Top 20 medical billing companies in the US
List of medical billing companies in the US
- Connext Global Solutions
- Sun Knowledge Inc
- Kareo
- CareCloud
- Revele
- Infinite-O
- Promantra
- 4D Global
- Medwave
- 20/20 MD Billing
- 24/7 Medical Billing Services
- Medcare MSO
- RevUp Billing
- Absolute Solutions
- Accurate Medical Billing
- ACP Billing Services
- Advanced Pacific Medical, LLC
- Alpine Medical Billing
- Alta Medical Management
- AMBSI Inc.
The outsourcing practice does not just apply to one industry alone. The business process outsourcing (BPO) sector caters to all sizes and types of businesses, including the medical billing industry.
Besides being able to save on costs, medical billing companies allow organizations to fill in skill gaps in their office services.
More so, they can boost their productivity and get things done faster through outsourcing. It has become a strategic practice for businesses as they compete with the ever-cutthroat market.
Over the years, outsourcing has also been supporting the entire healthcare industry.
With the healthcare field’s very busy nature, it is a common challenge to be able to maximize all their resources while providing quality services to patients.
Among the most common outsourced services, especially in US healthcare, is medical billing or medical coding. For US healthcare establishments seeking to outsource this type of role, you have come to the right place.
We have listed 20 of the top medical billing companies in the US and how this service benefits healthcare organizations. We have also included the other types of medical practices that are usually outsourced in this sector.
Global outsourcing lists
Outsource Accelerator is the world’s leading outsourcing marketplace and advisory. We list over 4,200+ BPO firms located across the globe in our global directory, and we provide detailed information, price guides, and reviews.
Whether you’re a solopreneur, SME owner, or corporate executive, we can help you find the most suitable business process outsourcing provider for your business.
Explore our outsourcing directory now. You may also check out our lists of top medical billing companies per country here:
- Top 25 medical billing companies in the Philippines
- Top 20 medical billing companies in India
- Top 15 medical billing companies in South Africa
- Top 20 medical billing companies in Jamaica
- Top 20 medical billing companies in Europe
- Top 20 medical billing companies in Poland
- Top 20 medical billing companies in Canada
- Top 10 medical billing companies in the UK
- Top 20 medical billing companies in Brazil
- Top 20 medical billing companies in Malaysia
- Top 30 medical billing companies in Spain
- Top medical billing companies in Albania
- Top 20 nearshore medical billing companies
- Top 30 medical billing companies in Los Angeles
- Top 20 medical billing companies in New York
- Top 5 medical billing companies in Vietnam
Outsourcing to the top medical billing companies in the US
Outsourcing non-patient care services enable healthcare providers to mitigate their expenses, at the same time, leverage their remaining resources.
Technological advancements are continuously reshaping patient care and how providers perform their business. It is safe to say that technology is set to have a major transformation in healthcare, especially in the US.
Along with these transformations, the US government and private insurance companies have been decreasing the reimbursement of such clinical and non-clinical services.
As a result, a lot of healthcare establishments are having difficulties in supplementing their profit margins for such medical services.
By outsourcing, you will be able to alleviate this challenge. Further, outsourcing services in the medical field are not limited to one process alone.
Other types of medical billing services
Apart from medical billing or medical coding, there are other medical practices that are commonly outsourced to third-party companies in the USA.
Here are three other outsourcing services in healthcare:
Claims processing
Processing patient claims is a time-consuming and critical role. This is because patients need to have precise and proper medical claims for their insurance companies.
Outsourcing this function enables healthcare providers like you to ensure that all patient claims are processed accurately. This mitigates the risk of billing errors and halts the cash flow of hundreds of claims that need to be processed daily.
It is also a good choice to help complete all required insurance claims on time.
Data processing services
As a healthcare organization, you have to update and record volumes of medical data and electronic health records every day.
Examples of these sets of data include:
- Patient insurance information
- Tests and lab results
- Various hospital records
- Prescriptions and drug inventory
Acquiring data processing services frees up more of your time and resources.
Medical transcription
Medical transcription refers to the manual transcribing of recorded medical reports dictated by healthcare practitioners.
These medical reports can be taken during medical lectures, clinical summaries, surgery notes, and the like.
These transcribed documents are often required in the patient’s medical charts, for insurance claims, and for practitioners’ own records.
Benefits of outsourcing to the top medical billing companies in the US
Outsourcing your medical billing services to external companies greatly helps healthcare organizations like yours in the following:
Cost reduction
Outsourcing this role to outside medical billing companies allows you to save money, both on operational expenses and overhead costs, compared to hiring and training in-house employees.
The money that you save can then be allocated to other projects to enhance the growth of your entire healthcare business.
Focus on patients
As a medical practitioner, it is quite understandable that you have a very busy and demanding schedule.
Apart from being able to save on costs, outsourcing to a medical billing service provider also lets you save more of your precious time.
