10 Best Medical Billing Companies in Scranton, PA

According to the U.S. Census Bureau, 93.8% of Pennsylvania’s population is insured, which reflects one of the strongest healthcare coverage rates in the nation. Scranton, one of the most populated and economically active cities in the state, serves as a key healthcare hub for Northeastern Pennsylvania. 

Prominent names in this space include Transcure, Medisys Data Solutions, and PrimeCare Medical Billing Services. In this listicle, we will review these companies along with several other leading medical billing providers in Scranton, Pennsylvania. So, without any further delay, go through the top billing companies to choose the best fit for your practice.

Here is the list of 10 best medical billing companies in Scranton, PA:

1. Transcure
2. Medisys Data Solutions
3. PrimeCare Medical Billing Services
4. Accurate Billing Systems
5. MediBill RCM
6. EZ MD Solutions
7. MBA Billing Associates
8. AMS Solutions
9. Physical Therapy Billing
10. Nextus Billing Solutions

1. Transcure

Transcure is an AI-powered medical billing company in Scranton, Pennsylvania, which uses specialized AI agents to automate every step of the RCM process. With our accurate billing services, we help practices achieve 100% clean claim accuracy and reduce denials below 1%. Along with automation, we have 1100+ AAPC-certified coders & billers who are well-versed with the coding of almost 40+ medical specialties.

Not only that, our team is proficient in handling Pennsylvania billing regulations, like Act 68 and Clean Claims Law, and follows CMS updates. Plus, Transcure offers billing services integrated with 32+ EHR platforms, while maintaining HIPAA compliance. The best part is that when you buy our billing services, you get complimentary old AR recovery and credentialing services. 

Who they Serve	Small Practices Hospitals and Health Systems Medical Group Practices Physicians from Every Specialty Urgent Care Centers Surgical Centers
Key Strengths	Transparent daily, weekly, and monthly reporting dashboards Dedicated account manager 24 Average AR Days Reduce AR Collections by 30% Increase Revenue by 20% Complimentary Practice Audit Work with UPMC Health Plan, Geisinger, Independence Blue Cross, and PA Medicaid Nationwide service coverage
Experience	23 years

2. Medisys Data Solutions

Medisys Data Solutions is a medical billing agency Scranton that provides HIPAA-compliant billing services for all specialties and practice sizes. The company delivers end-to-end revenue cycle management solutions, including medical billing, coding, A/R follow-up, and credentialing support. 

Their certified coders ensure accurate CPT and ICD-10 coding to minimize denials and maximize reimbursements. Moreover, Medisys has a dedicated AR management team that provides timely follow-up on unpaid claims and denials to maintain cash flow.

Who they Serve	Solo practitioners Large group practices
Key Strengths	Certified coders for specialties Credentialing Assistance Round-the-clock support Free Practice Analysis
Experience	15+ years

3. PrimeCare Medical Billing Services

PrimeCare Medical Billing Services is one of the leading medical billing companies in Scranton, Pennsylvania, offering end-to-end claim handling from submission to reimbursement. The company specializes in credentialing and denial management for over 40 medical specialties.

Furthermore, they offer affordable and flexible pricing models designed to fit the needs of practices of all sizes. PrimeCare also has a proven track record of maintaining high clean claim rates with faster reimbursements.

Who they Serve	Healthcare providers seeking end-to-end billing solutions across multiple specialties
Key Strengths	HIPAA-compliant operations Manages private insurances, Medicare & Medicaid billing Expertise in Pennsylvania Healthcare Regulations Denial Management
Experience	12 years

4. Accurate Billing Systems

Accurate Billing Systems is a medical billing firm Scranton, Pennsylvania, which provides advanced cloud-based billing software and end-to-end revenue cycle management solutions. They provide flexible options, including standalone billing software, separate billing services, or a combined software-plus-billing package.

Their platforms handle claim submission, coding, payment tracking, and denial resolution. At the same time, their services integrate with multiple EHR systems to ensure accuracy. Moreover, Accurate Billing Systems provides cost-effective billing options by offering multiple quotes.

Who they Serve	Solo practitioners Small practices Multi-specialty clinics Large hospitals
Key Strengths	Scalable Cloud-Based Tools Offers real-time reporting Cut Billing Costs by 30% Supports specialty-specific coding
Experience	27 years

5. MediBill RCM

MediBill RCM is one of the best medical billing companies Scranton that provides end-to-end revenue cycle management services. Their team of certified coders and RCM specialists supports over 12 medical specialties, including mental health, ambulatory surgery centers, and pain management. 

The company ensures a 98% clean claims rate and promises up to 40% faster reimbursements than the industry average. Apart from that, they provide custom KPIs and financial performance tracking to keep practices informed about their revenue cycle.

Who they serve	Hospitals Clinics Private practices Specialty centers
Key Strengths	HIPAA, CMS, and payer compliance Certified coders (AAPC/AHIMA) Flexible month-to-month agreements AI and automation for coding and denial management
Experience	2 years

6. EZ MD Solutions

EZ MD Solutions is a full-service medical billing provider Scranton, which supports 135 practices across the U.S. Also, the company is well-known for its 85% denial reduction rate. They have a team of professional medical billers with experience in multiple specialties.

EZ MD provides a detailed weekly financial analysis of your practice to track revenue performance. Above all of that, their support team ensures round-the-clock availability to address your problems instantly.

