“Transcure is the top medical billing company in Springfield, MA, due to its AI-agentic billing services, and promises 98% first-pass clean claim rates. Along with that, many other companies like Prospa Billing and Positive Results Billing Services operate locally.”
Nearly 60% of medical group leaders reported higher claim denial rates in 2024 compared with 2023. Especially in a city like Springfield, an estimated 11.6% of filed charges are initially denied by commercial insurers in Massachusetts. This underscores the rising need for expert billing and denial management services.
This listicle highlights the top medical billing companies in Springfield, MA, known for their accuracy, compliance, and client satisfaction. So, without any further delay, let’s explore the leading medical billing companies that help healthcare providers optimize revenue.
- Transcure
- Prospa Billing
- Positive Results Billing Services
- Revline Medical Billing Solutions
- PrimeCare Medical Billing Services
- Priority Billing Partners
- MedHeave – Medical Billing Services
- New England Medical Billing
- Medical Healthcare Solutions (MHS)
- Resolve Medical Billing, LLC
The Top 10 Medical Billing Companies in Springfield, MA
Here is a detailed overview of the top 10 medical billing companies in Springfield, MA:
1.Transcure
Transcure is a top-rated medical billing company in Springfield, MA, which is known for providing AI-powered billing services. With specialized AI bots automating every step of the RCM process, we help practices maintain 98% first-pass clean claim rates and a 20% revenue boost. Plus, the services are HIPAA compliant and are in accordance with MA billing regulations.
We also have 1100 AAPC-certified coders & billers who are well-versed with the ICD-10 and CPT codes for 40+ medical specialties. Plus, we offer integration with 32+ EHR software like Kareo, AthenaHealth, and eClinicalWorks, so clients don’t need to change their existing software. The best part about partnering with Transcure is that we offer complimentary credentialing and old AR recovery.
| Specialties Served | 40+ medical specialties, including Ambulatory Surgical Centers, Cardiology, OB GYN, and Orthopedics. |
|---|---|
| Key Strengths |
|
| Experience | 23 years |
2. Prospa Billing
Prospa Billing is another leading medical billing company in Springfield, MA, that offers billing services to dental and oral surgery practices. They serve dental practices of all sizes with certified dental coders and cross-coders focused on your specialty.
The company offers comprehensive A/R management with consistent insurer and patient follow-ups to ensure faster payments and improved cash flow. Moreover, Prospa Billing has client satisfaction backed by positive testimonials from practices across the U.S.
| Specialties Served | Dental and Oral Surgery |
|---|---|
| Key Strengths |
|
| Experience | 14 years |
3. Positive Results Billing Services
Positive Results is a comprehensive medical billing and revenue management solution for healthcare practices across multiple medical specialties. Their services include coding review, payment posting, denial follow-up, financial reporting, and credentialing. The company also specializes in Occupational Medicine and Workers’ Compensation billing.
In addition, Positive Results offers customized reporting packages tailored to specific client needs. They are also known for their detailed review and follow-up procedures, which minimize claim denials and accelerate reimbursements.
| Specialties Served | 11 medical specialties, including Urgent Care, Ophthalmology, and Podiatry. |
|---|---|
| Key Strengths |
|
| Experience | 27 years |
4. Revline Medical Billing Solutions (RMBS)
Revline Medical Billing Solutions is a Springfield medical billing company that provides end-to-end billing and revenue management with high clean claim accuracy. Their certified coders are proficient in ICD-10-CM, CPT, and E/M coding systems, and help achieve a 30% reduction in AR.
Moreover, they offer Robotic Process Automation (RPA) and KPI dashboards for performance tracking. Plus, RMBS provides Rules-Based Claims Scrubbing to minimize claim errors before submission and maintains a 99.9% claim acceptance rate.
| Specialties Served | 18 medical specialties, including Nephrology, Cardiology, and Orthopedics. |
|---|---|
| Key Strengths |
|
| Experience | 3 years |
5. PrimeCare Medical Billing Services
PrimeCare Medical Billing Services is a trusted partner for medical billing services in Springfield, Massachusetts. They have deep expertise in managing Springfield and Massachusetts healthcare regulations. The company also stays up-to-date with Medicare and Medicaid billing guidelines to ensure compliant claim submissions.
Plus, their team prioritizes strict adherence to HIPAA compliance to ensure the security of patient data. The practices that partner with PrimeCare report up to a 30% average revenue increase due to their fast turnaround time.
| Specialties Served | 40+ medical specialties, including Mental Health, Family Practice, and Cardiology. |
|---|---|
| Key Strengths |
|
| Experience | 10 years |
6. Priority Billing Partners
Priority Billing Partners is a locally based medical billing company in Springfield, MA, which offers personalized billing services to healthcare practices. The company provides a full suite of services, including charge entry, coding, accounts receivable management, payment posting, and patient collections.
To keep practices informed about their revenue performance, Priority Billing provides detailed summaries of collections and denial trends. Additionally, they assist providers with enrolling with insurance payers and maintaining credentials.
| Specialties Served | Variety of medical practices, including family medicine, internal medicine, and specialty care. |
|---|---|
| Key Strengths |
|
| Experience | 1 year |
7. MedHeave – Medical Billing Service
MedHeave is one of the top medical billing companies in Springfield, MA, that is both ISO-certified and HIPAA-compliant. This company has 150+ billing and coding experts who provide ICD-10 and CPT-compliant coding to ensure accurate reimbursements.