In turn, you will be able to focus more on your patient’s needs. You will also be able to entertain and attend to more patients daily.
Improved services
Outsourcing the medical billing process allows your in-house staff to focus on other matters, such as more urgent healthcare practices.
On top of that, having extra sets of hands helps you and your team to improve your services and add more to your existing ones.
Access to industry experts
Working with the top medical billing companies in the US adds more value to healthcare establishments. Outsourcing lets you connect with skilled professionals who have undergone proper training.
These medical billing professionals are also backed with industry experience from working with various clients in the healthcare field.
Top 20 medical billing companies in the US
Finding a medical billing company dedicated to helping healthcare providers may be challenging, especially if your company has a wide range of services offered.
To help you decide, we have compiled an extensive list of medical billing companies in the USA for your reference.
1. Connext Global Solutions
Connext is a back-office Business Process Outsource (BPO) service firm in the Philippines. The firm has been providing highly skilled professional staffing services at a minimal cost since 2014.
Enabled by seamless cloud connectivity, Connext solves the staffing challenges of its clients. The firm achieves this by building exceptional remote teams that contribute to the smooth running of their client’s businesses.
2. Sun Knowledge Inc
Sun Knowledge Inc. is a top-tier RCM provider with 15 + years in the U.S. offering comprehensive services such as end-to-end RCM, prior authorization, accounts receivable management, customer support, and virtual assistants.
Specializing in areas like DME, HME, cardiology, urgent care etc Sun Knowledge serves both payers and providers. Known for flexibility and cost-effective solutions, the company charges just $ 7/ hour with no binding contracts and ensures full HIPAA compliance.
Operating across all U.S. time zones with a 48-hour turnaround, Sun Knowledge is fully insured by Hiscox for $3 million, showcasing its dedication to excellence with clients across the U.S.
3. Kareo
Established in 2004, Kareo offers cloud-based and complete medical technology platforms for different healthcare establishments. It has two physical offices that are based in California and Costa Rica.
Its medical billing services cost $25 per hour. They also specialize in other medical roles such as patient collections, insurance reimbursements, care delivery, patient experience, and more.
4. CareCloud
CareCloud is a renowned healthcare information technology provider with a global presence in Sri Lanka, Pakistan, and the US. This outsourcing provider has been backed with professional expertise in healthcare services since its inception in 1999.
Examples of its wide range of medical solutions include revenue cycle management, practice management, patient experience management, telehealth, and healthcare analytics. CloudCare is currently serving 40,000 healthcare providers in over 50 states.
5. Revele
Formerly named as GroupOne Health Source, this medical billing company has been working with its clients since 1991. It has two headquarters that can be found in Indiana and India.
Its specialized solutions in revenue cycle management and medical billing involve remote staffing, patient pay, denial management, clinical coding, and healthcare analytics. It also specializes in EHR software systems and MIPS.
6. Infinite-O
Infinite-O is a multinational BPO company with global offices in the Philippines, the UK, Australia, and the US. It has a pool of professional RCMs and certified medical coders who are skilled and trained in utilizing EHR or EMR systems.
Besides healthcare services, Infinite-O also offers finance and accounting, research and data, customer experience, IT, and back-office support.
7. Promantra
Promantra specializes in BPO services for all sections of the entire healthcare industry. It has two offices located in the US and India.
Unlike other medical billing companies, it offers IT solutions specifically for healthcare software development, mobile apps, e-learning, QA and testing, and software integration.
8. 4D Global
4D Global is another revenue cycle management company that has been working with US-based medical billing companies since 2015. It has two headquarters located in Arizona and India.
Its list of featured services involves payment posting, denial management, data entry, provider credentialing services, credit balance resolution, A/R follow-up, including eligibility and benefits.
9. Medwave
Medwave provides the best medical billing services, A/R recovery, and credentialing in various healthcare sectors.
It serves healthcare practitioners in behavioral therapy, chiropractic, physical therapy toxicology labs, and more. This medical services provider is situated in Pennsylvania.
10. 20/20 MD Billing
20/20 MD Billing is considered as one of the pioneers in providing medical billing services in America. It has two headquarters located in New York and New Jersey.
Through its 20 years of experience, the company has perfected its featured services. 20/20 MD Billing services include medical coding, auditing, physician credentialing, and RCM.
11. 24/7 Medical Billing Services
24/7 Medical Billing Services is famous for its medical billing services, coding, A/R follow up and credentialing services.
As its name implies, the company offers round-the-clock services to medical establishments across all the states in the US.
12. Medcare MSO
Medcare MSO is a medical billing and revenue cycle management company that helps healthcare organizations improve their financial performance.
With a team of specialists with 12 years of experience in the industry, it is committed to delivering customized, efficient solutions that meet the specific requirements of each client.