Who they Serve	Small Practices Hospital Billing Private Practice
Key Strengths	Free billing audit 30% Increase in payment collections Claim tracking and resubmission management 95% First-time claim approval rate
Experience	13 years

7. MBA Billing Associates

MBA Billing Associates is among the top medical billing companies in Scranton, due to their accurate billing services and compliance support. The company prioritizes transparency at each step of the RCM process and aims to increase the practice’s gross income by approximately 20%.

Their coders are members of professional billing associations like HBMA and HCCA, which increases their reliability among providers. MBA Billing Associates also offers advisory services to help you align your practice with the legal requirements.

Who they Serve	Serves independent practitioners and healthcare providers across various specialties
Key Strengths	Claims acceptance rate averages 99% on the first submission Serves across 15+ medical specialties 70% reduction in denials Free trial for up to 5 working days
Experience	33 years

8. AMS Solutions

AMS Solutions ranks among the top medical billing companies in Scranton that serve medical practices across the United States through remote operability. Their account representatives have a proven track record of accuracy and quality control that can accommodate a high volume of claims.

The company offers a complimentary practice audit to identify areas of improvement and assigns a dedicated account representative. Their standout feature is that they offer personalized price quotes for practices according to their claim volume.

Who they Serve	Independent physicians Group practices Healthcare organizations
Key Strengths	Integrates with 11 EHR software Appeal and Denial Management Specializes in demographic charge entry Provide complimentary training to your office staff
Experience	30 years

9. Physical Therapy Billing Services

Physical Therapy Billing is one of the specialized medical billing companies Scranton that offers end-to-end billing and RCM services for physical therapy clinics. They have expertise in Physical Therapy, Occupational Therapy, and Speech-Language Pathology (SLP) billing.

The company works with 348+ physical therapy providers and typically increases collections by 10–15% within 90 days. Additionally, Physical Therapy Billing provides a free profitability audit to identify revenue leaks.  

Who they Serve	Independent practitioners Multi-location therapy centers Outpatient rehabilitation facilities
Key Strengths	A/R follow-up with payers Weekly reports & monthly reconciliation calls 30-Point Pre-Bill Review Performance-based pricing
Experience	17 years

10. Nextus Billing Solutions

Nextus Billing Solutions is a full-service RCM company in  Scranton, PA, covering everything from credentialing to payment posting. The company specializes exclusively in behavioral health billing for addiction treatment and mental health programs with a 99% first-pass acceptance rate.

Beyond this, Nextus Billing Solutions offers transparent claim tracking through its proprietary software, Cereus, which provides real-time data visualization and KPI monitoring. Also, each client is assigned a dedicated account manager to ensure responsive support and consistent communication. 

Who they Serve	Behavioral health facilities Detox programs Mental health treatment providers
Key Strengths	Provides documentation assistance Offers credentialing and contract management Conducts verification of benefits (VOBs) Handles utilization reviews
Experience	3 years

How Our Editors Selected the Top Medical Billing Companies in Scranton, PA?

Our editors selected the top medical billing companies in Scranton, PA, through a careful evaluation process. First of all, we searched for the top billing providers in Scranton in the GMP listing and considered the companies with ratings between 4 and 5 stars. Along with that, we took the companies from YELP and GoodFirms.

After that, we reviewed their websites and shortlisted them on important evaluation factors and performance metrics. The main evaluation factors included the range of services, specialties covered, client reviews, technology, and software support.

What are the top medical billing companies in Pennsylvania?

Transcure, Medwave Billing and Credentialing, and Nextus Billing Solutions are some of the top 10 medical billing companies in Pennsylvania. These companies are renowned for their multi-specialty billing expertise, scalable solutions, and HIPAA-compliant services. 

What are the benefits of outsourcing medical billing in Scranton, PA?

Outsourcing medical billing in Scranton, PA, reduces administrative burden and saves time for providers. Also, outsourcing saves administrative costs for practices. According to a recent survey, outsourcing medical billing can lower administrative expenses by nearly 30%. This allows healthcare providers to focus more on patient care and revenue growth.. 

How to choose a medical billing company in Scranton, PA?

When choosing a medical billing company in Scranton, PA, verify if the company provides billing across your specialty and offers end-to-end billing services. Additionally, pick a company that has high performance metrics, like high clean claim and collection rates. 

What percentage do medical billers take in Scranton, PA?

Medical billers in Scranton, PA usually take 4% and 10% of the total revenue collected for your medical practice. On the other hand, some providers may also offer flat-fee models or per-claim pricing that range from $1 to $10 per claim.

Which is the best medical billing company in Scranton, PA?

Transcure is the best medical billing company in Scranton, PA, due to its AI-agentic billing services, 100% clean claim rates, and coding expertise across 40+ medical specialties.

What are the five best medical billing companies in Scranton, PA?

The best medical billing companies in Scranton, PA are:

1. Transcure
2. Medisys Data Solutions
3. PrimeCare Medical Billing Services
4. Accurate Billing Systems
5. MediBill RCM

What factors should I consider before hiring a medical billing company in Scranton, PA?

Before hiring a medical billing company in Scranton, PA, ask the provider if they provide services across your EHR platform and specialty. Moreover, consider hiring a company that follows PA-specific billing regulations and maintains HIPAA compliance. In addition to that, it’s also necessary that the company has positive client testimonials and high first-pass clean claim rates.