10 Best Medical Billing Companies in Worcester, MA

According to the Massachusetts Health and Hospital Association’s report, about 11.6% of filed charges are initially denied by commercial insurers. This translates to approximately $1.5 billion in lost reimbursement as hospitals and physician practices pursue appeals. What this really means for a Worcester-area practice is longer revenue cycles, additional administrative costs, and reduced cash flow.

However, reliable medical billing companies in Worcester, MA, solve these reimbursement issues through careful billing and proactive A/R follow-up. If you are looking for a dependable billing partner that can help you overcome these issues, consider the following options:

1. Transcure
2. ENT Billing Associates
3. Actrel
4. Smile Together LLC
5. Westside Billing LLC
6. Coastal Medical Billing Inc
7. Comprehensive Practice Management Corp
8. Medheave
9. Comprehensive Billing Services, Inc.
10. New England Medical Billing

1. Transcure

Transcure is the best medical billing provider in Worcester and the whole of Massachusetts, with its AI-powered billing and a team of 1100+ AAPC-certified billers. We provide full-cycle RCM for medical practices, including patient registration, CPT/ICD coding, claim submission, and payment posting.

Our company offers 7 AI agents that automate your billing tasks, like prior authorization, coding, and A/R follow-up, with a 100% first-pass clean claim rate. Transcure also supports billing and coding for 40+ specialties, including Dentistry, Cardiology, and Family Practice.

Apart from that, our Massachusetts-aware team integrates with 32+ EHRs and offers dashboarding to track revenue metrics in real time. With Transcure’s superior billing services, we help practices increase their revenue by 20% while also reducing their A/R days by 30%.

Best For	All types of practices, including surgery centers, laboratories, and hospital systems.
Key Highlights	AI-powered and RPA-enabled claim scrubbing Average turnaround time of 48 hours AI agent verifies patient eligibility in just 4 seconds
Service Area	Availability in all 50 states, with a strong presence in Worcester, MA

2. ENT Billing Associates

ENT Billing Associates specializes in otolaryngology and related ENT specialty clinics, offering claims submission, modifier-coding reviews, and AR follow-up. Their team understands ENT-specific CPT codes and payer behaviors to avoid common denial patterns.

They also offer credentialing services, provider enrollment, and monthly practice-specific performance reporting. For Worcester practices focused on ENT care, they deliver targeted support with fewer off-specialty billing burdens.

Best For	ENT clinics or practices with significant otolaryngology work
Key Highlights	Specialty-focused coding review for ENT modifiers Credentialing and payer enrollment services Monthly custom reports on collections and denials
Service Area	Worcester-area and Massachusetts statewide coverage

3. Actrel

Actrel offers medical and dental billing services to practices throughout Worcester and its surrounding regions. It ranks among the best medical billing companies in Actrel by providing services like eligibility verification, claims submission, and patient statement generation.

Their platform emphasizes front-end check-in accuracy to reduce payer push-backs and improve payment posting workflows. They also provide analytics to monitor claim velocity, payer lag times, and AR aging, helping Worcester practices identify revenue leaks.

Best For	Small to mid-size outpatient clinics seeking streamlined billing
Key Highlights	Eligibility verification at the front-end Claims velocity and AR analytics dashboards MD Audit Shield for RAC
Service Area	Massachusetts, including the Worcester region

4. Smile Together LLC

Smile Together LLC focuses on dental billing and mixed medical and dental practices. Apart from billing for dental procedures, they also offer efficient credentialing and re-credentialing services. 

While managing the dental billing RCM, they ensure proper prior authorization and submit primary and secondary insurance claims accurately. Besides standard claims processing, they handle patient statement generation, insurance follow-up for dental benefits, and monthly cross-service revenue analysis.

Best For	Medical clinics that also provide dental services or hybrid practices
Key Highlights	Fee negotiation to improve profitability 3 different pricing models to cater to different practice sizes Patient statement management for dental-medical mix
Service Area	Worcester, MA, and surrounding central Massachusetts

5. Westside Billing LLC

Westside Billing LLC provides billing services primarily to general medicine and specialty clinics, with a focus on claims submission, payment posting, and denial tracking. Their team emphasizes local payer relationships in Massachusetts, which benefits Worcester providers dealing with regional commercial payers and MassHealth.

They provide regular account reviews, custom training for in-house staff on documentation, and billing workflow optimization. Apart from that, Westside Billing LLC integrates with popular Massachusetts EHRs to speed submission cycles.

Best For	Clinics in Worcester dealing with regional payers and local workflows
Key Highlights	48 hours turnaround time Staff training and workflow optimization Integration with common Massachusetts EHRs
Service Area	Central Massachusetts, including Worcester

6. Coastal Medical Billing Inc.

Coastal Medical Billing Inc. delivers billing for specialty practices, including orthopedics, neurology, and pain management. They feature charge capture audits, bundled-payment tracking, and payer contract reviews.

What makes them rank among the top medical billing companies in Worcester is their quick processing of insurance claims and experience working with multiple ePCR programs. Other than that, Coastal features Ambulance Coders certified with the NAAC.

