The best medical billing companies help healthcare providers and organizations streamline their revenue cycle management, improve cash flow and increase profitability. Offering a range of medical billing services, these top-notch firms can ensure that you maximize your revenue potential while maintaining compliance with regulatory requirements.

  

Our evaluation process includes a thorough analysis of factors such as certifications, client feedback, pricing and portfolio to provide you with a list of the best medical billing agencies. This will guide you in the complex landscape of healthcare billing and coding in 2024. 

What Are Medical Billing Companies?

Medical billing companies provide healthcare firms with a range of revenue cycle management services to optimize financial performance and increase profitability. These companies specialize in claim submission, coding accuracy, denial management, payment posting, patient billing, reporting and more.

Top medical billing agencies use the latest technology and security features to ensure data accuracy, privacy and compliance with healthcare regulations. They also offer customized solutions tailored to the specific needs of healthcare providers, whether they are solo practitioners or large organizations.

Our Picks for the Best Medical Billing Companies in 2024

24/7 Medical Billing Services: Best Overall

24/7 medical billing services agency

  • Minimum project price: Inquire
  • Hourly rate: $8
  • Founded: 2016
  • Services: Medical coding, credentialing, denial management, eligibility verification and more

24/7 Medical Billing Services is the best medical billing company that provides high-quality medical billing services, backed by a team of proficient billers and coders with over 10 years of experience. They excel in assessing and addressing reasons for claim denials, resubmitting claims and ensuring timely reimbursements 24/7.

  • Why We Chose Them: They specialize in various medical specialties, using advanced technology and software such as AdvancedMD, Allscripts PM, AthenaCollector, Centricity Group Management, eClinicalWorks, HealthFusion, Vericle, etc. Their 99% clean claim standard and 100% HIPAA compliance show their commitment to prioritizing the safety and confidentiality of patient data. They have partnered successfully with healthcare providers, improving revenue cycle management and resulting in a 20% increase in reimbursements, particularly for mental health providers.
  • What You Should Consider: Since medical billing services vary, companies planning to partner with 24/7 medical billing service providers should walk the agency through the requirements. Clients should have a clear understanding of their billing needs to ensure they receive the best services possible.
  • Who Are They For: This medical billing company caters primarily to doctors, practitioners, billing corporations, insurance companies and more.

P3 Healthcare Solutions: Best for MIPS Consulting

P3 healthcare solutions agency

  • Minimum project price: $1,000
  • Hourly rate: $20
  • Founded: 2015
  • Services: Healthcare digital marketing, healthcare software development and more

P3 Healthcare Solutions is one of the best medical billing providers earning their reputation for providing high-grade solutions, including MIPS support. They have over 500 satisfied clients and are recognized by noteworthy publishing sources such as NBC, MarketWatch and Fox News.

  • Why We Chose Them: They have helped their clients optimize their revenue cycle management through efficient medical billing processes, HIPAA compliance and MIPS reporting for incentives and bonuses. With 100+ successful projects, this medical billing company provides a wide range of healthcare IT solutions, from revenue cycle management to ensuring smooth RCM via the best pathology practices. This medical billing company has also been recognized and listed under CIMS qualified registry from 2016-2022 and honored to become a MIPS Qualified Registry in the years 2016, 2017, and 2018.
  • What You Should Consider: Those requiring more than one service from PH3 should request a quotation. This will ensure that they can accommodate your needs according to budget.
  • Who Are They For: P3 Healthcare Solutions serves a wide range of industries, including cardiology, OB-GYN/gynecology, nephrology, chiropractic and internal medicine.

BillingParadise: Best for End-to-End RCM Automation

BillingParadise agency

  • Minimum project price: $1,000
  • Hourly rate: $20
  • Founded: 2004
  • Services: Medical coding, denial management, claims processing, credentialing and more

BillingParadise is also a top medical billing agency, highly reliable in offering top-notch revenue cycle management solutions. They have served over 700 satisfied clients with certifications from highly respected organizations like HL7 International, AAPC, DOBI and HIPAA.

  • Why We Chose Them: We chose BillingParadise for their revenue cycle management expertise, advanced analytics and KPI tracking tools. Their certified medical coders ensure accurate coding and timely reimbursements. They helped a 180-clinic group collect $5 million in just 2 months. This medical billing agency offers end-to-end RCM automation services, including eligibility verification, denial management, medical coding, credentialing and charge capture, making them a one-stop shop for all billing needs.
  • What You Should Consider: Companies planning to partner with BillingParadise should consider their budget. While their services are top-notch, they are also cost-effective, making them a great option for small and mid-sized practices. BillingParadise offers flexible pricing models, allowing clients to choose the package that best suits their needs and budget.
  • Who Are They For: BillingParadise's medical billing services are for hospitals, medical group practices, independent practices and in-house billing teams. Their specialized teams work closely with clients to tailor solutions that meet their specific needs and requirements.

Medical Billing Fact: According to the latest available data, 80% of US medical bills have errors. [Becker’s Hospital Review]

Quality Med Billing & Consulting: Best for Billing CPT and ICD10 Codes

Quality Med billing and consulting agency

  • Minimum project price: $1,000
  • Hourly rate: Inquire
  • Founded: 2020
  • Services: Telemedicine, consulting, software development and more

Quality Med Billing & Consulting (QMBC) is the next best medical billing company handpicked for their highly trained billing and coding staff, specializing in minimizing managerial tasks, eliminating billing and coding mistakes, protecting patient information and maximizing revenue for their clients.