The company provides a comprehensive suite of medical billing services, collections, and practice management. Medcare MSO is committed to providing its clients with the highest quality of service and helping them achieve their financial goals.
13. RevUp Billing
RevUp Billing offers a comprehensive suite of medical billing solutions, behavioral and mental health billing, and credentialing services.
It also specializes in Ohio waiver provider billing, eWebSchedule: software for agencies, web design, SEO, and PPC services.
14. Absolute Solutions
Founded in the year 2004, Absolute Solutions offers patient billing and consulting services, as well as project management to healthcare providers.
Part of its goal is to provide simple and efficient services that will maximize each dollar spent by its clients.
15. Accurate Medical Billing
Accurate Medical Billing is a full-service practice management corporation headquartered in Phoenix, Arizona. Its specialized services include patient eligibility, patient pre-authorization, and an online client resource center.
Its other services are online scheduler, patient online access to paperwork, online credit processing, and credentialing.
16. ACP Billing Service
ACP Billing Services claims to be a leader among medical billing outsourcing companies. Founded in 2008, this Orlando-based medical billing firm offers 24/7 support to different medical establishments.
Their services can help take care of the hospital billing process, the physician billing process, application management, and application development.
17. Advanced Pacific Medical, LLC
Advanced Pacific Medical, LLC is a healthcare management company that specializes in revenue cycle management and billing services. The company was founded in 2011, and it is based in San Diego.
Apart from medical billing processes, it caters to different medical specialties like primary care, behavioral health, internal medicine, physical therapy, pulmonary critical care, and rheumatology.
18. Alpine Medical Billing
Alpine Medical Billing has been working with mental health counselors, therapists, LCSW, and MFT since 2012.
This medical billing provider offers insurance billing, patient billing, benefits verification process, claims research, monthly report, collections, and customer service.
19. Alta Medical Management
Alta Medical Management has been helping medical providers to simplify their revenue cycles for over 15 years now.
Its services include denial management, eligibility verification, charge posting, billing, clearinghouse denials, claim submission, and more.
20. AMBSI Inc.
AMBSI Inc. specializes in providing end-to-end medical billing services to medical providers and healthcare companies. This medical firm aims to help clients increase profits and become financially stable through its services.
Its featured offerings include medical billing consulting services, medical coding and claim reimbursement, HIPAA compliance and consulting, accounts receivables, and consulting.
How to choose the right medical billing company
Choosing the right medical billing company is crucial for healthcare providers looking to streamline their operations and maximize revenue.
With numerous options available, it’s essential to consider various factors to ensure you select a company that meets your specific needs.
Here are five tips to help you make an informed decision:
1. Evaluate experience and expertise
Look for a company with a proven track record in the healthcare industry.
An experienced billing service will have a deep understanding of medical codes, regulations, and best practices, ensuring accurate and efficient billing processes.
2. Check references and reviews
Ask for references and read online reviews to gauge the company’s reputation.
Feedback from other healthcare providers can provide valuable insights into their reliability, customer service, and overall performance.
3. Assess technology and software compatibility
Ensure the billing company uses up-to-date technology and software that integrates seamlessly with your existing systems. This compatibility can help streamline workflows and reduce errors in billing and claims processing.
4. Inquire about transparency and reporting
Choose a company that offers clear and regular reporting on billing performance, collections, and outstanding claims.
Transparency in operations helps you stay informed about your revenue cycle and makes it easier to identify areas for improvement.
5. Consider customer support and communication
Effective communication is key to a successful partnership. Select a billing company that provides dedicated support and is responsive to your inquiries, ensuring you have the assistance you need when issues arise.
Top medical billing companies in the US FAQs
When it comes to managing revenue cycles in healthcare, medical billing companies are very important. With so many options available, providers often seek guidance on selecting the best services and understanding the industry.
Here are some frequently asked questions regarding the top medical billing companies in the US:
What are the best medical billing companies?
The top medical billing companies in the US are recognized for their reliability, innovative technology, and exceptional customer support.
These attributes ensure efficient billing processes and enhance client satisfaction, making them top choices in the industry for healthcare providers seeking comprehensive billing solutions.
Which medical billing certification is best?
The Certified Professional Biller (CPB) credential from the American Academy of Professional Coders (AAPC) is esteemed in the industry. It equips professionals with essential billing practices, coding knowledge, and compliance expertise, making it a valuable certification for aspiring medical billers.
Which medical biller makes the most money?
Medical billers who are within specialized fields like oncology or anesthesia typically earn higher salaries.
Moreover, these individuals with advanced certifications and significant experience can also command increased pay rates. The requested rates reflect their expertise and the complexity of their work.
Is a medical billing business worth it?
Yes, a medical billing business can be lucrative. This is especially true given the increasing complexity of healthcare billing.
Incorporating the right skills, knowledge, and market demand allows the top medical billing companies in the US to help firms have a stable income and opportunities for growth.
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