Beyond this, they have 300+ satisfied providers in 20 states and help them increase their revenue with a 98% first submission pass rate. One of their standout features is that they reduce overhead and administrative costs by up to 60%.
| Specialties Served | 40+ medical specialties, including Mental Health, General Surgery, and Dermatology. |
|---|---|
| Key Strengths |
|
| Experience | 10 years |
8. New England Medical Billing
New England Medical Billing is a Massachusetts-based medical billing firm that offers billing and RCM services across the Springfield area. The company specializes in school-based Medicaid claiming, ambulance billing, and specialty clinic billing while maintaining HIPAA and FERPA compliance.
Furthermore, they ensure quick responses with same-day replies, 48-hour claim validation, and timely rebill resolution. The New England Medical Billing also offers certified coders, dedicated compliance staff, and technology support for seamless integration with EHR systems.
| Specialties Served | School-Based Medicaid Programs, Ambulance Services, Specialty Clinics |
|---|---|
| Key Strengths |
|
| Experience | 10 years |
9. Medical Healthcare Solutions (MHS)
Medical Healthcare Solutions (MHS) is a Massachusetts-based medical billing and credentialing company with decades of experience. They serve ACOs, hospital-based practices, individual providers nationwide, large group practices, MSOs, and university student health centers.
Their expertise spans numerous specialties, and they integrate seamlessly with major EMR platforms like Allscripts, EPIC, Athenahealth, Cerner, and GE Centricity. The company ensures rigorous revenue cycle management with collection follow-ups conducted every 14 days or according to specific insurance protocols.
| Specialties Served | 25 medical specialties, including Cardiology, Chiropractic, and Dermatology. |
|---|---|
| Key Strengths |
|
| Experience | 30 years |
10. Resolve Medical Billing, LLC
Resolve Medical Billing is a full-service medical billing agency Springfield and offers claim submission, rejection processing, and secondary payer follow-ups. They verify claims for accuracy, follow correct codes, and ensure compliance with Medicare, Medicaid, and state insurance guidelines.
The company offers detailed monthly aging reports with detailed account status notes to keep healthcare providers informed about outstanding balances and track payment progress. Resolve Medical Billing also has a dedicated denial management team that works to resolve claim denials.
| Specialties Served | 25 medical specialties, including Cardiology, Chiropractic, and Dermatology. |
|---|---|
| Key Strengths |
|
| Experience | 30 years |
How Our Editors Selected the Top Medical Billing Companies in Springfield, MA?
Our editors selected the top medical billing companies in Springfield, MA by following a comprehensive evaluation process. We took companies from GMP listing with 4-5 rating, and also took some from platforms like YELP, TrustPilot, and GoodFirms.
After that, we carefully reviewed their websites and evaluated them on key criteria. This includes their billing accuracy, range of specialties, and expertise. We also considered companies that ensured compliance with HIPAA and state regulations, had positive client reviews, provided EHR support, and had good performance metrics.
What are the best medical billing companies in Massachusetts?
Transcure, Medheave, Medical Healthcare Solutions, Comprehensive Practice Management, and Alico Healthcare are some of 10 best medical billing companies in Massachusetts. All these companies provide complete billing services and offer support for multiple medical specialties.
What are the benefits of outsourcing medical billing in Springfield, MA?
Outsourcing medical billing in Springfield, MA saves time, reduces administrative workload, and ensures more accurate claim processing. Practices also gain access to expert coders, up-to-date compliance with HIPAA, and state regulations. Overall, outsourcing saves up to 30–50% of administrative costs while improving revenue collection.
How to choose a medical billing company in Springfield, MA?
Choosing a medical billing company in Springfield, MA requires checking their experience, HIPAA compliance, and specialty knowledge. Ensure they integrate with your EHR and use updated billing software. Also, review client feedback, pricing, reporting transparency, and denial management for reliable service.
What percentage do medical billers take in Springfield, MA?
Medical billers in Springfield, MA, typically charge between 4% and 10% of the revenue they collect. For instance, small to medium practices often pay around 8% of their total collections for billing services. Some providers may also charge per-claim fees ranging from $4.01 to $6.34, or offer hourly rates between $20 and $30.
Which is the best medical billing company in Springfield, MA?
Transcure is the best medical billing company in Springfield, MA. Due to its AI-driven billing services, the company has high performance metrics, such as a 98% first-pass clean claim rate and a 30% reduction in AR. Moreover, their billing services across 40+ specialties and integration with major EHR make it suitable for practices of all sizes.
What are the 5 best medical billing companies in Springfield, MA?
Transcure, Prospa Billing, Positive Results Billing Services, Revline Medical Billing Solutions, and PrimeCare Medical Billing Services are the five best medical billing companies in Springfield, MA. These companies have decades of billing expertise, offer detailed reporting, and have high clean claim accuracy.
What factors should I consider before hiring a medical billing company in Springfield, MA?
Before hiring a medical billing company in Springfield, MA, consider their experience in your specialty and HIPAA compliance. Make sure they integrate smoothly with your EHR and offer transparent financial reporting. Also, review their claim success rate, pricing model, and client feedback for reliability.