  • Why We Chose Them: They are AHIMA-certified and hold the most updated training for reviewing, assigning and billing CPT and ICD10 codes. They ensure that their clients receive the highest reimbursements while supporting them in running their practice hassle-free. QMBC's team of experts is equipped to handle all aspects of medical billing and coding, from claim submission to payment posting, ensuring that their clients' revenue cycle is optimized at every stage.
  • What You Should Consider: For companies considering signing contracts, it is important to note that Quality Med Billing & Consulting still offers their non-contract, risk-free agreement. QMBC's commitment to providing their clients with exceptional service, personalized attention and a transparent billing process remains the same whether or not a contract is signed.
  • Who Are They For: They provide medical billing and consulting services for healthcare professionals and establishments across various industries, including but not limited to primary care, mental health, rehabilitation and more.

Medcare MSO: Best for Aging AR Recovery

Medcare MSO agency

  • Minimum project price: Under $1,000
  • Hourly rate: $25
  • Founded: 2012
  • Services: Laboratory billing, AR recovery, staffing, coverage discovery and more

Medcare MSO makes our ranking of the best medical billing companies for providing trusted services since 2012. Their complete billing solutions ensure that organizations of all sizes and specialties receive the services they need, including medical claims billing services, aging AR recovery and practice management solutions.

  • Why We Chose Them: Medcare MSO's KPIs are outstanding, with an 88% first pass clean claims rate and 7-14 days turnaround time. Their clients benefit from a 15-20% revenue increase and a 30% reduction in AR. They have an impressive 90%+ collection ratio, making them efficient in collecting payments for their clients. Moreover, their innovative medical billing service simplifies practice management and patient engagement, currently being utilized in over 80,000 healthcare facilities nationwide. They are also HIPAA-compliant, an AAPC member and ISO-certified, delivering exceptional results for their clients.
  • What You Should Consider: Companies planning to hire Medcare MSO should request a demo before finalizing their decision. This allows them to see firsthand how Medcare MSO's medical billing services and innovative software can benefit their organization.
  • Who Are They For: Medcare MSO is an excellent choice for businesses in various industries. Their specialties range from rehab, oncology, psychiatric and wound care to dermatology and cardiology. Their clients include Care Now Clinic, ARK Medical Labs, Central Clinical Labs, ION Diagnostics and more. No matter the industry or specialty, Medcare MSO has the experience and expertise to deliver outstanding results.

AnnexMed INC: Best for Coding and HIM Solutions

AnnexMed Inc agency

  • Minimum project price: Inquire
  • Hourly rate: Inquire
  • Founded: 2004
  • Services: Coding and HIM, revenue cycle management, dental RCM, BPO and more

AnnexMed INC is another great medical billing service provider due to their long history of success and a proven track record of delivering superior results. Since 2004, they have helped customers increase their flexibility, scalability and financial health using their knowledge and cutting-edge technology.

  • Why We Chose Them: This top medical billing company stands out with its 18+ years of experience in the industry, coupled with a remarkable 99.1% retention rate. They achieved outstanding results for their clients, including reducing operational costs by up to 45%, increasing productivity by 72%, reducing aged AR by 36% and reducing denial rates by up to 72%. Furthermore, their clients have seen collections improved by up to 98%. With their vast experience, AnnexMed INC serves more than 40+ specialties and continues to deliver outstanding results.
  • What You Should Consider: When hiring medical billing services, consider the company's expertise and experience, technology infrastructure, security measures and customer support. AnnexMed’s cutting-edge technology ensures a streamlined billing process, while their security measures ensure the protection of sensitive patient data. Their customer support team is available 24/7 to assist clients with any issues they may encounter.
  • Who Are They For: AnnexMed serves a wide range of specialties and industries, including hospitals, medical practices, surgery centers and many more. They have a team of experts dedicated to each specialty they serve, ensuring that clients receive personalized solutions that meet their unique needs.

Medical Billing Fact: On average, hospital bills that exceed $10,000 contain an error amount of $1,300. [The Business Research Company]

Kareo: Best for Specialized EHRs

kareo agency

  • Minimum project price: $1,000
  • Hourly rate: $25
  • Founded: 2004
  • Services: Patient collections, care delivery, healthcare software development, and more

Kareo, part of the Tebra family of companies, stands out as one of the best medical billing companies on our list for providing intuitive software and dedicated support to the healthcare industry for over 18 years. They are experts in optimizing practices by identifying suitable tools and services, including specialized EHRs and practice marketing, to meet individual needs.

  • Why We Chose Them: Kareo's impressive credentials include recognition as a trusted partner to over 90,000 providers, 450,000 active users and 8 million patients in the US. They received the 2022 Software Advice award for medical billing, electronic medical records and telemedicine. They are also ONC-certified for quality and safety. Kareo processed over $25 billion in insurance claims in 2019, showcasing their efficiency and expertise. In 2022, Kareo launched to over 100,000 providers, solidifying their status as an industry leader.
  • What You Should Consider: Clients and investors can rest assured that you will be working with a company committed to providing better healthcare for every patient. Kareo's innovative technology and personalized support make them a strong partner for any independent practice looking to improve their billing processes and provide better care to their patients.
  • Who Are They For: This medical billing agency is the ideal partner for independent practices across industries, including primary care, pediatrics, mental health and more. As the only cloud-based clinical- and business-management platform purpose-built for independent practices, Kareo has the expertise and experience to help providers navigate the complex healthcare landscape and achieve success.

