Accurate, Compassionate, and Compliant Pediatric Billing Services
Pediatric billing services require more than just standard data entry. Between the high volume of seasonal spikes, the complexity of Vaccines for Children (VFC) management, and the constant scrutiny of Modifier 25, your practice needs a partner that understands the “business of pediatrics.”
At Pro-MBS, we provide end-to-end pediatric billing services designed to plug revenue leaks, reduce AR days, and let you focus on what matters most: the health of your patients.
- Comprehensive Pediatric Billing Services
- Clean Claim Submissions & Faster Reimbursements
- Certified Pediatric Billing & Coding Experts
- Proactive Denial Management & AR Recovery
- Seamless EHR Integration
15+
Years in Pediatric Billing
150+
Healthcare Providers
30+
Billing Platforms
50+
Specialties Supported
Why Pediatric Practices Choose Pro-MBS
Most billing companies treat a pediatric clinic like a standard adult practice. They miss the specialty-specific nuances that drive your revenue. We bridge those gaps with:
Vaccine & Immunization Management: We meticulously track product codes versus administration codes, ensuring your clinical overhead is fully reimbursed.
The Visit Expert: We are specialists in defending the medical necessity of dual-claims. We ensure you are paid for both the preventive exam and the acute issue in a single encounter.
Developmental & Behavioral Screening Capture: We maximize your capture rate for often-missed codes like 96110 (Developmental), 96127 (Behavioral), and M-CHAT screenings.
Medicaid & CHIP Fluency: Our team navigates the complex, state-specific reimbursement rules of Medicaid to ensure consistent, predictable cash flow.
99% First-Pass Rate
Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.
Up to 30% Revenue Growth
Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.
120+ Days AR Recovery
We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.
100% System Integration
RCM Solutions Tailored for Pediatric Practices
Pro-MBS delivers end-to-end pediatric billing services designed to strengthen your practice’s financial health and operational performance.
We don’t just process claims; we optimize every stage of your Revenue Cycle to ensure clinical excellence is met with financial reward.
Ready to Improve Your Pediatric Practice Revenue?
If denials, payment delays, or “ghost revenue” leaks are slowing your growth, Pro-MBS provides the precision your practice deserves. We don’t just bill; we optimize.
Leverage our hyper-local payer insights across Delaware, South Jersey, and Philadelphia. We navigate the specific Medicaid and private payer nuances of the Tri-State area to ensure your practice is reimbursed fully and faster.
The Nationwide Authority in Pediatric Billing Services
Pro-MBS is more than a vendor—we are a strategic partner. Trusted by leading clinics across Delaware, South Jersey, and Philadelphia, we provide specialized pediatric billing services that combine deep regional payer insight with a nationwide standard for accuracy and compliance.
Our team merges pediatric-specific coding mastery with advanced data analytics to ensure your practice never leaves revenue on the table. From the Tri-State area to clinics across the U.S., we turn billing complexities into financial growth.
Quantifiable Results: What Our Clients Achieve
Rapid Revenue Recovery
First-Pass Claim Resolution
Denial & Rejection Rate
Claim Submission Turnaround
Electronic Claim Adoption
Electronic Payment (ERA/EFT)
Client Retention Rate
Average Revenue Increase
Medical Billing Software We Leverage for Revenue Cycle Management
Here are some Industry top listed EHR being operated by us.
Our Esteemed Clients' Testimonials
![Dr.-Jorge-Guevara-MD[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Jorge-Guevara-MD1.webp)
Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.
For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.
![Dr.-Charles-Sisson[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Charles-Sisson1.webp)
We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.
![Jennifer-Hartley-Administrator[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-Hartley-Administrator1.webp)
Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.
We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.
![Huiping-Xu-M.D[1]](https://prombs.com/wp-content/uploads/2024/10/Huiping-Xu-M.D1.webp)
Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.
![Sandra-Diaz[1]](https://prombs.com/wp-content/uploads/2024/10/Sandra-Diaz1.webp)
Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.
![Jennifer-G.-Walker-D[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-G.-Walker-D1.webp)
We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.
As the CEO of Bird Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.
![Dr.-Michael-Farrel-D[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Michael-Farrel-D1.webp)
I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.
Frequently Asked Questions (FAQs)
Pro-MBS specializes in pediatric medical billing, offering accuracy in coding for developmental screenings, vaccines, and preventive care. Our goal is to keep your practice financially healthy while you focus on patient care.
Yes. Our team manages Medicaid, CHIP, and private insurance billing with payer-specific compliance, ensuring smooth reimbursements across all pediatric services.
We use pre-submission audits and real-time AR tracking to correct coding or modifier issues before claims go out, achieving a 99% clean claim rate. Yes. Our team manages Medicaid, CHIP, and private insurance billing with payer-specific compliance, ensuring smooth reimbursements across all pediatric services.
Absolutely. Pro-MBS integrates seamlessly with Office Practicum, Kareo, eClinicalWorks, and PCC, ensuring a unified and compliant billing workflow.
Unlike general billing firms, Pro-MBS provides specialty-focused pediatric RCM, real-time financial reporting, and certified coders dedicated exclusively to pediatric care.
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