcure. It offers advanced AI-driven RCM for practices to reduce denials and accelerate payments. Another choice is Nextus Billing Solutions, known for its behavioral-health focus and its proprietary Cereus software.
TJ Billing is another great option that is a woman-owned firm specializing in chiropractic, PT & podiatry. Also, many recommend Mediclaim Inc., a long-standing provider with 30+ years of regional billing expertise.
What Are the Benefits of Outsourcing Medical Billing in Bethlehem, PA?
Outsourcing medical billing in Bethlehem, PA, offers several meaningful advantages for local healthcare practices. First, it reduces administrative workload and lowers operational costs by eliminating the need to manage in-house billing teams.
Outsourced billing companies bring specialized expertise, helping practices achieve higher clean-claim rates and faster reimbursements. Many firms offer advanced AI tools that small practices may not afford on their own, and also ensure compliance with ever-changing payer rules.
How To Choose a Medical Billing Company in Bethlehem, PA?
Choosing the right medical billing company in Bethlehem, PA, starts with evaluating a firm’s experience in your specialty. This is vital, as billing rules vary widely across fields such as behavioral health, cardiology, and primary care. Look for partners with strong clean-claim rates, transparent reporting, and clear denial-management processes.
Next, check their technology capabilities, such as AI-assisted billing, automated claim scrubbing, and real-time dashboards. Make sure they offer HIPAA-compliant data handling and responsive customer support. Finally, compare pricing models, percentage, per-claim, or hybrid to ensure the service aligns with your revenue goals.
What Percentage Do Medical Billers Take in Bethlehem, PA?
In Bethlehem, PA, most medical billing companies charge 8% to 10% of monthly collections for the complete billing and RCM process. Rates that seem unusually low, such as 2% to 4%, typically don’t include full services.
Transcure is one of the few providers offering full end-to-end RCM at just 5% of monthly payer collections. This makes it a cost-effective option for practices seeking complete revenue cycle support
Which Is the Best Medical Billing Company in Bethlehem, PA?
Transcure is the best medical billing company in Bethlehem, PA, thanks to its AI-powered RCM platform. Their high clean-claim rate and end-to-end billing support at an affordable 5% of monthly payer collections.
Their dedicated AI agents, specialty-trained billers, and fast turnaround times make them a top choice. Furthermore, practice can get complementary credentialling and aging A/R recovery when they outsource end-to-end RCM.
What Are the 5 Best Medical Billing Companies in Bethlehem, PA?
The five best medical billing companies serving Bethlehem, PA are:
- Transcure: The top choice with AI-powered RCM, high accuracy, and full billing at only 5% of monthly payer collections.
- Medi-Kal Billing & Consulting Services: Great for personalized billing, credentialing, and hands-on consulting.
- Coding & Billing Solutions: Strong in medical coding, auditing, and CDI for higher reimbursement.
- Clayburn Medical Billing, Inc.: Known for very low rejection rates and reliable specialty billing.
- Medwave Medical Billing, LLC: Offers RPA automation, payer contracting, and robust credentialing support.
What Factors Should I Consider Before Hiring a Medical Billing Company in Bethlehem, PA?
Before hiring a billing company in Bethlehem, PA, consider their experience in your specialty. Also, check the clean-claim rate, the denial management process, and the transparency of reporting.
Check their pricing structure, contract terms, and whether they offer full end-to-end RCM. Plus, look at technology features like automation or AI tools, EHR compatibility, and HIPAA compliance. Finally, review local reputation, responsiveness, and the availability of a dedicated account manager.