Physician Billing Company: Best for AR Management

Physician billing company agency

  • Minimum project price: Under $1,000
  • Hourly rate: $25
  • Founded: 2010
  • Services: Revenue cycle management, AR collection management, HIPAA compliant management and more

Physician Billing Company (PBC) is an excellent medical billing company with over a decade of experience in physician billing services. The agency has helped medical practitioners tackle the complexities of revenue cycle management with their cutting-edge healthcare technology and revenue cycle management solutions designed to drive 100% positive outcomes.

  • Why We Chose Them: This medical billing company utilizes their long-standing expertise to achieve a 99.5% collection of billed revenue. They handle every aspect of the billing process, from coding to denial and AR management, to help grow the revenue by up to 30%. PBC's medical billing and coding system is always up to date with the latest guidelines from AMA, CMS and HHS. This medical billing company is fully compliant with HIPAA protocols, ensuring that your PHI is secure across a well-guarded communication network.
  • What You Should Consider: When considering PBC, clients should note that their minimum budget is under $1,000. However, clients should ask for a quotation, especially if they require more services.
  • Who Are They For: PBC serves a network of doctors, physicians and healthcare workers from various industries all around the US. Their specialties include cardiology, pain management, dermatology, oncology, orthopedic, urology and more.

Revele: Best for eClinicalWorks EHR Users

Revele agency

  • Minimum project price: Inquire
  • Hourly rate: $35
  • Founded: 1999
  • Services: Clinical coding, healthcare analytics, third-party verification, and more

Revele is the best medical billing agency for eClinicalWorks EHR users. Since 1999, the agency has led the way in implementing cutting-edge technology to enhance revenue cycle management. Their integrated solution combines robust data, intelligent claim handling and performance consulting, creating a richer revenue cycle experience for their clients.

  • Why We Chose Them: With an impressive track record, this medical billing service provider has helped numerous clients achieve a 10%+ increase in cash flow, a 95%+ net collection rate, less than 37 days in AR and a 24-hour claim turnaround. One of their significant achievements was their partnership with Big Sky Dermatology. Since collaborating with Revele, Big Sky Dermatology has seamlessly expanded their capabilities internally, with a 200% increase in providers and a 367% increase in employees.
  • What You Should Consider: While Revele's seemingly premium rate of $35 per hour may appear higher than other medical billing companies, their expertise and results suggest that they can help you maximize your revenue cycle and achieve tangible results.
  • Who Are They For: Revele is the ideal choice for practitioners, hospitals and health systems in need of expert revenue cycle management. Their client base includes esteemed names such as Pulmonary & Critical Care Medicine Associates, Advanced Gastro and many others.

Purview Healthcare: Best for Fortune 500 Companies

purview agency

  • Minimum project price: Under $1,000
  • Hourly rate: $8
  • Founded: 2018
  • Services: Medical coding, denial management, charge entry, patient payment collection and more

Purview Healthcare completes our list of the best medical billing companies. They specialize in providing high-yield medical billing and medical coding services to prime healthcare providers across the United States. Their team is highly skilled and trained in CPT, E/M, DRG, HCPCS-II, ICD-9-CM, ICD-10 coding services and ICD-10-CM coding practices, providing accurate and reliable coding solutions.

  • Why We Chose Them: This medical billing services provider has implemented QMS platforms to test the quality and compliance of their coders, ensuring their clients' data security and services that meet industry standards. Moreover, Purview Healthcare only deploys AAPC-certified medical coding specialists who adhere to all payor and government rules and regulations.
  • What You Should Consider: It's vital to choose a medical billing services provider with a proven track record, compliance with industry standards and regulations, a strong reputation and customized services, making Purview Healthcare an ideal agency partner.
  • Who Are They For: Purview Healthcare serves a wide range of industries, including healthcare, insurance and technology. Their clients include Unified Health Services, Ingenious Global Solutions, ABN Healthcare and other Fortune 500 companies.

How We Picked the Best Medical Billing Companies

To determine the best medical billing companies, we started by examining their track record in the healthcare industry. We evaluated their client list and analyzed the types of medical practices they have worked with and the results they have achieved. Additionally, we looked at their industry awards, certifications and partnerships with healthcare organizations.

We also assessed the following criteria to ensure they could provide effective medical billing services:

  • Expertise in medical coding and billing procedures
  • Compliance with HIPAA regulations and other industry standards
  • Efficient revenue cycle management processes
  • Ability to adapt to changes in healthcare regulations and policies
  • Strong communication skills to effectively communicate with healthcare providers and patients
  • Knowledge of medical software and technology
  • And more

We also considered the company's team and their experience in the medical billing industry, as well as their client reviews, processes for managing projects, timelines and budgets. You can learn more about our DesignRush Agency Ranking Methodology here.

Best Medical Billing Services

176 Companies
Rankings updated: April 27, 2025
  • SupportYourApp

    Outsource Support To Grow Faster
    SupportYourApp is a Support-as-a-Service company that provides secure technical, customer support and CX services for growing companies around the globe since 2010.  [... view the full profile of SupportYourApp]
    Wilmington, Delaware
    1000 & Up Inquire $1,000 - $10,000
    VISIT WEBSITE
  • Growth is Complicated. We Make it Simple! Complete Medical Billing Solutions for Your Practice.
    GreenSense Billing stands as a distinguished leader in the realm of medical billing, dedicated to streamlining billing and coding processes within the healthcare industry. Our paramount goal is to  [... view the full profile of GreenSense Billing]
    Las Vegas, Nevada
    100 - 249 $30/hr Inquire
    VISIT WEBSITE
  • Streamline Your Revenue With Expert Medical Billing Services.
    Medix Revenue Groups medical billing software optimizes the entire billing process, from claim generation to submission. Our advanced health claim billing solution ensures seamless claim scrubbing  [... view the full profile of Medix Revenue Group]
    Sheridan, Wyoming
    50 - 99 $25/hr Under $1,000
    VISIT WEBSITE
  • Empowering healthcare providers with financial success through efficient revenue cycle management.
    Global Tech Billing LLC streamlines medical billing and RCM for US healthcare providers, ensuring faster reimbursements, fewer denials, and compliance with HIPAA and payer guidelines. Our services  [... view the full profile of Global Tech Billing]
    Casper, Wyoming
    Under 49 $10/hr Under $1,000
    VISIT WEBSITE
  • SysMD