Best For	Specialty clinics such as orthopedics, neurology, and pain practices in Worcester
Key Highlights	Charge capture audits to identify missed charges Solves HIPAA and EMS related issues Weekly denial trend and lag reports
Service Area	Massachusetts statewide with a specialty focus

7. Comprehensive Practice Management Corp

Comprehensive Practice Management Corp. (CPM) offers independent physicians full medical billing, claim submission, payment posting, and AR follow-up. Their team is CPA-owned and managed, ensuring accounting controls and dedicated senior-staff access for each client.

Beyond billing, CPM handles revenue-cycle consulting, including workflow audits and documentation reviews for specialty practices. They emphasize timeliness and transparency, allowing Worcester-area and Massachusetts clinics to focus more on patient care and less on billing issues.

Best For	Independent physicians and small to mid-size clinics needing personalized billing oversight
Key Highlights	CPA owned with direct senior staff access Strong focus on billing accuracy and internal controls Expertise across all specialties in Massachusetts
Service Area	Massachusetts including Worcester and the broader New England region

8. Medheave

MedHeave provides end-to-end medical billing solutions, including accurate claims submission, coding oversight, and patient statement generation, for clinician practices. Their team supports insurance eligibility, credentialing, remote patient monitoring, billing, and specialized workflows across multiple specialties.

On the revenue-cycle management side, they deliver both front- and back-end services, including AR follow-up, denial management, and analytics dashboards. Their Massachusetts-based team serves Worcester area practices and nationwide clients, with HIPAA compliance and ISO standards.

Best For	Practices in Worcester and beyond seeking combined billing and RCM services
Key Highlights	Supports 25 plus specialties and over 300 providers AI driven analytics and dashboards Clinical documentation improvement support
Service Area	Boston and Worcester based with national service availability

9. Comprehensive Billing Services, Inc.

Comprehensive Billing Services, Inc. is one of the best medical billing companies in Worcester, servicing individual and small group practices. They provide claims submission, patient billing, credentialing, electronic fund transfer (EFT), and digital records archiving to streamline revenue flow for practices.

In addition to billing, CBS offers specialized services like CodeMAXX auditing, remote data backup/recovery, and wellness-program support. Their focus on lower overhead and personalized service helps practices improve cash flow and reduce administrative burden.

Best For	Small group practices in Worcester
Key Highlights	CodeMAXX Auditing Wellness-program support Electronic fund transfer (EFT)
Service Area	Worcester, Massachusetts

10. New England Medical Billing

NEMB specializes in high-complexity medical billing for specialty clinics, ambulance services, and school-based Medicaid in Massachusetts. Their team handles claims submission, coding oversight, denial tracking, and payment posting with tailored workflows for clients.

They deliver a virtual business model that serves multiple regions while keeping costs lower. Their benchmark claims that many specialty clients’ 90+ day A/R drops from over 20% to under 10%.

Best For	Specialty clinics, ambulance agencies, and school based Medicaid programs
Key Highlights	Reduced 90 day plus A/R Virtual operations to lower overhead HIPAA and FERPA compliant billing for school Medicaid
Service Area	South Easton based with service across Massachusetts and New England

How Our Editors Selected the Top Medical Billing Companies in Worcester, MA?

Our editors selected the top medical billing companies in Worcester, MA by evaluating Google and Yelp reviews, service diversity, pricing transparency, and client satisfaction. We also analyzed turnaround times, claim accuracy, and overall revenue recovery performance to ensure reliability and consistency.

What are the Best Medical Billing Companies in Massachusetts?

The top Massachusetts billing companies include Transcure, Medheave, Medical Healthcare Solutions, Comprehensive Practice Management, and Alico Healthcare. Each offers specialized billing, denial management, and customized reporting for clinics and hospitals across the state.

What are the Benefits of Outsourcing Medical Billing in Worcester, MA?

Outsourcing medical billing in Worcester, MA, reduces administrative stress and improves claim accuracy. It also helps providers minimize denials, accelerate payments, and maintain compliance with state and federal regulations. Additionally, it lets practices focus on patient care instead of handling complex reimbursement issues.

How to Choose a Medical Billing Company in Worcester, MA?

To choose a medical billing company in Worcester, MA, review their client ratings, pricing models, and EHR compatibility. Check their experience with your specialty, local presence, and ability to handle claim denials effectively.

What Percentage do Medical Billers Take in Worcester, MA?

Medical billers in Worcester, MA typically charge between 4% and 10% of total collections. Transcure offers a competitive rate of 5%, making it an affordable yet high-quality option.

Which is the Best Medical Billing Company in Worcester, MA?

Transcure is the best medical billing company in Worcester, MA, due to its accuracy, quick claim turnaround, and transparent pricing. Its comprehensive RCM services make it a trusted choice for practices across multiple specialties.

What are the Five Best Medical Billing Companies in Worcester, MA?

The five best medical billing companies in Worcester, MA are Transcure, ENT Billing Associates, Actrel, Westside Billing LLC, and New England Medical Billing. Each stands out for reliability, efficient claim management, and strong provider support.

What Factors Should I Consider Before Hiring a Medical Billing Company in Worcester, MA?

Before hiring a medical billing company in Worcester, MA, consider reviews, pricing, and service compatibility with your EHR. Also, check their client communication style, reporting quality, and track record in handling claim denials.