About this opportunity
AI summaryThe Passaic County Board of County Commissioners seeks a medical billing service provider for the Preakness Healthcare Center. The selected vendor will deliver offsite medical billing services for a 406-bed skilled nursing facility that includes 371 long-term care beds, a 24-bed behavior management unit, and an 11-bed ventilator unit. Requirements include submitting Medicare bills within two weeks of receiving prior month payments, maintaining strict record confidentiality, and ensuring compliance with federal and New Jersey regulations. Eligibility is restricted to onshore United States vendors. The contract term runs from January 1, 2027, through December 31, 2027, with four one-year renewal options. Respondents must submit proposals either in person prior to the designated hour at 495 River Street, 2nd Floor, Paterson, New Jersey, or through approved submission channels, including required forms such as the Iran investment disclosure.
Buyer and opportunity details
- Client
- PASSAIC COUNTY BOARD OF COUNTY COMMISSIONERS
- Solicitation No.
- RFP-27-004
Scope of work
- Collect, review and input data using ADL Data Systems, Inc./Optimum Financials for billing
- Bill Medicaid (fee-for-service and MLTSS), Medicare A and B, commercial insurance, and private pay
- Obtain authorizations and renewals as required by MLTSS and managed care organizations
- Monthly reconciliation of census days billed to amount paid with detailed reporting
- Follow-up, corrective action, and corrective action plans on denials, incorrect payments, and balances
- Monthly meetings with Executive Director and Business Office Director to resolve billing issues
- Maintain accounts receivable aging using ADL Data Systems, Inc./Optimum Financials
- Assist Preakness Healthcare Center with Medicare Bad Audits
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Technical | Not specified |
| Management | Not specified |
| Cost | Not specified |
| Experience | Not specified |
| Reputation | Not specified |
Minimum qualifications
- Minimum of five (5) years of medical billing experience in a skilled nursing facility
- Experience obtaining authorizations where required by insurance carriers and NJ MLTSS
- Experience in Medicare, Medicaid, and third-party billing for skilled nursing facilities
- No subcontracting of any part of the contract permitted
Documents to include with your response
- Acknowledgment of Receipt of Addenda
- Statement of Ownership
- RFP Proposal
- Standard Questionnaire
- Appendix B: Experience and Reference List
- Appendix C: Preakness Healthcare Center Vendor Information List
- Appendix D: Company History, Organizational Structure, Table of Organization
- Appendix E: Scope of Services Responses
- Disclosure of Investment Activities in Iran
- Certification of Non-Involvement in Prohibited Activities in Russia or Belarus
Key dates
- Proposals due
- November 24, 2026 at 10:30 AM (prevailing time)
- Bid opening
- November 24, 2026 at 10:30 AM (prevailing time)
- Contract start
- January 1, 2027
How to submit
- Method
- Sealed hard copy via hand-delivery, certified mail, or overnight delivery
- Instructions
- Submit four (4) bid proposals total: one (1) original, two (2) copies, and one (1) electronically stored copy on CD or USB Flash Drive to Passaic County Purchasing Division, Passaic County Procurement Center, 495 River Street, 2nd Floor, Paterson, New Jersey 07524. Envelopes must clearly identify RFP name, RFP number, and RFP opening date.
Contract details
- Term
- January 1, 2027 through December 31, 2027 with Four (4) One-Year Options to Renew
- Set-aside / preference
- Minority Business Enterprise and Women Business Enterprise Set-Aside and Joint Venture Program
- Place of performance
- Paterson, New Jersey and Preakness Healthcare Center, with remote access via Team Viewer US, LLC
- Insurance and bonding
- Worker’s Compensation and Employer’s Liability as required by law. Passaic County and its Commissioners and Officers must be named as additional insureds.