    SysMD-Excellence Delivered
    SysMD delivers smart, efficient healthcare solutions through expert revenue cycle management, medical billing, credentialing, coding, and transcription services. Founded in 2020, we help medical  [... view the full profile of SysMD]
    Houston, Texas
    Under 49 $25/hr $1,000 - $10,000
    VISIT WEBSITE
  • Vinova

    Top Rated: 5-star Average Reviews
    Award-winning and Passion-driven app development company. More than a Tech partner.
    Top 10 Web and Mobile App Developer in Singapore | ISO Certified | Top 100 Singapore's fastest-growing companies 2024  [... view the full profile of Vinova]
    Singapore, Singapore
    250 - 499 $30/hr $1,000 - $10,000
    VISIT WEBSITE
  • Belkins

    Close more deals with ROI-focused lead acquisition
    Belkins is a B2B lead acquisition agency helping businesses generate high-quality leads & close deals. Belkins has been the award-winning agency for 5 years in a row and has 1,000+ loyal customers  [... view the full profile of Belkins]
    Dover, Delaware
    250 - 499 $50/hr $1,000 - $10,000
    VISIT WEBSITE
  • Dimov Tax

    Let us save you time & money.
    Dimov Tax offers expert domestic and international tax and financial services, including individual and business tax preparation, cryptocurrency and stock taxation, IRS/state notice resolution  [... view the full profile of Dimov Tax]
    Denver, Colorado
    Under 49 Inquire Inquire
    VISIT WEBSITE
  • TechSpeed

    TechSpeed Inc: Women Owned Technology Company, Pioneering AI-Driven BPO Solutions
    TechSpeed Inc is a Women Owned Technology company. Founded in 2002, it is the first AI-driven Business Process Outsourcing (BPO) provider. Pairing AI-driven technology automation and Human in the Loop  [... view the full profile of TechSpeed]
    Portland, Oregon
    100 - 249 $6/hr $1,000 - $10,000
    VISIT WEBSITE
  • MCVO Talent Resource Services
    Philippines Outsourcing Company with sales office in Chicago that provides talented staff to small businesses in the US.  [... view the full profile of MCVO Talent Outsourcing]
    Chicago, Illinois
    Under 49 $10/hr $1,000 - $10,000
    VISIT WEBSITE
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  • CareCloud

    Modern Healthcare Solutions
    CareCloud, Inc. is a prominent provider of proprietary cloud-based healthcare solutions for expanding healthcare organizations. CareCloud (Nasdaq: CCLD, CCLDP, CCLDO), formerly known as MTBC  [... view the full profile of CareCloud]
    Clyde, New Jersey
    1000 & Up $20/hr Inquire
  • SunTec India

    Multi-Process IT Outsourcing Services
    SunTec India is a global IT outsourcing firm with 25+ years of experience & 1,500+ employees. We have served 8,530+ clients across 50 countries, offering expertise in web & app development, data  [... view the full profile of SunTec India]
    Laguna Beach, California
    1000 & Up $10/hr Inquire
  • Fusion CX

    BPO services spanning domains.
    With over 35 years of industry experience and a client base of 250+ companies spanning multiple sectors, Fusion CX Group is a trusted provider of top-notch call center and customer care services.  [... view the full profile of Fusion CX]
    Draper, Utah
    1000 & Up $25/hr $10,000 - $25,000
  • Uniquesdata

    Your trusted Data Entry Outsourcing & Web Research Partner
    Uniquesdata is a global data management outsourcing company providing a wide range of solutions, including data entry, market research, data digitization, data processing, data conversion, data  [... view the full profile of Uniquesdata]
    Ahmedabad, India
    100 - 249 $5/hr Under $1,000
  • Premier BPO

    Top Notch BPO Services.
    Premier BPO is a leading Business Process Outsourcing company that excels in combining technology, human resources and customer requirements to deliver tailored solutions.  [... view the full profile of Premier BPO]
    New Providence, New Jersey
    1000 & Up Inquire Inquire
  • Ask Datatech

    Ask Datatech - Outsourcing Data Entry and Data Conversion service Provider Canada
    Ask Datatech provides quality Data Entry Service, Data Management Services, Email database creating for email marketing/Lead Generation, Magento & E-commerce Product Upload Services, Data Conversion  [... view the full profile of Ask Datatech]
    Surrey, Canada
    50 - 99 $8/hr Under $1,000
  • Uassist.ME

    Comprehensive outsourced customer support services
    Embracing the role of a collaborator, we hold a genuine concern for our clients' processes and the quality of our own outsourced customer support performance. Our organizational ethos centers on  [... view the full profile of Uassist.ME]
    Miami, Florida
    500 - 999 $15/hr $1,000 - $10,000
  • Peak Support

    BPO solutions that you can trust
    Peak Support stands as a dynamic and forward-moving provider of outsourced customer support services, driven by an unwavering commitment to furnishing unparalleled assistance to rapidly expanding  [... view the full profile of Peak Support]
    Cambridge, Massachusetts
    250 - 499 Inquire Under $1,000
  • SunTec Data

    Your one-stop shop for data services.
    SunTec Data is a leading data services provider and KPO & BPO/BPM company. With 25+ years of experience and 1500+ data professionals, we have established successful partnerships with a diverse range  [... view the full profile of SunTec Data]
    Laguna Beach, California
    1000 & Up $15/hr Under $1,000
  • We Drive Success.
    Established in 2009, Unity Communications is a US-based Business Process Outsourcing (BPO) company specializing in sales, technical support, customer service and administrative support services.  [... view the full profile of Unity Communications]
    Gilbert, Arizona
    500 - 999 $9/hr Inquire
  • Understanding you makes us better. That is how we work smarter.
    ARDEM Incorporated is a strategic outsourcing partner providing automated business solutions that help our clients work smarter. We partner with some of the most well-established companies in the  [... view the full profile of ARDEM Incorporated]
    Hillsborough Township, New Jersey
    250 - 499 Inquire $1,000 - $10,000
  • Enshored

    Enshored - powering growth
    Enshored is the leading outsourcer for start-ups. Were here for the innovators, for the scalers. Were here for the creators, for the makers, for the horizon scanners who saw it and then went out there  [... view the full profile of Enshored]
    Long Beach, California
    1000 & Up $15/hr Inquire
  • Symfa

    Software Development Skills Under One Roof
    Symfa is a custom software development company with over 250 employees worldwide. With a Customer Care center located in Miami Dade, Florida, and a Delivery center in Europe, the company has a global  [... view the full profile of Symfa]
    Sunny Isles Beach, Florida
    250 - 499 $50/hr $10,000 - $25,000
  • Offshore Data Entry Service: Precision, Speed and Security
    Top Offshore BPO company  [... view the full profile of Offshore India Data Entry]
    Chicago, Illinois
    100 - 249 $5/hr $10,000 - $25,000
  • The Medicator's

    Taking You Forward.
    The Medicator's stands as a pioneering and premier provider of medical billing and revenue cycle management services catering to individual practices, group practices, and hospitals.  [... view the full profile of The Medicator's]
    Naperville, Illinois
    50 - 99 $15/hr Under $1,000
  • DGC BPO Service

    Top BPO Company USA.
    DGC BPO Service is a premier US-based outsourcing company offering expert customer service, call center solutions, virtual assistance, and lead generation. We help businesses optimize operations  [... view the full profile of DGC BPO Service]
    New York City, New York
    Under 49 $25/hr $1,000 - $10,000
  • MediBill RCM

    Medical Billing Made Easy.
    MediBill RCM is leading medical billing and coding company in the U.S, based in Texas. As an accredited online medical billing and coding company in America, our certified specialists support your  [... view the full profile of MediBill RCM]
    Houston, Texas
    100 - 249 $30/hr $1,000 - $10,000
  • Simple. Effective. Smart
    Unique designs, ultra customized development, and mobile applications. Our unique combination of skills and talent lets our team knock a variety of projects out of the park. We're a full-service  [... view the full profile of UniSyn Technologies]
    Rantoul, Illinois
    Under 49 $150/hr $1,000 - $10,000
  • Rely Services

    Comprehensive BPO services
    With a global client base of over 200 companies, we provide exceptional outsourcing services that are recognized worldwide.  [... view the full profile of Rely Services]
    Chicago, Illinois
    250 - 499 Inquire Inquire
  • Committed for saving your money, time & efforts
    We help UK accountants to achieve 10X work efficiency with faster turnaround time & 5X profitability with lower resourcing costs by taking care of their backend workflow with outsource services so  [... view the full profile of PayLess Outsourcing]
    Leicester, United Kingdom
    Under 49 $15/hr Under $1,000
  • Empowering Businesses With Innovative Solutions.
    Oak Street Technologies is dedicated to empowering businesses by providing comprehensive IT, HR, BPO, accounting, and strategic digital marketing services. Our aim is to enhance operational efficiency  [... view the full profile of OakStreet Technologies]
    Orlando, Florida
    100 - 249 $40/hr $1,000 - $10,000
  • CSV Now

    Partners You Can Count On.
    CSV Now, a premier consulting firm, excels in talent acquisition, content marketing, and Business Process Outsourcing (BPO). We elevate leading tech brands with holistic business solutions, combining  [... view the full profile of CSV Now]
    Las Vegas, Nevada
    50 - 99 Inquire Inquire
  • MiXBS, LLC

    You create, we support.
    MiXBS is a modern cloud-based outsourcing company that enhances customer experiences and drives growth with proprietary software. We help businesses thrive without high expansion costs by handling  [... view the full profile of MiXBS, LLC]
    Miami, Florida
    500 - 999 $12/hr Under $1,000
  • WartinLabs

    Built For Entrepreneurs
    We aim to transform ideas into sustainable businesses using the latest technologies to achieve maximum value creation for our clients.  [... view the full profile of WartinLabs]
    Noida, India
    Under 49 $40/hr $1,000 - $10,000
  • Empeek

    Healthcare IT Development Center
    Empeek helps Healthcare and Life Science companies break down the growth barriers and become freer, more successful, and competitive.  [... view the full profile of Empeek]
    Chicago, Illinois
    50 - 99 $28/hr $25,000 - $50,000
  • Enfinity Medical Billing optimizes revenue with expert billing, credentialing & consulting.
    Enfinity Medical Billing is a healthcare revenue cycle management company that helps organizations maximize revenue and streamline operations through medical billing, transcription, credentialing  [... view the full profile of Enfinity Medical Billing]
    East Brunswick, New Jersey
    50 - 99 $20/hr Under $1,000
  • Portiva

    Portiva: Leading The Way In Medical Excellence
    Portiva's Virtual Medical Assistant is the No. 1 Provider in the World Today  [... view the full profile of Portiva]
    Trappe, Pennsylvania
    Under 49 $10/hr $1,000 - $10,000
  • BOMCAS

    Canada Professional Tax Accountants and Accounting Services - Accountant in Edmonton.
    BOMCAS Canada stands as a prominent provider of accounting and tax services, delivering a comprehensive suite of solutions tailored to both businesses and individuals. Catering to corporations, small  [... view the full profile of BOMCAS]
    Edmonton, Canada
    Under 49 $60/hr Under $1,000
  • FGS is an integrated telecommunication outsourcing company dedicated to providing creative business process solutions. Headquartered in Egypt, we have been tailoring our high-quality services to the  [... view the full profile of Fusion Global Services]
    Giza, Egypt
    Under 49 Inquire Inquire
  • EuroCom CX

    Quality over Quantity
    A Leading Outsourcing Center in Europe with the Healthy Ambition to Remain at the Top! Our business is on par with the standards established by the industry thanks to the exceptional quality and  [... view the full profile of EuroCom CX]
    Tirana, Albania
    500 - 999 $14/hr $1,000 - $10,000
  • Billboard Express

    #1 Choice for Mobile Billboards.
    As we set our sights on the future, Billboard Express, Inc. aspires to expand its global footprint and sustain its tradition of innovation in the ever-evolving advertising landscape. Our unwavering  [... view the full profile of Billboard Express]
    Rancho Santa Margarita, California
    Under 49 $150/hr Under $1,000
  • Instant Solution

    Effortlessly Accurate, Every Time
    Instant Solution is a top BPO company in Bangladesh, offering world-class call center, data management, and business support services globally. With expertise in data processing, customer support  [... view the full profile of Instant Solution]
    Dhaka, Bangladesh
    Under 49 $8/hr Under $1,000
  • RCM Matter

    A Complete Health Care Solution
    RCM Matter is a top Medical Revenue Cycle Management company that offers a comprehensive product of fully integrated clinical, revenue cycle, credentialing, medical billing & coding, practice  [... view the full profile of RCM Matter]
    Gainesville, Georgia
    100 - 249 $25/hr Under $1,000
  • Task Virtual

    Keeping Things Simple
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Medical Billing Company Hiring Guide

What is a medical billing company?

A medical billing company is a company that works on behalf of healthcare providers, such as hospitals, clinics, and medical practices to ensure accurate and timely billing for patient services. Medical billing services include accounts receivable (AR) collection, following up on unpaid claims, sending timely reminders or inquiries to insurers and patients, and negotiating settlements.

Healthcare providers often encounter difficulties when it comes to patient billing, and medical billing services have the specialization to handle these challenges:

  • Difficulty navigating complex billing systems leading to errors and delays
  • Maintaining a consistent and efficient billing process
  • Staying up to date with changing insurance clearance regulations
  • Lacking automation in insurance claims submission and denial prevention
  • Limited access to legal counsel and experts to appeal claims denial
  • Difficulty collecting payments from delinquent patients
  • Struggling to avoid healthcare fraud and abuse
  • Dealing with inaccurate coding that leads to denied claims or underpayments
  • Limited resources to invest in billing staff and technology

Studies have shown that 80% of medical bills contain errors, which results in $68 billion in unnecessary healthcare spending annually. When healthcare practices were surveyed, 46% cited coding errors and inaccuracies as one of the top 3 reasons for medical insurance claims denials.

However, more concerning statistics show that 15% of all submitted claims are initially denied by unscrupulous private insurers, even after giving pre-approval. Filing an appeal against denied claims is very costly, with providers spending $19.7 billion yearly on appeals.

These reports highlight the benefits of working with a medical billing company to help healthcare providers streamline their billing process and prevent significant revenue losses.

Success story

This case study illustrates how hiring a medical billing service successfully improved a healthcare provider's billing process and increased its revenue.

  • Challenge: Dr. Max’s highly respected chronic pain management practice in Los Angeles was experiencing high denial rates, inefficient billing systems, and delayed reimbursements. These issues were straining the practice's cash flow, directly impacting its growth and ability to provide optimal patient care.
  • Solution: GreenSense Billing conducted a comprehensive review of Dr. Max's revenue cycle, identifying areas for improvement. The medical billing company then streamlined the practice's coding and documentation practices to ensure compliance and accuracy. Finally, it implemented a rigorous claims management process to minimize denials and appeals, which will lead the practice to financial growth.
  • Results: The partnership with GreenSense Billing successfully transformed the practice's revenue cycle, leading to a staggering 200% increase in collections. This achievement was driven by a significant reduction in denials, improved reimbursement rates, and a substantial cash flow enhancement.

What do medical billing companies do?

Medical billing companies handle the complex task of managing patient payments and insurance claims. They verify patient insurance coverage, prepare accurate bills, and follow up on denied claims to maximize reimbursement. They work behind the scenes to ensure that healthcare providers receive the appropriate payments for services rendered.

Medical billers can be found in a wide range of healthcare settings, from small family practices to big hospitals. Their core services include:

  • Compliance
    Assisting hospitals and healthcare providers in adhering to all relevant medical billing regulations and guidelines.
  • Accounts receivable (AR) collections
    Managing and collecting unpaid bills from patients, insurance companies, and other third-party payers for medical services.
  • Insurance claim processing
    Submitting and following up on insurance claims to ensure timely reimbursement for patient services.
  • Patient eligibility verification
    Confirming a patient's insurance coverage details, including policy status and coverage limits, to ensure accurate billing and reimbursement.
  • Securing prior authorization
    Obtaining pre-approval from insurance companies for specific medical procedures or treatments. This confirms coverage and minimizes the risk of claim denials.
  • Denial management
    Filing appeals for denied insurance claims. Medical billing companies have the expertise and resources to advocate for patients and healthcare providers, ensuring that every claim is reviewed thoroughly and that all eligible reimbursements are secured.
  • Medical coding
    Assigning accurate medical codes to procedures and diagnoses. Medical billing companies have certified coders who carefully review patient records, clinical notes, and other relevant documentation.
  • Data entry and management
    Maintaining accurate patient and billing records. This involves collecting, organizing, and updating patient information, as well as tracking billing data, payments, and insurance claims.
  • Reporting and analysis
    Using advanced analytics tools to assess data, uncover inefficiencies, and recommend strategies to optimize billing practices and maximize revenue.
  • Auditing
    Thoroughly examining billing records to identify discrepancies, errors, or potentially fraudulent activities. This step protects healthcare providers against financial losses.

Success story

Relying on medical billing services not only leads to expedited payment collection but also enhances a practice's operational efficiency. This case study shows the transformative power of partnering with a specialized medical billing company.

  • Challenge: Premier Dermatology struggled with mismanaged billings and couldn’t handle copays, which led to revenue losses. Its outdated systems also added to administrative overhead. The practice sought a solution to streamline its operations, improve billing accuracy, and reduce costs.
  • Solution: CareCloud stepped in and implemented CareCloud Concierge, its complete revenue cycle management (RCM) and practice management (PM) solution, within Premier Dermatology. The medical billing company managed the practice's billing and remittance, with daily electronic claim submissions. Premier Dermatology also started using the Advanced Analytics app built into the CareCloud platform to monitor practice performance closely.
  • Results: The practice improved its profitability by reducing the time to payment by 15 days and accounts receivable (AR) turnaround time from 47 to 21 days. The implementation of upfront copay collection and expedited claim payments within 7 to 10 days contributed to a remarkable first pass resolution rate (FPRR) of over 97%.

How much do medical billing services cost?

The cost of medical billing services will depend on the scope of services provided. However, medical billing companies charge, on average, 4%-10% of the total revenue generated by the healthcare provider. This percentage includes all associated costs, like technology, staff, and operating expenses.

Several factors affect a medical billing company's rate, like the size of the medical practice, complexity of claims, and billing model, but providers can generally expect to pay:

  • For a flat fee model: $4-$7 per claim
  • For an hourly fee model: $20-$30 per hour
  • For insurance billing: 4%-9% of the collections
  • For patient billing: 2%-6% of the collections

The top 50 medical billing companies on DesignRush charge an average of $32/hour. 26.% of the companies on DesignRush accept projects with a budget of less than $1,000, typically focusing on basic billing tasks. Meanwhile, 1.4% require a minimum budget of $50,000 for comprehensive billing solutions that include advanced features and extensive support.

Why should I hire a medical billing company?

You should hire a medical billing company to ensure or improve your healthcare practice’s financial health. These companies will streamline your billing processes, maximize reimbursement rates, and reduce claim denials, which will maximize your profitability. Partnering with a credible medical billing service will also free up your staff to focus on effective patient care.

Outsource to medical billing services because they:

  • Streamline the billing and claims processes
  • Reduce coding and billing errors
  • Give you faster reimbursements
  • Ensure your compliance with the latest regulation changes
  • Have the expertise to negotiate with insurance companies
  • Can maximize reimbursement rates and reduce claim denials
  • Protect the practice against fraud and abuse
  • Strengthen cash flow and increase revenue
  • Reduce the workload of healthcare staff
  • Help improve patient satisfaction

Success story

We chose this case study to illustrate how outsourcing medical billing services can reduce critical coding errors and eliminate the inefficiencies and added costs often associated with in-house teams:

  • Challenge: A healthcare practice experienced an increase in claim denials due to coding errors by its in-house team. It sought AnnexMed's help to address this issue and improve its reimbursement rates.
  • Solution: Through a root cause analysis, AnnexMed identified the primary contributors to the increased denial rate. Improper use of modifiers, inaccurate diagnosis pointers, non-adherence to payer specifications, and incorrect point of service (POS) coding for telephone and telehealth visits caused the denials. The medical billing company implemented targeted denial solutions and provided extensive training to improve the practice's coding processes.
  • Results: AnnexMed impressively reduced the practice's coding-related denials by 50% within 45 days, which accelerated its cash flow. Meanwhile, the accounts receivable (AR) and reimbursement days significantly decreased by 20%, and the practice received valuable assistance in improving its documentation practices.

How do I choose the best medical billing service for my business?

Choosing the best medical billing service for your practice can help improve your financial health and operational efficiency.

Follow these steps to pick the right medical billing company for your healthcare business:

  1. Define your goals
    Thoroughly evaluate your billing challenges and set clear goals for your practice. This will help you identify the specific services you’ll need from a medical billing company.
  2. Search for companies
    Start your search on Google and credible agency directories like DesignRush. Industry publications are also a good source to find top medical billing services, or you can ask for recommendations from your peers.
  3. Create a shortlist
    Make a list of potential candidates, and then send detailed requests for proposal (RFP) to learn more about their services, fees, and expected outcomes.
  4. Assess their experience and specialization
    Look for a company that specializes in your type of medical practice so you can make sure they understand your billing needs and challenges.
  5. Check the technology they use
    Medical billing services that use up-to-date tools and software can easily enhance billing efficiency and reduce errors. But make sure they will integrate well with your system or processes.
  6. Look for relevant certifications
    Verify if their employees have relevant certifications, including Medical Billing and Coding Certification, Certified Coding Associate (CCA), and Certified Professional Biller (CPB).
  7. Inquire about compliance and security
    Make sure the company follows the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations and has robust security measures in place to protect patient data.
  8. Understand their pricing structure
    Get clarity on their pricing model, whether it’s a percentage of collections, hourly rate, a flat fee, and any additional charges. Compare costs to find a company that fits your budget.
  9. Ask about their claim denial management
    Inquire about their success rates in this area. A good medical billing service should have effective processes for managing and appealing denied claims.
  10. Assess their customer support quality
    Ask if they offer dedicated support to address your inquiries and provide timely updates. Look for accessible communication channels, such as phone, email, and live chat, to facilitate efficient communication.
  11. Look for customization options
    Your practice may have unique needs, so finding a flexible medical billing company that can tailor its services to fit your requirements is ideal.
  12. Consider turnaround times
    Ask about their average billing cycle times and how quickly they can submit claims. Faster processing can improve your cash flow.

Find the right medical billing company for your practice by visiting our Marketplace. Share a brief overview of your business, and we'll provide a list of five top-rated companies that match your specific needs — for free.

How do I find the best medical billing company on DesignRush that fits my budget?

Use DesignRush's advanced filters to efficiently find a medical billing company that meets your specific requirements. You can refine your choices based on your budget — ranging from $1,000 to over $50,000 — and other criteria.

Low Budget: 1k above
Mid Budget: 10k above
High Budget: 50k above

What are the key success metrics in medical billing?

Here are some of the key success metrics to track to measure the efficiency and success rate of the medical billing service:

  1. Revenue cycle time
    The average amount of time it takes to bill for services, receive payment, and collect the revenue
  2. Days in accounts receivable (A/R)
    The number of days it takes to collect outstanding patient bills; a key indicator of the efficiency of revenue cycle management (RCM)
  3. The 0-60 percentage
    The anticipated cash flow from insurance claims within the first 60 days after billing
  4. Gross collection ratio (GCR)
    The effectiveness of a healthcare facility in collecting revenue for the services provided
  5. Net collections ratio (NCR)
    The percentage of actual reimbursement received compared to the total allowable amount
  6. Clean claims ratio (CCR)
    The percentage of claims submitted without any errors or omissions, or the percentage of claims paid on the first submission; also called First Pass Rate (FPR)
  7. Denial rate
    The percentage of claims denied out of the total number of claims submitted
  8. Bad debt rate
    The rate of patient bills that are deemed uncollectible and written off

What questions should I ask medical billing companies before hiring one?

These are the questions to ask when interviewing a medical billing company:

Its Relevant Background

  1. How long have you been in the medical billing business?
  2. What is your client retention rate?
  3. Can you provide information about your current client base and their sizes?
  4. What certifications and qualifications do your staff have?
  5. What software and technology do you use for medical billing and reporting?
  6. How do you ensure compliance with all relevant medical billing regulations?

Its Services and Processes

  1. What specific billing services do you offer (e.g., claims submission, denial management, follow-up)?
  2. What is your average turnaround time for claim processing and payment posting?
  3. What is your process for managing claim denials and appeals?
  4. Do you provide full-service billing, or do you offer a la carte options?
  5. Do you charge flat fees or hourly rates? Are there any additional charges or hidden costs?
  6. What kind of reports and analytics do you provide?
  7. Do you understand the importance of HIPAA’S security and privacy regulations?
  8. What performance metrics do you use to measure your billing success?

Relevant to Your Project

  1. Do you have experience working with practices in my specialty?
  2. Was there an instance wherein you had to correct a claim mistake?
  3. How often will you communicate with me and provide updates on the billing process?
  4. What measures do you have in place to protect my patient data and prevent fraud?

Asking these questions will give you insights into the medical billing company's processes and capabilities, and help you decide on the ideal partner for your practice.

What are the best medical billing companies in the US?

These are the best medical billing companies in the US:

Why People Trust DesignRush

Rated 4.7 on Google and Trustpilot, the DesignRush Agency Directory is a reliable resource for finding top medical billing companies. We owe this to our executive selection team, which follows a strict screening process when featuring agencies on the platform, assessing key performance indicators, like portfolio, client reviews, and industry reputation.

DesignRush rating logos on Trustpilot and Google

Sources

DesignRush sustains a directory of over 30,000 agencies categorized by service category, location, expertise, and reviews. We build our database in two ways:

  • Our dedicated team of agency experts actively searches the web for top-performing companies. We then pull information from their websites, online presence, and client testimonials to verify their status and qualifications prior to listing.
  • The agencies listed get notified of their profiles on the website and they can choose to claim it or not, which suggests their availability for more collaborations.

Agencies can also reach out to DesignRush and must go through the verification process prior to being listed.

About The Author and Expert Reviewer
Zarah Ariola specializes in research and business. Working at IBM and serving at the UN Migration Agency provided her with first-hand information on business processes, HR, and finance subjects. She now uses these insights to produce valuable and actionable B2B content for DesignRush.
Gianluca Ferruggia is a seasoned digital marketer with over ten years of experience. Starting out with PPC, he effectively expanded his expertise to include SEO, sales, business development, and product. He is currently the General Manager at DesignRush, where he leads a team of over 100 professionals, oversees business operations, and develops strategies that achieve business goals. In just a few years, he grew the company's agency network to over 30,000, making it one of the leading B2B marketplaces that connect businesses with agencies.